ESSENTIAL ACTIONS 6,7 & 8 Flashcards
What are the key moments when healthcare personnel must evaluate a patient’s fall risk (Essential Action 6A)?
Healthcare personnel must evaluate fall risk at shift changes, when the patient changes areas or services, during health status changes, or after adjustments in pharmacological treatment. They must also inform the patient’s family of any fall risks.
What security actions can prevent patient falls (Essential Action 6A)?
Security actions include verifying equipment functionality, accompanying patients to the bathroom, keeping fall risk identification on the patient’s card, ensuring night lighting, keeping doors and curtains open, placing chairs in showers, and avoiding sudden posture changes.
What organizational actions are required to prevent patient falls (Essential Action 6C)?
The organization must designate a person to ensure bathrooms and showers have grab bars, proper signage is in place, stairs and ramps have handrails and non-slip material, and transit areas are obstacle-free.
What is the general objective of Essential Action 7: Prevention, notification, recording, and analysis of near misses, adverse events, and sentinel events?
The objective is to generate information on near misses, adverse events, and sentinel events for analysis and decision-making, facilitating both local prevention and international alerts in healthcare.
What types of events must be recorded and analyzed (Essential Action 7A)?
Events include unexpected death, temporary or permanent loss of function, surgical errors, maternal death, disease transmission via transfusion or transplantation, suicide, sexual violence, abuse, and incorrect delivery of a minor or body to the wrong person.
What must be done for sentinel events, and within what time frame (Essential Action 7B)?
For all sentinel events, a root cause analysis must be conducted within a period not exceeding 45 days.
What is the process for data collection, analysis, and communication of events (Essential Action 7C)?
Results of near misses, adverse events, and sentinel events must be presented to the Patient Quality and Safety Committee to establish improvements, and analysis results should be shared with management and staff to monitor improvement strategies.
What is the goal of measuring patient safety culture (Essential Action 8)?
The goal is to assess the patient safety culture to inform decision-making and establish continuous improvement actions that enhance the quality of care.
How is the measurement of patient safety culture conducted (Essential Action 8)?
The DGCES questionnaire is used, and the measurement is conducted on the DGCES computer platform. Results are anonymous, and participation is open to all staff across shifts. Results are presented to COCASEP for improvement planning and implementation.
