Healthcare Quality and Patient Safety Flashcards
quality is viewed on a ___________
continuum from poor to high
-measure of excellence
characteristics of quality care
-safe,effective, patient centered, timely,efficient, equitable
safety is defined as
preventing adverse outcomes for the patient
What is the 3rd leading cause of hospital related deaths in 2017?
preventable medical errors
what is a just culture? a just culture depends on what 3 factors?
-punishment for an error is appropriate depending on 3 factors:
human error
at risk behavior (chart med before given then pt refuses)
reckless behavior (falsifying records)
What is Root cause analysis? When do yo use it?
- use when error occurs
- process used to determine the underlying cause of an event
- helps determine if errors are ACTIVE or LATENT
What process do you use to determine if errors are Active or Latent?
Root cause analysis
What kind of questions do you ask in Root Cause Analysis?
Why!
Define patient centered care
recognize the patient or designee as source of control and pull partner in providing compassionate and coordinated care based on respect for patients preferences, values, needs
What are the QSEN competencies? (quality and safety education for nurses)
- patient centered care
- Teamwork and collaboration
- EBP
- QI
- safety
- Informatics
What is a sentinel event?
error that results in death or serious injury
Who do hospitals have to report sentinel events to?
The Joint Commission
What is the #1 safety issue in healthcare?
Medication safety!
-6 rights, LASA meds
3 main safety issues in healthcare?
- MEds
- Healthcare worker risks (needle stick, back injury, exposure to toxic chemicals)
- Environmental safety (toxicity of supplies we throw away)
Central line associated blood stream infection bundle includes
- hand hygeine
- maximal barrier precautions during insertion
- chlorhexidine skin prep
- choosing preferred site
- daily review of line need
- removing line ASAP
