Ch 27 Patient Safety and Quality Flashcards
A basic review of key concepts from Nursing Fundamentals by Potter for Nursing 105 @ Schoolcraft College. Some answers are lengthy and really only require familiarization. This is not meant to be exhaustive.
Identify the Joint Commission 2021 National Patient Safety Goals
*Identify Patients Safely
*Improve Staff Communication
*Use Medicines Safely
*Use alarms safely
*Prevent Infection
*Identify patient safety risks
*Prevent mistakes in surgery
Maslow’s Hierarchy of Needs that influence a person’s safety most are:
Oxygen, Nutrition, Temperature
Name the five most common environmental hazards that lead to injury in America:
1) MVAs
2) Poison
3) Falls
4) Fire
5) Disaster
Define pathogen:
A microorganism that can cause disease
Define Immunization:
The act of making a person or animal resistant to a particular infectious disease or pathogen, typically by vaccination.
Define Pollutant:
A harmful chemical discharged into the soil, water, or air
In addition to being knowledgable about the environment, nurses must be aware of the patient’s:
1) Developmental level
2) Cognitive, mobility, sensory status
3) Lifestyle choices
4) Knowledge of common safety precautions
5) Limited economic resources
6) Workplace culture
Four major categories for violations of patient safety in the health care environment are :
1) Procedure related events
2) Equipment related events
3) Patient-Inherent Events
4) Falls
5) Chemical exposure (sometimes considered a procedure related event)
ADPIE
What are five things the nurse needs to assess when addressing patient safety?
1) Their perception of safety
2) Lifestyle
3) Medication History
4) History of Falls
5) Home Maintenance and Safety
ADPIE
What are six diagnoses that apply to patients whose safety is threatened?
1) Risk for Injury
2) Impaired cognition- confusion
3) Risk for poisoning
4) Lack of Knowledge
5) Risk for Fall
6) Impaired mobility
ADPIE
What are strategies for interventions that lead to safe nursing care?
CRED
a. Communicate observations of hazards to patients, families and the health care team
b.Reduce reliance on memory
c.Employ technology and standardized practices that support safety and quality
d.Demonstrate effective use of strategies to reduce the risk of harm to self or others
ADPIE
What are considerations a nurse needs to take when planning for patient safety?
1) Involve the patient
2) Make outcomes measurable and realistic
3) Focus on outcomes related to the safety risk diagnosis.
Nursing interventions aimed at eliminating environmental threats include:
1) Think of Maslow- Oxygen, Nutrition, Temperature
2) Modify the home to reduce fall risks
3) Take precautions against MVAs,Poison,Falls,Fire,Disaster
JCO wants a fall risk assessment performed when?
Upon admission and regularly until discharge
What is a physical restraint?
Any method, device, material or equipment that immobilizes or restricts movement of a patient’s arm, leg, head or body
What are seizure precautions?
Stay- record time
Safe- Protect from sharp things, falls, etc
Side - If conscious, place on side to prevent aspiration
