Safety Flashcards
Define a Safe Culture:
Helping patients when they come to us and avoiding injury
An employee would feel safe to do this in a just culture:
report their accident and not feel like human error will result in termination
If a nurse does not think about safety in their job, what 3 things are likely to happen:
1) HAIs
2) medication errors
3) pressure ulcers
Adverse event:
Unintended results for either your actions, or something you did not do.
(As a result of your doing/not doing)
Near miss:
Has the potential to cause, but does not actually result in injury
Sentinel event:
Unexpected occurrence involving death or serious, physical, or psychological injury, or putting someone at risk for it.
Very serious- that’s what differentiates it from an adverse event
Are students responsible for their own acts including negligence that may result in patient injury?
Yes, you are held to the same standard as an RN
Occupational Safety and Health act
Ensures safe, working conditions for men and women intended to reduce work related injuries and illnesses.
OSHA
5 common Types of errors are:
• communication (#1)
• medication
• diagnosing
• preventative treatments
• treatment
What 5 things does a Just Culture promote/believe in?
1) evaluating behaviors
2) leadership
3) fostering positive learning space
4) non disciplinary reactions
5) accountability
What about PROCESSES does a just culture focus on?
What part of the process caused the problem?
Reporting culture:
Obligation to report things like:
•communicable disease
•child abuse
•rape
Learning culture
Collect information on mistakes (processes), and apply EBP to improve
7 aspects of the culture of safety:
1) leadership
2) communication
3) teamwork
4) evidence based practice
5) learning
6) just culture
7) patient centered care
At risk behaviors include:
• cutting corners to save time
A reckless behavior:
Intentional actions; neglect
Focus of the Joint Commission
The facility is safe
Focus of the Department of Health
General health of the country;
• reduce risk of I’ll was and maintain optimal functioning
Magnet facilities ____ and ____ professional nurses.
Attract and retain
What does the Institute of Medicine do?
Provide national and international research to provide quality care and instruct federal rules
5 components of a Magnet facility are:
1) transformational leadership
2) structural empowerment
3) exemplary, professional practice
4) new knowledge, innovation, and improvements
5) empirical quality results 
QSEN/Quality and Safety Education for Nurses
Preparing nurses to have the KSAs necessary to continuously improve the quality and safety of the healthcare system.
• knowledge
• skills
• attitudes
Categories in which QSEN has KSAs:
• patient centered care
• collaborations
• EBP
• quality Improvement
• safety
• informatics
7 National Patient Safety Goals include:
1) identify patient
2) improve communication
3) use alarms safely (alarm fatigue)
4) prevent infection
5) recognize
6) prevent mistakes esp. surgical
7) conduct; no disruptive behaviors
