Creating A Culture Of Safety Flashcards
Five major aspects of the Canadian quality and patient framework
-people entered care
-self care
-appropriate care
-accessible care
-integrated care
What is patient safety?
The reduction and mitigation of unsafe acts within the health care system through use of best practices
What is the role of the nurse in safety?
-assist client to meet basic needs
-reduce physical hazards
-reduce equipment related harm
-reduce transmission of pathogens
Adverse event
Resulted in patient harem
A near miss
Incident that did not reach the patient but would have caused harm if it did
No harm incident
Incident reached the patient but no discernible harm resulted
Blaming other causes
A missed oppprtunity for empathy
Person model of understanding error
name shame blame approach
-pro: deflects responsibility from organizations
-con: isolates the individual who made the mistake, and chances are they won’t learn
System approach
Due to system, like a barrier or safe guard fail
-focus on how to prevent in the future
Two reasons why errors happen
-actions didn’t go as planned (like a delay)
-plan was inadequate (follow the plan but the problem was the plan) (regulation problem)
