Week 7

Question 1

TJC

Answer 1

the joint commission

independent, not-for-profit group in the United states that acredits hospitals and other healthcare agencies

emphasis is “Safety and the journey to zero”

Do not use list
look alike/sound alike
encourage effective communication
improving patient and work safety

Created National patient safety goals (NPSGs), safety standards that are evaluated and updated annually every 12 months, that healthcare agencies and personnel must meet.

Question 2

ISMP

Answer 2

institute for safe medication practice

Question 3

CMS

Answer 3

Centers for medicare and medicaid services

provides oversight for agency compliance with medicare and medicaid safety standards

those who do not comply with standards are not eligible for reimbursement for services provided by medicare and medicaid patients.

no reimbursement for healthcare-associated infections (HAIs)

central line-associated bloodstream infection (CLABSIs)
surigical infection sites (SSIs)
cathether-associated urinary tract infection (CAUTIs)
ventilator-associated pneumonia (VAP)

Question 4

AHRQ

Answer 4

agency for healthcare research and quality

Question 5

QSEN

Answer 5

quality and safety education for nurses

funded by Robert Wood Johnson Foundation

provide future nurses with knowledge, skills, and attitudes to continuously improve the quality and safety of the healthcare systems in which they work

define safety as actions to minimize risk of harm to patients or health care providers through both system effectiveness and individual performance

Question 6

To Err is Human

Answer 6

modern patient safety movement and pointed out the medical errors in hospital

errors, not the result of “bad people in healthcare” but good people working in bad systems that need to be made safer

Question 7

Name of confused drug names

Answer 7

abelcet - amphotericin B
accupril - aciphex
acetaMINOPHEN-acetaZOLAMIDE
acetaZOLAMIDE - acetaMINOPHEN
acetaZOLAMIDE - acetoHEXAMIDE

acetic acid for irrigation - glacial acetic acid

acetoHEXAMIDE - acetoZOLAMIDE
aciphex - accupril
aciphex - aricept

Question 8

Culture of safety

Answer 8

a shared sense of commitment to patient safety, an environment that operates according to principles associated with just culture, and strives to identify root causes of safety concerns, many of which result from human errors or a system flaw that could benefit from redesign.

-blame-free environment
-organization commitment
-acknowledgement of nature of activities
-encouragement of collaborations

Question 9

safety

Answer 9

an outcome of an accident or injury

encounters minimal or no trauma or deficit as the result of the situation,

Question 10

unitentional injuries

Answer 10

falls
motor vehicle accident (MVA)
poisoning
drowning
fire-associated injuries
suffocation by injected objects
firearm accidents

leading cause for death betweem age of 1 and 44 y/o

third leading death for people between 45 and 65

Question 11

intentional injuries

Answer 11

deliberate acts that can, in some instances do, have fatal consequences

suicide
homicide

Question 12

national response

Answer 12

centers for disease control and prevention (CDC)

national center for injury prevention and control (NCIPC)

work to reduce
injury
disability
death
cost associated injuries

Question 13

MRSA

Answer 13

methicillin-resistant staph aureus

infection of the skin, wounds, and lung (pneumonia) can result in sepsis

Question 14

VRSA

Answer 14

vancomycin resistant staph aureus

associated with UTI from cathether, ventilators, and blood (bacteremia) infection

found on skin but enter body from cath, surgery, or invasive procedures

Question 15

VRE

Answer 15

vancomycin resistant enterococcus

surgical site, Urinary tract, and blood (bacteremia) infection

cause infection among the patient within the hospital and other health care setting who are the weakest and sickest

Question 16

John Hopkins Fall Risk Assessment Tools (JHFRAT)

Answer 16

7 item assessment tool:
snapshot overallfall risk
completed at bedside
used to determine patient’s fall risk as low, moderate, or high

1. age
2. fall history
3. elimination, bowel, bladder concerns
4. medications
5. patient care equipment
6. mobility
7. cognition

0-5 low
6-13 moderate
above 13 is high

Question 17

THe Morse Fall Scale (MFS)

Answer 17

used in acute care and long-term setting

6 fall risk items
1. history of fall
2. existence of secondary diagnosis
3. use of ambulatory aids
4. receiving IV therapy or the presence of heparin lock
5. gait/transfering
6. Mental status

Question 18

Hendrich II Fall Risk Model

Answer 18

used in acute care to assess patient
focus on confusion/disorientation/impulsivity
symptomatic depression
altered elimination
dizziness/vertigo
Male gender
any administered antiepileptics
any adminiter benzodiaepines
“Get up & Go Test” (rising from a chair)

scoring is weighted. Total above 5 then patient is high risk for falls

Question 19

R.A.C.E.

Answer 19

Rescue
Alarm
Contain
Extinguish

Question 20

P.A.S.S.

Answer 20

Pull
Aim
Squeeze
Sweep

Question 21

Poisoning in the home

Answer 21

occurs from inhalation, injection, ingestion, or absorption (through skin)

no do induce vomiting (aspiration)
syrup of ipecac should be administered unless specifically instructed to do so by Poison Control

Question 22

10 Rights of Medication Administration

Answer 22

original 5
right med
right dose
right time or frequency
right patient
right rout

5 expanded rights
right assessment
right documentation
right evaluation
right to refuse treatment
right patient education