Improving and Managing Safe and Quality Care

Question 1

Adverse event or patient safety is?

Answer 1

Preventable.

Question 2

Error of omission is?

Answer 2

An action that is NOT done.

Question 3

Error of commission is?

Answer 3

Wrong act that IS committed.

Question 4

Unsafe act?

Answer 4

Presence of a potential hazard - not scanning patient wristbands.

Question 5

Slips, lapses, and mistakes example?

Answer 5

Giving tylenol to a patient with a 101 degree fever, only to find out that the UAP reported the wrong temperature for the wrong patient.

Question 6

Near miss?

Answer 6

Before the mistake was carried out.

Question 7

Sentinel event?

Answer 7

Severe harm to a patient. Example: wrong side surgery.

Question 8

Person approach to medical errors?

Answer 8

Focus of unsafe acts of health-care professionals and errors as the result of human behaviors.

Question 9

The system approach to medical errors?

Answer 9

Acknowledge that errors happen because humans are not perfect.

Question 10

What are the three reasons behind medical errors?

Answer 10

Human factors, communication, and leadership.

Question 11

How can we avoid medical errors?

Answer 11

Develop a culture for safety, standardize, implement initiatives to improve safety and quality, analyze complex processes, and collect data on errors.

Question 12

What is the culture of safety?

Answer 12

Provides a blame-free environment in which staff members feel comfortable reporting errors and near misses.

Question 13

What is a just culture?

Answer 13

Refers to a culture that is fair to those who make an error.

Question 14

What are autonomic actions?

Answer 14

Being on autopilot.

Question 15

What does the agency for healthcare research and quality provide?

Answer 15

Provides tips for preventing medical errors and promoting patient safety, and suggestions about measuring health-care quality.

Question 16

What are structure indicators?

Answer 16

Relate to the care of the environment.

Question 17

What are process indicators?

Answer 17

Relate to how nursing care is provided.

Question 18

What are outcome indicators?

Answer 18

Relate to the results of nursing care.

Question 19

What does the national quality forum do?

Answer 19

Sets standards for all health-care measurements, identifies and accelerates quality improvement priorities, advances electronic measurement to capture necessary data needed to measure performance, provides information and tools to help health-care decision makers, aims to reduce preventable hospital admissions and readmissions, and establishes its own set of nursing-sensitive quality indicators.

Question 20

Who established national patient safety goals?

Answer 20

JOINT COMISSION EW

Question 21

What are the four key principles of quality improvement?

Answer 21

Works as systems and processes, focus on patients, focus on being a part of the team, and focus on the use of data.

Question 22

What are the five QI models?

Answer 22

Donabedian model, six sigma model, IHI model of improvement, failure modes and effects analysis, root cause analysis.

Question 23

What are some QI tools?

Answer 23

Run chart, bar chart, histogram, fishbone diagram, flow chart, pareto chart.