Saftey Flashcards

0
Q

What is the overall goal of the national patient safety initiatives?

A

To improve patient safety and quality of care

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1
Q

What are the national patient safety initiatives?

A
  • initiatives encourage collaboration of healthcare facilities, government agencies, physicians, nurses, and clients
  • overall goal is to improve patient safety and quality of care
  • obtained through education, use of available resources, risk management, and reducing medication errors
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2
Q

How are the national patient safety initiatives obtained?

A

Through education, use of available resources, risk management, And reducing medication errors

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3
Q

What does QSEN stand for?

A

Quality and Safety Education for Nurses

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4
Q

What does KSA stand for?

A

Knowledge, Skills, Attitude

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5
Q

In order to provide uniformity in core competencies that should be demonstrated by graduating nurses they came up with what program?

A

QSEN - Quality and safety education for nurses

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6
Q

The goal of the QSEN is to more effectively prepare future nurses with the practical experience and the Knowledge, Skills, and Attitude (KSA’s) necessary to provide:

A

Better quality and safety in healthcare settings

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7
Q

The QSEN program is comprised of ______ phases.

A

3 phases

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8
Q

During phase ______ of QSEN program, a team of experts evaluated quality and safety factors to determine what core competencies every graduating nurse should have as well as the KSA’s required for these competencies.

A

Phase I

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9
Q

How many core competencies are in phase 1 of the QSEN program? And what are they?

A

Six.

  1. Patient centered care
  2. Quality improvement
  3. Evidence-based practice
  4. Teamwork and collaboration
  5. Safety
  6. Informatics

Each of these competencies has associated knowledge, skills, and attitudes that nursing graduates are expected to have learned.

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10
Q

Clients are partners in their care, and thus their perspectives, beliefs, and culture need to be taken into account during their care…. This defines which core competency?

A

Patient centered care

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11
Q

Adverse events must be monitored and reported so they can be tools for learning in similar situations in the future and catalyst for improvements in quality and safety. This defines which core competency?

A

Quality improvement

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12
Q

Medicine is evolving and changing every day, and thus current medical findings must be monitored for the possibility of improved care. This defines which core competency?

A

Evidence-based practice

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13
Q

Because treatment sometimes involves multiple departments and 24 hour care, teamwork across departments and shifts is necessary for optimal care. This explains which core competency?

A

Teamwork and collaboration

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14
Q

Activities such as knowledge sharing an error reporting must be taken seriously to help improve which core competency?

A

Safety

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15
Q

As information technology becomes further integrated into medicine, nurses input is an essential part of the design process. This help explains which core competency?

A

Informatics

16
Q

During phase ______ of QSEN program, The six competencies were implemented into 15 pilot nursing school programs.

A

Phase II

In addition, the QSEN website was created. It contains resources and strategies for teaching QSEN and served as a place to share information for the pilot schools.

17
Q

Phase ______ of the QSEN program, involve significant national education efforts by both UNC-CH And the American Association of colleges of nursing (AACN).

A

Phase III

These two organizations began to address the need for faculty capable of teaching the six core competencies and associated KSA’s as well as continued innovation in QSEN teaching. They also began introducing QSEN competencies into textbooks, licensing and accreditation programs, and certification standards.

18
Q

Who started the National Patient Safety Goals (NPSG) and for what reason?

A

The joint commission started the program in 2002 to help organizations improve on patient safety issues.

19
Q

Who developed and revised NPSG program?

A

Developed and revised by the Patient Safety Advisory Group (A panel of mixed professionals with healthcare organizations)

20
Q

Examples of NPSG:

What are some solutions for the goal of correctly identifying patients?

A

Identify patients using two or more means.

Ensure blood transfusion patients get the correct blood.

21
Q

Examples of NPSG:

What are some solutions for the goal of improving staff communication?

A

Transmit test results in a timely manner to the appropriate staff member

22
Q

Examples of NPSG:

What are some solutions for the goal of using medicine safely?

A

Label all medicines.
Use extra caution with blood thinners.
Take care when recording and communicating patient medicine information.

23
Q

Examples of NPSG:

What are some solutions for the goal of preventing infections?

A

Employ existing CDC and WHO hand hygiene guidelines.
Employ existing protocols on difficult to treat infections.
Employ existing protocols on blood infections from central lines.
Employ existing protocols on post surgical infections.
Employ existing protocols on urinary track infections from catheterization.

24
Q

The most effective measure against spreading infections in the hospital setting is the use of consistent and appropriate _________ ___________.

A

Hand hygiene

25
Q

What does SBAR stand for?

A

Situation
background
assessment
recommendation

26
Q

And easy to remember mechanism that you can use to frame conversation, especially critical ones, requiring a clinicians immediate attention and action.

A

SBAR

27
Q

__________ tool helps staff anticipate the information needed by colleagues and encourages assessment skills. Using _______ prompts staff to formulate information with the right level of detail.

A

SBAR

28
Q

What does the S in SBAR stand for and what are the steps?

A

Situation - identify yourself and the unit you are calling from, identify the patient by name and the reason for your report, and describe your concern.

29
Q

What does the B in SBAR stand for and what are the steps?

A

Background - give the patients reason for admission, explain significant medical history, you then inform the consultant of the patients background: admitting diagnosis, date of admission, prior procedures, current medications, allergies, pertinent laboratory results and other relevant diagnostic results. For this, you need to have collected information from the patient’s chart, flowsheets and progress notes.

30
Q

What does the A in SBAR stand for and what are the steps?

A

Assessment: vital signs, contraction pattern, clinical impressions/concerns

31
Q

What does the R in SBAR stand for and what are the steps?

A

Recommendation - explain what you need, be specific about requests and timeframe, make suggestions, clarify expectations