Finals-Quality Of Patient Safety Assessment Of Care Flashcards
defined as “the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum
Patient Safety
the most fundamental principle of any health care service
First, do no harm
Defined as an unintended act(either omission or commission) or
One that does not achieve its intended outcome, the failure of a planned action to be completed as intended ( an error of execution) or
The use of wrong plan to achieve an aim (an error of planning)
A deviation from the process of care which may or may not cause harm to the patient
Medical Error
This type of medical error occurs when injury is caused by medical management rather than the underlying condition of the patients
Adverse event
This medical error prolongs hospitalization, produces disability at discharge or both
Classified as preventable or unpreventable
It is a care that falls below a recognized standard of care
Negligence
A care reasonable physician of similar knowledge, training and experience would use in similar circumstances
Standard of care
An error that foes not result in patient harm; provides the opportunity to identify and remedy system failures before the occurence of harm
Near miss
A unexpected occurence involving death or serious or psychological injury
Sentinel event
This theory recognizes that there are certain high-risk industries and organizations that have achieved very low accident and error rates compared to what would be expected given the inherent risks involved in their daily operations
High reliability organization theory
This means employees at every level in a high reliability organization are tasked with thinking of ways their work processes might breakdown
Preoccupation with failure
This principle of HRO emphasizes that complex solutions for complex problems should be embraced
Reluctance to Simplify
Leaders should be open to challenging long-held beliefs and continuosly look at data, benchmarks and performance metrics to prevent simplification
This principle states that HRO actively communicate with employeees of all levels and show respect for individuals by taking their concerns seriously and listening to ther feedback
Sensitivity to operations
HROs understand that getting a good understanding of the current situatin involves working with frontline employees because they are closer to the work
This principle emphasizes the importnace of working in teams and focus on removing barriers that inhibit functional collaboration
Commitment to resilience
HROs are resilient because they can anticipate trouble and improvise when something unexpected occurs
Thi HRO principle states that leader must know who in the organizayion possesses specialized knowledge; also encourage people to become experts and help employees to keep their skills sharp
Deference to Expertise
HROs value expertise over authority
The Donabedian model of measuring quality identifies three main types of improvement. These are
- Changes to orrganizational structures
- Changes in organizational process
- Changes in outcomes
According to the Donabedian model, this type of improvement includes physical and organizational characterictics where healthcare occurs
Structure
According to the Donabedian model, this type of improvement includes focus on the care delivered to patients
Process
Services, diagnostics or treatments
According to the Donabedian model, this type of improvement includes effect of healthcare on the status of patients and populations
Outcome
It is the product of individual and group beliefs, values, attitudes, perceptions, competencies, and patterns of behavior that determine the organization’s commitment to quality and patient safety
Safety culture
Includes teamwork, patient safety,
accountability, patient involvement, and transparency.
an essential component of teamwork and is especially important in the OR which is one of the most complex work environment in healthcare
Good communication
is at the core of any effective organization and is a key element to ensuring patient safety
Teamwork
It is one of the most important elements of creating a culture of patient safety
Speak up about patient safety cncerns
When is operationg room briefings discussed?
Pre-operation
Operating room debriefings are discussed when?
Post-operative
