Week 7- Patient safety Flashcards
Patient safety
the avoidance of unintended or unexpected harm to people during the provision of healthcare
Harm
unexpected outcome for a patient resulting from the care and services provided that negatively affects the patients health or quality of life
Clinical adverse event
event that results in an unintended injury or complications arising from care management with outcomes that may range from disability to death
leading cause of injury and avoidable harm
medication errors
one of the most common and preventable causes of patient harm
venous thromboembolism
What causes errors to occur
Latent conditions: organizational and workplace
Active failures: people
Unintended actions of error
slip and lapse
Intended actions of error
mistake and violation
slip
attentional failure
lapse
memory failure
mistake
knowledge based misapplication of good rules
violation
intentional non-compliance
culture
shared values, beliefs, attitudes and behaviours and what a team is willing to accept as normal
human error as the symptom of deeper trouble
leads you to look for ways error is systematically connected to factors
microsystem
individual, provider, local unit
