Module 1 Flashcards
Week 1 revision including lecture notes, preparation activities
What is the most important role a nurse demonstrates and why?
The most important role a nurse demonstrates is patient safety. Why? Because there are so many health-related errors.
According to WHO 2017, patient safety is defined as?
The prevention of errors and adverse effects to patients associated with healthcare.
What are the 4 components of Miller’s Pyramid of Competence?
At the base, ‘Knows’: Refers to the knowledge.
Then ‘Knows How’: You need to know how to apply that knowledge.
Then ‘Shows How’: You need to show, for example, in simulation or in your practical classes, how you can practice/demonstrate it.
Finally ‘Does’: You need to do it in the actual clinical setting.
What are the 9 issues that directly impact patient safety?
According to the PSCF it is:
- Person-centred care
- Therapeutic communication
- Cultural competence
- Teamwork and collaborative practice
- Clinical reasoning
- Evidence-based practice
- Preventing, minimising and responding to adverse events
- Infection prevention and control
- Medication safety
Why is it important to reduce health-related errors?
Because it can result in patient death and we do not want that.
What do you do if you’ve made an error?
Tell your supervisor! Do not let it go unnoticed.
Which patients are at greatest risk?
- Very young patients
- Older patients
- Patients from CALD backgrounds
- Patients with sensory/cognitive impairments
- Patients with mental health issues
Why are children at greatest risk of errors?
Because they are in the vulnerable group and cannot talk.
Why can errors occur?
- Diverse activities & equipment
- Busy & fast paced environment
- Over-reliance on technology
- ‘Hands on’ work— risk of human error
- Poor communication
- Poor teamwork
- Failure to follow policies or protocols
- Inadequate training
- Lack of knowledge
- Lack of standardised equipment
- Patients are vulnerable
- Complex patients
What are some examples of errors?
- Communication failures
- Failure to take precautions
- Avoidable delay in treatment
*Inadequate history or physical
examination - Failure to order the most appropriate tests
- Failure to act on test results
- Practicing outside area of expertise/scope of practice
- Failure to escalate care for a deteriorating patient
What are the 2 types of errors?
Human errors (including action and omission) and systems errors.
What are the 3 human error types?
- Skill-based slips and lapses
- Rule-based mistakes
- Knowledge-based mistakes
What is the difference between errors and violations?
Violations are deliberate but errors are unintended.
What are the 3 types of violations?
- Corner-cutting violations to “save” time
- Thrill-seeking violations
- Violations to get job done
True or false:
Standardised equipment would lead to fewer errors?
True
