Organizational influences and patient outcomes

Question 1

A culture of safety is promoted by what 5 factors?

Answer 1

1. the health care organization’s commitment to patient safety above all goals
2. a commitment to safety at all levels of the organization
3. A focus on systems, process improvement, and individual accountability
4. sufficient resources
5. the ability of providers to discuss near miss events and errors without reprisal

Question 2

What are 3 US state regulatory organization?

Answer 2

1. public health departments
2. licensing boards
3. insurance commissioners

Question 3

What are 2 professional organizations?

Answer 3

1. ambulatory surgery center association

2. association of perioperative RN’s

Question 4

What are 3 US accreditation agencies?

Answer 4

1. DNV GL
2. Accreditation Association for Ambulatory health care
3. the joint commission

Question 5

What has been a result of landmark reports?

Answer 5

there has been a shift from a culture of placing blame on an individual when errors occur to creating safer health care systems and standardizing processes.

Question 6

The universal protocol for preventing wrong site, wrong procedure, and wrong person surgery consists of three key steps:

Answer 6

1. conducting a pre-procedure verification process
2. marking the procedure site
3. performing a time out

Question 7

What can affect patient care?

Answer 7

1. human factors and the culture of the health care

Question 8

Errors caused by team members can be what 3 things?

Answer 8

1. skill-based behavior error
2. knowledge-based performance error
3. situational factor error

Question 9

What is skill-based behavior error?

Answer 9

the provider has the knowledge for the action and there is little or not attention or attention is diverted

Question 10

What is knowledge-based performance error?

Answer 10

mistakes include errors in perception, judgement, interference, or interpretation

Question 11

What is situational factor error?

Answer 11

lack of attention and situational factors play a significant factors play a significant role in this type of error

Question 12

The surgical safety checklist was an initiative of who?

Answer 12

The Who

Question 13

A short dialogue for planning before the start of an operative or invasive procedure to discuss team formation, assign essential team roles, establish expectations and climate, and anticipate outcomes.

Answer 13

briefing

Question 14

A short dialogue conducted after the procedure has concluded that is designed to improve team performance and effectiveness.

Answer 14

debriefing

Question 15

An organization that carries out complex and hazardous work while minimizing adverse events.

Answer 15

high reliability organization

Question 16

An unplanned or unexpected event causing discontinuation of a task.

Answer 16

interruption

Question 17

A culture that balances personal accountability and system improvement.

Answer 17

just culture

Question 18

A culture in which every perioperative team member places value on safety and commits to personal responsibility for patient safety.

Answer 18

patient safety culture

Question 19

The pause in patient care activity taken by the surgical team immediately before the start of the procedure to conduct a final assessment that the correct patient, site, positioning, and procedure are identified and that, as applicable, all relevant documents, related information, and necessary equipment are available.

Answer 19

time out

Question 20

The act of identifying the correct site on the patient’s body where the operative or invasive procedure is to be performed

Answer 20

site marking