Patient safety Flashcards
1
Q
What does safety mean?
A
- Avoidance of unintended or unexpected harm during the provision of healthcare
- Professionals should work together minimize patient safety incidents
2
Q
Never events
A
- Avoidable events the occur in practice from errors
3
Q
Human error
A
- 98,000 people die from human medical error in hospital
4
Q
To Err Is human
A
- Focuses on ways to improve systems to reduce errors to increase safety
5
Q
Reporting system To Err Human
A
- Prevalence of medical error
- Human error
- Systemic causes
- Accountability and reporting
- Develop national patient safety
- Continuous improvement
- Patient awareness
6
Q
Swiss cheese model
A
- Blunt end latent failures
- Pass through regulatory factors, organizational factors, work environment, interprofessional team, healthcare provider and patient
- Sharp end active failures
7
Q
What causes human error
A
- Wellbeing
- Cognitive error
- Overall underestimate abilities
- Poor situational analysis
7
Q
Factors of patient safety
A
- Safety culture
- Teamwork communication
- Safe risk quality
- Clinical human factors
- Patient safety incident system
8
Q
Safety competency framework
A
- Ongoing collaboration and commitment to change
- Capabilities and competencies
- Effective communication trust and patient consent
- Monitor performance data to improve outcome
- Optimise human and environmental factors support achievement of human factors
- Open honest and empathetic disclosure
9
Q
Incident reporting
A
- Record errors and near misses involve whole team
- Identify and investigate cause of errors
- Discuss with others promo learning
- Make changes to practice and review changes
