What are the five elements of an ideal safety culture - answer Reporting, inform, Just, flexible,
learning
James reasons book - answer Managing the Risk of organizational accidents, 1997
Culture is it driven locally or at the organizational level - answer Sexton at all believe that culture
is more variable among units within the same hospital then among hospitals
What are principles and science of patient safety - answer 1. Standardization and checklists, 2.
human factors, 3. teamwork training
How do you raise awareness about patient safety - answer Through engagement in education
such as engaging the team and patient safety initiatives on error reporting near misses and
disclosure an apology
How do you respond to patient safety survey results - answer Identify and disseminate best
practices from high-performing units
Concerns for responding to patient safety survey data - answer Response rate reliability of data
,What are surrogates of patient safety culture assessment - answer Number one, voluntary
reporting of near misses, number two must be accompanied by just culture regarding how
reports are dealt with in number three patient safety is a strategic priority
3 Principles and science of patient safety - answer One standardization, checklist, to human
factors, three teamwork training
Patient and family involvement and patient safety initiatives may include - answer Patient
advisory Council's, community forums
What are the principles of standardization - answer Era reduction within departments, across
the organization, throughout the industry, and examples include color-coded wristbands
What are the principles of patient safety - answer 1 standardization, 2 checklists, 3 learning
from errors, 4 human factors, 5 teamwork training, 5 error reporting and near misses, 7
disclosures
What are the principles of checkless - answer List of actions that should be performed optimize
patient outcomes. They are based on sound theoretical basis and a history of success and
patient safety. For example surgical safety checklist, handoff communication.
Patient safety principal learning from errors describe - answer Here's our opportunities to want
to dig deep for a root cause, and look for common causes and determine what we do when we
find them
Scribd the principles of human factors - answer The interrelationship between humans the tools
and equipment in the workplace and the environment in which they work. This is different than
human error
What are the 6 principles of teamwork training, Or a high-performing team - answer Team
structure, leadership, communication, situation monitoring, mutual support, coordination and
collaboration
, What is the principal: error reporting and near misses - answer Staff education, must provide
clear expectation of what and how to report and be reviewed routinely and provide the Y such
as giving examples storytelling lessons learned
Describe the principle of patient safety disclosure - answer Identify what needs to be disclosed,
understand barriers model disclosure and apology, patient expectations, outline the process
steps for the conversation
3 Disclosure barriers - answer Lack of culture of safety, psychological barriers, legal barriers
What are the process steps for a conversation on patient disclosure - answer 1. designate
personnel roles, 2. Conversation outlines, 3. Accommodations for special communication needs,
4. Support services available to the patient family and healthcare team, 5. steps for follow-up
conversation, 6. Documentation of the conversation
What are elements that should be included in the conversation Outline for disclosure - answer
What happened, convenience of regret, steps already taken to prevent reoccurrence, change in
patient's care plan for outlook, who will contact the family next, support services to patient and
family members
Describe affective versus ineffective disclosures - answer Effective disclosures provide the family
with all information needed for appropriate care decisions and cannot be measured solely on
the basis of whether malpractice litigation was avoided, and ineffective disclosure does not
serve the patient because important information is not communicated
Lack of healthcare literacy leads to - answer Readmissions, inability to navigate the healthcare
spectrum, increase health costs, limited preventative medicine, self-reported poor health
What are four balance measures for managing change - answer Patient safety implications,
proactive identification, countermeasures, post change monitoring
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