Patient Safety & Quality

Question 1

definition of SAFETY

Answer 1

having FREEDOM from injury (whether that is mental or physical)
- where HEALTHCARE is provided in a SAFE MANNER & within a safe community

Question 2

definition of ENVIRONMENTAL SAFETY

Answer 2

considers a SAFE ENVIRONMENT that PROTECTS the STAFF to function optimally

Question 3

basic human needs

Answer 3

considering proper oxygen, NUTRITION, & TEMP = all can change a patient’s safety

Question 4

oxygen

Answer 4

is FLAMMABLE; can pose fire risk

Question 5

nutrition

Answer 5

need proper knowledge about what FOOD is HEALTHY and proper food safety
- proper storage and prep

Question 6

temp

Answer 6

can be an extreme safety hazard to specific populations; infants, older adults, homeless patients, minorities

Question 7

definition of PHYSICAL HAZARDS

Answer 7

where we have PHYSICAL or PSYCHOLOGICAL INJURY or DEATH

Question 8

motor vehicle accidents

Answer 8

unproper car seat use
first 2 yeras - should be REAR FACING
after 2 years can be FORWARD FACING
(8 years old, 80 lbs)

Question 9

poison

Answer 9

can IMPAIR ALMOST EVERY MAJOR ORGAN SYSTEM
- seen in wrong med dosages
- can be INTENTIONAL or UNINTENTIONAL
- suicides

Question 10

falls

Answer 10

second leading cause of accidental / unintentional deaths
- can be due to many factors; such as meds, alcohol, or mobility issues

Question 11

fire

Answer 11

due to often CARELESS SMOKING especially at home

Question 12

disasters

Answer 12

considering natural disasters; floods, tornadoes, hurricanes

Question 13

definition of PATHOGEN

Answer 13

any MICROORGANISM that is CAPABLE of PRODUCING an ILLNESS
- very commonly transmitted by HANDS

Question 14

immunizations

Answer 14

helps to REDUCE and PREVENT transmission of disease from person to person

Question 15

what are the FACTORS that can INFLUENCE PATIENT SAFETY?

Answer 15

1. DEVELOPMENT LEVEL
   - proper guidance/motor skills/behaviors
   - cognitive status
2. LIFESTYLE CHOICES
   - type of job, drug/substance abuse
3. KNOWLEDGE OF COMMON SAFETY PRECAUTIONS

Question 16

explain the risks at the DEVELOPMENTAL LEVEL of patients

Answer 16

infants/toddlers/preschool - unaware of danger/always has stuff in their mouths

school-age - bullying/sports

adolescents - more risky behaviors

adults - lifestyle habits

older adults - illness/meds/falls/cognition

Question 17

what is the NATIONAL QUALITY FORUM MISSION/SREs?

Answer 17

SREs - serious reportable events
- looking at any adverse outcomes for the patients; focuses on
- surgical/invasive procedures
- products/devices

Question 18

chemical exposure

Answer 18

ex. CHEMOTHERAPY + cleaning solutions
- can look at MSDS sheets; information about CHEMICAL PRECAUTIONS

Question 19

what are the SPECIFIC RISKS in the HEALTH CARE AGENCY?

Answer 19

• falls; causing greater injuries and factor in deterioration/increased disease
• patient-inherent accidents
• procedure-related accidents
• equipment-related accidents
• workplace safety

Question 20

what are the NANDAs?

Answer 20

• risk for fall
• impaired home maintenance
• risk for injury
• impaired cognition; confusion
• lack of knowledge
• risk for poisoning
• risk for trauma

Question 21

what are some ENVIRONMENTAL INTERVENTIONS

Answer 21

• ensuring basic needs
• proper fall safety in the home (removing rugs or obstacles)

Question 22

what are our types of RESTRAINTS?

Answer 22

• PHYSICAL (proper wrist/limb restraints, mittens)
• CHEMICAL (sedatives)
  **Always need an ORDER for restraints
  **should not be the first intervention, always try alternatives before