Safety/ Staffing/ Patient Care Delivery Flashcards
IOM Six Core Competencies
- Patient-centered Care
- Teamwork & Collaboration
- Evidence-based Practice
- Quality Improvement
- Safety
- Informatics
nursing care delivery model in which the RN or “primary” nurse assumed 24-hour responsibility for planning, directing, and evaluating the patient’s care from admission through discharge
Primary Nursing
measurable items that reflect the quality of care provided and demonstrate the degree to which desired clinical outcomes are accomplished; help identify the goals of quality improvement
Clinical Indicators
tool that is used for identifying and organizing possible causes of a problem in a structured format; sometimes called a fishbone diagram
Cause-and-Effect Diagram
a graphic tool that helps break down a big problem into its parts and then identifies which parts are the most important
Pareto Chart
standardized sets of valid, reliable, and evidence-based quality measures used by TJC to integrate performance measures into accreditation process and overall quality improvement process
Core Measures
when an incident does not cause harm or a potential error is recognized before it happens, thus is prevented
“near miss”
approach to process improvement that involves developing and adhering to best-known methods and repeating key taks in the same way, time and time again, u ntil a better way is found, therby creating exceptional service with maximal efficiency
Standardization
serious adverse events during an inpatient stay that could never occur or are reasonably preventable through adherence to evidence-based guidelines; Center for Medicare & Medicaid services, through revisions in coverage and payment policies, provide hospitals with financial incentives to reduce these events
Never Events
individual or group who relies on an organization to provide a product or service to meet some need or expectation
Customer
an organizational culture that promostes patient safety by acknowledging that competent health care professionals may make mistakes; incidents are analyzed through root cause analysis to determine where system changes can prevent future occurences…does not tolerate reckless behavior or conscious disregard of risk to patients; thus it is not the same as a “no blame” culture
just culture
method used to group or categorize patients according to specific criteria and care requirements and thus help quantify the patient acuity, or amount and level of nursing care needed
Patient Classification System
unintended harm caused by a medical care, not by the underlying condition of the patient…preventable means could have been avoided
adverse event
an unlicensed individual who is trained to function in an assistive role to the RN by performing patient care activities as delegated by the nurse; may include nursing assistants, clinical assistants, orderlies, health aides, or other titles designated within the work setting
Unlicensed Assistive Personnel (UAP)
an accreditation body that has become the primary group that accredits helath plans
National Committee for Quality Assurance (NCQA)
the expected level and type of care based on the knowledge and skill the average prudent clinician would possess and exercise in the same or similar circumstances based on evidence; based on expert consensus derived from the research or documentation in scientific literature
standard of care
an attribute or achievement that serves as a standard for other providers or institutions to emulate
benchmark
the ability to clearly demonstrate the knowledlge, skills, attitudes, and professional judgment requireed to practice safely and ethically in a designateed role and setting
competency
algorithmic listing of actions to be performed for a specific procedure or process designed to ensure that no step will be overlooked
checklist
the technique that provides a succinct, structured framework for communication among members of the health care team about a patient’s condition
SBAR (Situation, Background, Assessent, Recommendation)
an unexpected occurrence involving patient death or serious physical psychological injury unrelated to the natyral couse of the patient’s care. Serious injury specificially includes loss of limb or function…signal the need for imediate investigation and response
sentinel event
communication strategy in which checklists ensure the transfer of information, authority, and responsibility when transferring care along the continuum with opportunity to ask questions and clarify and confirm information
hand-off
clinical management plans that specify the optimal timing and sequencing of major patient care activities and interventions by the interprofessional team for a particular diagnosis, procedure, or health condition and are designed to standardize care delivery; support the implementation of clinical practice guidelines
Clinical Pathways
(or Critical Paths, Practice Protocols, or Care Maps)
a transportable medical record in digital format that serves as the primary source of information for healthcare meeting all clinical, legal, and administrative requirements for medical records that can be shared electronically among health crae providers and patients
Electronic Health Record (EHR)
graph of data in time order that help identify any changes that occur over time; has a centerline and stastical control limits added known as a control chart which helps detect specific types of change in a process
Run Chart
