Patient Safety & Quality

Question 1

Medical errors

Answer 1

Wrong medication administered, infections, falls

Question 2

What have hospitals done to lower the number of medical errors?

Answer 2

Steph education, formulation of clinical practice guidelines, development of policies and procedures

Question 3

Who is responsible for the patient?

Answer 3

Everyone has a team effort

Question 4

Centers for Medicare and Medicaid services (CMS)

Answer 4

Are the pair/reimburse her to the hospital and want to ensure patient is not injured

Question 5

The joint commission (TJC)

Answer 5

They are not government, they are independent private group, that a credit to private agencies and try to improve the patient safety/quality of care in the community

Question 6

Office of the inspector general (OIG)

Answer 6

Regulatory and licensing agency for long-term care/Day Care

Question 7

Culture of safety

Answer 7

Acknowledgment
Blame – free environment
Collaboration
Commitment

Question 8

Culture of safety-Acknowledgment

Answer 8

Is knowing day-to-day providing medication to patient is a high-risk(patience could have a negative reaction to new medication, provide it to them)

Question 9

Culture of safety – blame – free environment

Answer 9

You will not get in trouble, when errors occur it is not anyone’s fault, but would like to know what the issue was to prevent occurrence in the future

Question 10

Culture of safety – collaboration

Answer 10

Working together as a team effort

Question 11

Culture of safety – commitment

Answer 11

Making a commitment to your staffing, community to practice safely and provide precautions (barcode, scanning)

Question 12

Environmental safety

Answer 12

•Basic needs: meeting, patients basic needs such as nutrition, living circumstances, do they have heat/AC
•Common environmental hazards: residential fires, floods, tornadoes, wildfires
•Transition of pathogens, bioterrorism, immunizations
Pollution: what is in our water? What is in our air?

Question 13

What is developmental level?

Answer 13

As nurses we have to provide age/appropriate education
For adolescence: they are at most risk for suicide
For adult: they have issues with the lifestyle habits
For older adult: they suffer with risk for falls, cognitive, and polypharmacy

Question 14

What are the six risks in healthcare agencies?

Answer 14

1.Procedure – related.
2. Equipment – related.
3. Chemical exposure.
4. Falls.
5. Medical errors.
6. Workplace safety

Question 15

Procedure – related risk in healthcare

Answer 15

This is often caused by a healthcare provider
Example: the healthcare provider does some thing against policy meaning they possibly did it incorrectly

Question 16

Equipment related risks in healthcare

Answer 16

It could be malfunctioning equipment or missed used equipment
Example: if a certain item is not up-to-date with his annual check up

Question 17

Chemical exposure related risks in healthcare

Answer 17

This could be items such as cleaning products, chemo medication, as they can be strong

Question 18

Falls are risks in healthcare

Answer 18

As falls can result in injury/death

Question 19

Medical errors are risks in healthcare

Answer 19

This can also be a part of procedure – related risks, this is failing to administer medication, incorrect medication administered, medication administered through wrong route

Question 20

Workplace safety related risks in healthcare

Answer 20

This could be regarding what kind of environment is around you, is there a threat in the building, or a staff member could be a threat

Question 21

There are two types of risk factors

Answer 21

Intrinsic(patient related) & extrinsic (environment or process related)

Question 22

What is intrinsic (patient related) mean

Answer 22

This is predisposing factors that a patient has (physical conditions)

Question 23

What does extrinsic (environment or process related )mean?

Answer 23

This refers to communications, which in this case would be staff members
An example: the nurse did not communicate with oncoming nurse that patient was a fall risk

Question 24

How do we provide safety and quality in acute and restorative care

Answer 24

By providing the patients with
Fall screenings
More frequent rounding’s (once every hour)
Bedside handoff
Maintaining bed at lowest position

Question 25

What are the two types of restraints?

Answer 25

Chemical and physical restraints

Question 26

What are physical restraints?

Answer 26

They limit the patient’s mobility, they are temporary to ensure patient does not get harmed
-You must have a physicians order. The order is only good for 24 hours.
-The patient’s family must be notified immediately

Question 27

What are the 2 types of physical restraints?

Answer 27

-Non-violent: handcuffs that must be checked every two hours(checking skin, color, temperature)

• Violent restraints: must be checked every 15 minutes
  When requesting these restraints, it is necessary for the provider to come look at the patient within an hour

Question 28

Chemical restraint

Answer 28

Chemical restraint is medication that is provided to the patient in order to calm them or sedate them

Question 29

R. A. C. E. (Fire)

Answer 29

Reassure and remove, activate, the alarm, confine the fire, extinguish the fire

Question 30

P. A. S. S.

Answer 30

Paul, I am low, squeeze, handle, sweet side to side

Question 31

Electrical hazards

Answer 31

Must ensure that all electrical items are up-to-date on their annual check ups

Question 32

What does the phrase timeout mean before a procedure?

Answer 32

It is win the doctors and nurses all stop and ask the patient questions ensuring they have the correct patient and ensuring the correct procedure is being completed

Question 33

For a patient safety what must be done when changing their medication through an IV?

Answer 33

A patient must be monitored using a pulse ox monitor

Question 34

Sentinel event

Answer 34

*Is not related to natural course of the patients illness or underlying condition

A centile event is a patient safety event that reaches a patient and result in
-Death
-Permanent harm(regardless of the severity of harm)
-Severe harm(regardless of duration of harm)