QI in Health Care

Question 1

Define Safety
and
Patient safety

Answer 1

Safety - freedom from accidental injury

patient safety- freedom from accidental/preventable injuries by medical error

Question 2

Adverse Event

Answer 2

an unintended injury/complication that resulted in disability, death or prolonged hospitalization due to healthcare management, not underlying disease

Question 3

Near miss

Answer 3

an act of omission or commission that could have resulted in patient harm, but did not reach the patient

(ex: mixed the wrong med, but noticed before giving to pt, or wrong dose but caught on independent double check)

Question 4

2 most common mistakes in healthcare

Answer 4

1. mistakes with medicine (small errors can have huge complications)
2. infections that can be prevented (nosocomial infections)

Question 5

4 types of action errors:

Answer 5

Unintended:

1. slip (omission)
2. lapse (memory failure)
3. mistake (knowledge based)

Intended:
4. Violation (routine violation, acts of sabotage)

Question 6

RNAOs Patient Safety Position

Answer 6

1. patient safety is priority of nurse and all levels
2. RNs must protect and enhance health of patient
3. RNs must create an environment that supports pt safety
4. Patient safety is not merely a mandate
5. RNs view patient safety as morally and ethically imperative to caring for others