NUR 160 Quiz 1 Lab Verified 2024
What is a diagnostic error ? - ANSWER-Incomplete tests, wrong tests did not follow up with test results.
Treatment Error - ANSWER-A delay in treatment, wrong treatment times
prevention errors - ANSWER-occur when there are failures to provide any of the following: prophylactic treatment, adequate monitoring, or follow-up treatment
Active errors versus latent errors - ANSWER-Active errors: occur at the point of contact between a human and some aspect of a larger system (e.g. a human-machine interface)
Generally readily apparent (e.g. pushing an incorrect button)
Almost always involve someone at the front line ("on the sharp end of the scalpel")
Latent errors (or latent conditions): refer to less apparent failures of organization or design that contribute to the occurrence of errors or allow them to cause harm to patients
Latent errors are those at "the blunt end of the scalpel"→ refer to the many layers of the
healthcare system not in direct contact with patients that affect those who do contact patients ("on the sharp end of the scalpel")
The blunt end: consists of those who set policy, manage healthcare institutions, and design medical devices.
Taken literally, latent errors are "accidents waiting to happen."
culture of safety - ANSWER-Commitment to safety at all levels
"Blame-free" environment encourages
reporting of errors and "near misses"
Collaboration across levels and
disciplines
Allocation of resources to support
safe practice
just culture - ANSWER-culture where staff are willing to come forward with information about errors so everyone can learn from mistakes; the culture recognizes the need for accountability & at times disciplinary action
Root Cause Analysis - ANSWER-technique for identifying prevention of error strategies and developing a culture of safety
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