Quality & Safety: The Nurse’s Role Flashcards
What is quality care?
Quality care is how well we are performing the care. It is patient-centered, safe, effective, timely, equitable, collaborative, comprehensive and has continuous improvement
How do we assess quality care?
Accreditation Canada, Standards, and Continuous Improvement
What are professional standards ?
They are statements that a profession uses to describe the responsibilities for which its practitioners are accountable.
Practice Standards (CNO) documents:
-Code of Conduct
-Scope of Practice
-Therapeutic Nurse-Client relationship
What are the 6 principles of the Code of Conduct (CNO)
1) Nurses respect client’s dignity
2) Nurses provide inclusive and culturally safe care by practicing cultural humility
3) Nurses provide safe and competent care
4) Nurses work respectfully with the health care team to best meet client’s needs
5) Nurses act with integrity in clients best interest
6) Nurses maintain public confidence in the nursing profession
Practice Standards vs. Guidelines
Standards - Let nurses know their responsibilities and the public know what to expect from nurses.
Guidelines - addresses specific practice related issues, how to make safe and ethical decisions in practice (Ex. conflict management and prevention directive’s, consent )
What are the Best Practice Guidelines?
Evidence- based documents that include recommendations for nurses, inter-professional health teams, educators, leaders, and policy-makers on how to improve outcomes for people and their support networks
What are the 9 RNAO Categories of Best Practice Guidelines?
1) Child and Youth
2) Equity, Diversity and Inclusivity
3) Foundational
4)Mental health
5) Older adults
6) Population health
7) Healthy work environment
8) Clinical
9) Health system
What are Nurse Sensitive Outcomes?
Patient outcomes that are directly influenced by nursing care. (Ex. medication errors, length of hospital stay, readmission rates)
What is the difference between quality care and safety ?
Quality care is how well we perform compared to professional standards and safety is the efforts put in place to minimize harm, injury, or error within the healthcare setting
What are the 6 Core Safety Competencies for HCP ( Healthcare Excellence Canada)
1) Patient safety culture
2) Teamwork
3) Communication
4) Safety, risk and quality improvement
5) optimize human and system factors
6) recognize, respond to and disclose patient safety incidents
What is a sentinel event?
a patient safety even that results in death, permanent harm, or severe temporary harm
What are some strategies to promote organizational safety ?
Safety committees to discuss how to improve work safety levels, safety policies, reporting systems, looking back over events that were a safety concern and their cause, infection control and constant audits
Three components of safety culture
1) Just culture
2) Reporting culture
3) Learning culture
When considering quality nursing care, what defines the meaning of “quality”?
A) The nurse’s individual values
B) Standards and Guidelines
C) Values of the patient
D) Values of the public
B
What are evidence-informed resources to assist nurses in providing the best care possible called?
A) Professional standards
B) Nurse-sensitive outcomes
C) Controlled acts
D) Best practice guidelines
D