Wk 3: Promoting Patient Safety and Just Culture Flashcards

1
Q

Just culture

A

movement away from blame environment to one of personal and professional accountability. Instead of punative, RCA and furthering education about error is new for HC.

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2
Q

Near misses

A

Just culture promotes discussing errors and near misses so they can be part of a solution to prevent future mistakes.

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3
Q

IOMs 5 competencies

A
  1. Patient Centered Care
  2. Work on Interprofessional Teamwork
  3. Employ EBP
  4. Apply QI
  5. Utilize Informatics
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4
Q

Agencies for Pt Safety and Just Culture

A

IOM report, ANA, AHRQ, AACN, NDNQI, QSEN

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5
Q

3 Behaviors

A

Human error- unintentional
At-Risk behavior- short cut- need to re-educate
Reskless Behavior- understand risk can occur, conscious choice, blame and discipline worthy

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6
Q

When error occurs

A

RCA
establish learning environment
reduction of at-risk behaviors

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7
Q

Geriatric Just culture

A

falls- majority cause of morbidity, 25% cause serious injury

med errors

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