Class 5-Teaching the Culture of Safety, QSEN, IOM & TJC Flashcards
QSEN
Quality & safety education of Nursing
IOM
Institute of Medicine
TJC
The joint commission
How many die from medical mistakes in US hospitals?
-between 210,000-440,000 pts suffer some type of PREVENTABLE harm that contributes to their death
-medical errors are the third leading cause of death in the USA
-cost of $20 billion dollars/year
Healthcare failures which lead to lapse in safety
-failure to recognize (see nothing wrong)
-failure to rescue (saw & didn’t want to)
-failure to plan (want to know what we’ll do for infrequent events)
Maintaining emergency preparedness avoiding failure to plan
-general preparation
-course specific preparation
general preparation
-CPR training
-fire drills
-code pink drills
-preparing for mass trauma terrorism
course specific preparation
-skills check offs
-simulation grading
-medication calculation quizzes
QSEN competencies
-patient-centered care
-teamwork & collaboration
-evidence based practice
-quality improvement
-safety
-informatics
QSEN defines safety as:
“minimizing risk of harm to patients and providers through both system effectiveness and INDIVIDUAL PERFORMANCE” <– be in the moment; not talking
TJC 2023 National Patient Safety Goals (NPSG) for Hospitals
-identify patients correctly (name & DOB)
-improve safety communications
-use medications safety
-label medications
-medication reconciliation (on at home..is on at hospital?)
-use alarms safety
-prevent infection
-hand hygiene
-identify patient safety risks
-prevent mistakes in surgery
fire safety-RACE
R-rescue (anyone in immediate danger)
A-activate (the fire code and notify appropriate person)
C-confine (the fire by closing doors and windows)
E-evacuate (patients and other people to safe area)
big 3 in safety errors
-medication errors
-falls
-improper use of restraints
1 medication errors
-a medication error is a breakdown or failure at any point in the medication use process
How many die from medical mistakes in US hospitals?
-1.5 million Americans are injured each year by medication errors
-440,000 people die every year from medication errors
-over $3 BILLION annually goes toward treating the consequences of medication errors
-computerized medication ordering systems can prevent 84% of dose, frequency and route errors