Week 2

Question 1

patient safety is based on the

Answer 1

right to respect and dignity

Question 2

right to be kept safe case

Answer 2

Baker and Norton undertook a study in 2004 to determine the extent of medical errors in Canadian hospitals which included 20 hospitals in 5 provinces.
1/13 patients experienced an adverse event
Out of the 185 000 adverse events that occur in Canadian hospitals each year, 70 000 are preventable.
Human limitations/ human error: communication breakdown, fatigue, workload, complexity of processes, reliance on memory over checklists.
Systemic problems: rather than individual acts

Question 3

first national study provides a benchmark

Answer 3

The study’s design involved a cross-sectional study by retrospective chart review based on the protocol originally developed for the Harvard Medical Practice Study (quantitative study).
The study sampled seven geographic nodes were established in Canada.
Over 9% of children admitted to acute care hospitals in Canada experience harm caused by healthcare management, leading to death, disability, prolonged hospital stay, or readmission.

Question 4

pt safety

Answer 4

preventing and mitigating unsafe acts by protecting people from harm (real or potential)

Question 5

RNAO is concerned with the following 3 key aspects of patient safety for nursing and health care

Answer 5

Quality care and nursing
Quality work environments
Multi-level accountability

Question 6

what is pt safety culture bundle

Answer 6

Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture.

Question 7

incident analysis

Answer 7

A structured process that aims to identify what happened, how and why it happened, what can be done to reduce the risk of recurrence and make care safer, and what was learned.

Question 8

incident management

Answer 8

The various actions and processes required to conduct the immediate and ongoing activities following an incident. Incident analysis is part of incident management.

Question 9

pt safety incident

Answer 9

An event or circumstance which could have resulted, or did result, in unnecessary harm to a patient.

Question 10

harmful incident

Answer 10

A patient safety incident that resulted in harm to the patient. Replaces “adverse event”, “sentinel event” and “critical incident”.

Question 11

no harm incident

Answer 11

A patient safety incident that reached a patient, but no discernible harm resulted.

Question 12

near miss

Answer 12

A patient safety incident that did not reach the patient. Replaces “close call”.