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NUR 2206 Exam 1 Study Guide W/NUR 2207 Vocab – Questions With Solutions $26.99
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NUR 2206 Exam 1 Study Guide W/NUR 2207 Vocab – Questions With Solutions

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NUR 2206 Exam 1 Study Guide W/NUR 2207 Vocab – Questions With Solutions

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NUR 2206 Exam 1 Study Guide W/NUR 2207 Vocab –
Questions With Solutions

Safety Regulations, Guidelines, and Agencies Right Ans - Agency for
Healthcare Research and Quality (AHRQ)
-Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS)

Institute for Safe Medication Practices (ISMP)

Institute of Medicine (IOM)
-In 2016, name changed to National Academy of Sciences, Engineering, and
Medicine

Quality and Safety Education for Nurses (QSEN)

IOM Report (1999): To Err is Human Right Ans - 98,000 lives lost each year
from medical errors in hospitals in the US

Medical error = the failure of a planned action to be completed as intended, or
the use of a wrong plan to achieve an aim

Cost of medical errors

Connection between quality care and patient safety

Preventing death and injury from medical errors requires dramatic, system
wide changes
-preventing, recognizing, and mitigating harm from error

To Err is Human: Initiatives Right Ans - Creation of a National Center for
Patient Safety within the Agency for Healthcare Research and Quality (AHRQ)

Mandatory and Voluntary reporting systems

Role of consumers, professionals, and accreditation groups

Building a culture of society

,Quality and Safety in Nursing Education (QSEN) Right Ans - Provides
framework for nursing school curricula
6 Competencies
Knowledge, skills, and attitudes (KSAs) for each competency

6 Competencies Right Ans - Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics

Science of Safety Right Ans - Minimize risk of harm to patients and
providers through both system effectiveness and individual performance
(QSEN)

Science of Safety
-Human error (predictable)

Human factors
-Refers to the study of human behavior, abilities, limitations, and other
characteristics as they affect the design and smooth operation of equipment,
systems, jobs, and work environment (AHRQ)

Adverse Event (AE) Right Ans - Injury caused by medical care

Adverse Drug Event (ADE) Right Ans - Adverse event involving medication
use
ie. giving a patient penicillin and they unexpectedly break out in hives

Sentinel Event Right Ans - Adverse event that causes death or serious harm
to the patient
Usually events that are not expected or anticipated

ie. Roberts falling while walking to bathroom and she breaks her hip

Medication Error Right Ans - Preventable event related to mistake in
prescribing, dispensing, and/or administering medications

,Root Cause Analysis Right Ans - Identifies problems that increase the
likelihood of errors

Structured process for identifying contributing factors underlying adverse
events

Identify underlying problems that increase the likelihood of errors while
avoiding focusing on mistakes by individuals

Reporting of Errors Right Ans - Aimed to learn!
Just-culture

Blame-free, non-punitive reporting systems aimed at decreasing errors and
improving quality care and patient safety

Unsafe Practices Right Ans - Work-arounds (AHRQ)
-a deviation from the unexpected pattern of work to achieve an end result by
bypassing safety features
-often the result of poorly designed processes or equipment

Dangerous abbreviations

Relying on memory

Strategies to Eliminate Errors and Unsafe Practices Right Ans -
Communication
-interprofessional communication (IPC)
-SBAR

Organizational error reporting systems

Rounding

Huddles - group meetings before/during shift

Strategies to Eliminate Errors and Unsafe Practices (cont.) Right Ans - Peer
checking
Checklists

, Mnemonics
60 second situational awareness (!!)
Patient ID using name and DOB
Safety enhancing technologies
-bar coding, computer provider order entry (CPOE), smart pumps, automatic
alarms/alerts

Rank Order of Error Reducing Strategies Right Ans - (Most to least
Effective)

Forcing functions and constraints
Automation and computerization
Standardization
Checklists and double check systems
Rules and policies
Education/information
"Be more careful" ---> not very effective!

Culture of Safety Right Ans - Commitment to safety that permeates all
levels of an organization from front-line personnel to executive management
(Institute for Healthcare Improvement)

Product of individual and group values, attitudes, perceptions, competencies,
and patterns of behavior that determine the commitment to, and style and
proficiency of, an organization's health and safety management

Purpose is prevention of errors and elimination of unsafe practices

Key Elements of a Culture of Safety Right Ans - leadership, environment,
communication

Leadership Right Ans - Commitment to safety
Non-punitive approach to error reporting
Staff education

Environment Right Ans - Nurse-patient ratios
BSN educated RNs
Teamwork

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