Chapter 5: Patient Safety

Question 1

What phrase associated with the Hippocratic Oath was written in the mid-1800s?

Answer 1

“Do no Harm”-repeated by Florence Nightingale

Question 2

What did the IOM publish about in 1999?

Answer 2

report estimating that 44,000 to 98,000 people die annually due to medical errors in U.S. hospitals

Question 3

in 2009, Joint Commission used IOM statistics to unofficially rank medical errors at # what as the leading cause of death in the US

Answer 3

5; showed compelling links between sentinel events and problems with communication, leadership, and teamwork

Question 4

In 2011, Health Affairs reported that what is occurring in about 1/3 of all hospital admissions and as much as 10x more than some previous estimates have indicated

Answer 4

medical errors or adverse events

Question 5

in 2013, the Journal of Patient Safety found that the true number of premature deaths associated with preventable harm occurring in hospitals is over what in the US?

Answer 5

400,000 per year

Question 6

truly fixing the problem of patient safety means changing what?

Answer 6

the underlying human dynamics behind individual and organizational behavior

Question 7

Without knowledge of the correlation of underlying causes of sentinel events with communication and human behavior, the critical links between what may be hidden from view?

Answer 7

mistakes and communication

Question 8

IOM definition of patient safety

Answer 8

“The prevention of harm caused by errors of commission and omission”

Question 9

AHRQ definition of patient safety

Answer 9

“A discipline in the healthcare professions that applies safety science methods toward the goal of achieving a trustworthy system of healthcare delivery”

Question 10

QSEN definition of patient safety

Answer 10

“Minimize(ing) risk of harm to … patients and providers through both system effectiveness and individual performance”