safety correct answers refers to the prevention of health care errors and the elimination or mitigation of patient injury caused by health care errors.
types of health care errors: correct answers error of commission; error of omission; error of execution
types of errors: correct answers diag...
NUR 310 exam 2 || with Error-free Solutions.
safety correct answers refers to the prevention of health care errors and the elimination or
mitigation of patient injury caused by health care errors.
types of health care errors: correct answers error of commission; error of omission; error of
execution
types of errors: correct answers diagnostic; treatment; preventative; diagnostic
levels of errors: correct answers adverse event; near miss; sentinel event
error of commission correct answers doing the wrong thing
error of omission correct answers not doing the right thing
error of execution correct answers doing the right thing incorrectly
adverse event correct answers unintended harm by an act of commission or omission rather than
as a result of a disease process
near miss correct answers error of commission or omission that could have harmed a patient, but
harm did not occur as a result of chance
sentinel event correct answers unexpected occurrence involving death or serious injury
why are many errors undocumented or are not reported? correct answers due to staff fear of
reprisal, lack of adequate systems to report, limited staff education about safety and report
process
blunt end correct answers latent errors; organizational/system
sharp end correct answers active errors; direct patient care
culture of blame correct answers previously existed; identified clinician at fault, followed by
disciplinary measures
culture of safety correct answers focus on what went wrong rather than who to blame; needed to
address errors and to prevent a reoccurrence; look at what happened as opposed to who did it
just culture correct answers seeks to find a balance between the need to learn from mistakes and
the need for disciplinary action against employees
there has to be a balance between what when it comes to errors? correct answers blame and
accepting responsibility and learning from mistakes
,concept attributes to safety correct answers knowledge; skills; attitudes
knowledge concept attribute of safety correct answers focus of safety is on the execution of
skills, as well as on technology and systems level; human factors, not just skills
skills concept attribute of safety correct answers nurses need to use tools to contribute to safer
systems
attitudes concept attribute of safety correct answers nurses and other health care professionals
need to value their roles in safety and collaboration; Nurses' personal and professional attitudes
are instrumental in shaping their nursing practice and recognizing the cognitive and physical
limits of human performance
QSEN project correct answers has been the national leader in defining the competencies for
safety by specifying the knowledge, skills and attitude objectives for all nurses including pre-
licensure and graduate students
As nurses how do we address /prevent the safety factors that place individuals at risk? correct
answers the nurse's role in prevention is largely educative; observation or prediction of
potentially harmful situations so that harm can be avoided; client education that empowers
clients to protect themselves and their families from injury
desired outcomes of addressing/preventing the safety factors that place individuals at risk:
correct answers acquisition of knowledge of hazards; behaviors that incorporate safety practices;
skills to perform in the event of certain emergencies
examples of desired outcomes: correct answers describe methods to prevent specific hazards;
report use of home safety measures; alter home physical environment to reduce risk of injury;
describe emergency procedures for poisoning and fire; describe age-specific risks or work safety
risks or community safety risks; demonstrate correct use of child safety seats; demonstrate
correct administration of CPR; today focus on point of care safety related to falls and restraint
use
The Joint Commission National Patient Safety Goals 2016 Long Term Care: correct answers
identify residents correctly - use at least 2 ways to ID residents; use medicines safely - take extra
care with anticoagulants and record and pass along correct info about residents' medication;
prevent infection - had hygiene and prevention of central line infections; prevent residents from
falling - fall risk assessment; prevent bed sores - skin assessment
who is more at risk for falls? correct answers elderly and infants
who is more at risk for ulcers? correct answers bed bound, immobile
, The Joint Commission National Patient Safety Goals 2016 Hospital: correct answers identify
patients correctly - at least 2 identifiers; improve staff communication - get test results to the
right staff person on time; use medicines safely - label medications before a procedure, use
caution with blood thinners, record and pass along correct infor about patient meds; use alarms
safely - make improvements to ensure that alarams on medical equipment are heard and
responded to one time; prevent infection; identify patient safety risks - find out which patients
are most likely to commit suicide; prevent mistakes in surgery - assure correct surgery is done on
the correct patient and the correct place on the patient's body
point of care exemplars of safety: correct answers prevention of decubitus ulcers; medication
administration; fall prevention; communication; restraint use; seizure precautions; hypothermia
and hyperthermia
systems level exemplars of safety: correct answers documentation/electronic records; error
reporting; work processes; care coordination; team systems
common care-management problems: correct answers failure to monitor, observe, or act; delay in
diagnosis; incorrect assessment of risk; loss of info during transfer to other healthcare staff (and
off reports); failure to note faulty equipment; failure to carry our preoperative checks; deviation
from an agreed protocol without clinical justification; failure to seek help when necessary; use of
incorrect protocol; treatment given to wrong body site
normal urine output correct answers 30 mL/hr
when do you treat for pain? correct answers ranked 5 or more out of 10
risk factors for falls correct answers poor vision; cognitive dysfunction; impaired gait or balance;
difficulty getting in and out of chair; orthostatic hypotension; urinary frequency or diuretics;
weakness from disease, injury, or therapy; medications; history of falls
what is the leading cause of injury in older adults? correct answers falls
what is the most frequently reported adverse event in adult inpatient settings? correct answers
falls
where do falls occur the most? correct answers in the home
how to assess fall risk? correct answers "Get Up and Go" Assessment Tool; Morse Fall
Assessment tool
Get Up and Go Assessment tool correct answers get out of chair without pushing up on chair and
walk 10 ft/ 3m, then turns around walks back and sits down in chair; can use walker or cane if
they typically use it;
get up and go < 10 seconds correct answers freely mobile
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