Quality & Patient Safety - Scientific And Nursing Knowledge Base Flashcards
Scientific knowledge base - patient & health care provider factors
Health, age, weight, needs, knowledge, experience, language, culture, level of health literacy
Scientific knowledge base - task factors
Work flow, time pressure/constraints, and workload
Scientific knowledge base - technology factors
, type of availability and location of organizational technologies (equipment)
Scientific knowledge base - environmental factors
Noise, lighting, physical space
Scientific knowledge base - organizational factors
Structural, cultural, and policy rated characteristics
Swiss cheese model
Multiple layers of cheese holes. When they align, they create a pathway for errors. If holes don’t align, it can prevent errors from reaching patient
Emphasizes importance of multiple layer of defences. Such as policies, procedures, training, and technology to minimize risk of errors
What is active failures?
Adverse events
Root causes analysis (RCA) - retrospective approach
Looks at past incidents to find out why something happened and how to prevent it in the future
Failure mode and effect analysis (FMEA) - prospective approach
Identifies potential failures in processes or systems before they happen and take steps to prevent them
Nursing knowledge base - risks in health care settings
Incidence (occurrence) reports
Nursing knowledge base
Knowledge and skills nurses use to promote and ensure safety of patients
Scientific knowledge base
Combination of factors that can put patient at risk for their safety
Nursing knowledge base - staff safety. Occupational health and safety act
Environmental risks (infection prevention and control, fire and evacuation).
Basically mandatory training and reporting training
Nursing knowledge base - patient safety
Falls, procedure related incidents, equipment related incidents
Nursing knowledge base - individual risk factors
Age, medical history, physical impairments, health literacy
