WEEK 1 SAFETY Flashcards
What is the term for an event or circumstance that could have resulted, or did result, in unnecessary harm to a client?
Patient safety incident
What is the term for an event with a POTENTIAL for harm that did not result in harm because it did not reach the patient, due to EITHER timely intervention or good fortune (luck) (Also known as a “near miss” or “good catch”)
Close call
What is the term for the tendency to regularly bend the rules AND accept this as a normal behavior?
Normalization of deviance
What is the term for harm caused by appropriate or inappropriate use of a drug, possibly due to provider error, non-adherence, or incorrect dosage?
Adverse drug event (ADE)
What is the term for harm directly caused by a drug under appropriate use (i.e. at normal doses)?
Adverse drug reaction
What are 2 purposes of PSLS (patient safety learning system)?
- Education
- Research
How can everyone contribute to a no-blame culture?
- Provide professional support
- Open and honest dialogue
- Using the event as a learning opportunity
What are 4 ways to provide a safe nursing culture?
- Not pretending to know
- Utilizing resources
- Documenting
- Using best practice
What are SOAP notes?
Subjective
Objective
Assessment
Plan
What does SBAR mean?
Situation
Background
Assessment
Recommendation
Physiological changes caused by aging increase older patients’ risk for what?
Falls
Medication and fluid administration errors and the improper application of external devices are examples of what?
Procedure related accidents