safety - ANS 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: - ANS error of commission; error of omission; error of execution
types of errors: - ANS diagnostic...
safety - ANS 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: - ANS error of commission; error of omission; error of execution
types of errors: - ANS diagnostic; treatment; preventative; diagnostic
levels of errors: - ANS adverse event; near miss; sentinel event
error of commission - ANS doing the wrong thing
error of omission - ANS not doing the right thing
error of execution - ANS doing the right thing incorrectly
adverse event - ANS unintended harm by an act of commission or omission rather than as
a result of a disease process
near miss - ANS error of commission or omission that could have harmed a patient, but
harm did not occur as a result of chance
sentinel event - ANS unexpected occurrence involving death or serious injury
why are many errors undocumented or are not reported? - ANS due to staff fear of reprisal,
lack of adequate systems to report, limited staff education about safety and report process
blunt end - ANS latent errors; organizational/system
sharp end - ANS active errors; direct patient care
culture of blame - ANS previously existed; identified clinician at fault, followed by
disciplinary measures
culture of safety - ANS 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 - ANS 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? - ANS blame and
accepting responsibility and learning from mistakes
concept attributes to safety - ANS knowledge; skills; attitudes
knowledge concept attribute of safety - ANS 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 - ANS nurses need to use tools to contribute to safer
systems
attitudes concept attribute of safety - ANS 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 competencies: - ANS patient-centered care; teamwork and collaboration;
evidence-based nursing practice; quality improvement; informatics; safety
QSEN project - ANS 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? - ANS
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: -
ANS acquisition of knowledge of hazards; behaviors that incorporate safety practices; skills
to perform in the event of certain emergencies
examples of desired outcomes: - ANS 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: - ANS 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? - ANS elderly and infants
who is more at risk for ulcers? - ANS bed bound, immobile
The Joint Commission National Patient Safety Goals 2016 Hospital: - ANS 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: - ANS prevention of decubitus ulcers; medication
administration; fall prevention; communication; restraint use; seizure precautions; hypothermia
and hyperthermia
systems level exemplars of safety: - ANS documentation/electronic records; error reporting;
work processes; care coordination; team systems
common care-management problems: - ANS 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 - ANS 30 mL/hr
when do you treat for pain? - ANS ranked 5 or more out of 10
risk factors for falls - ANS 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? - ANS falls
what is the most frequently reported adverse event in adult inpatient settings? - ANS falls
where do falls occur the most? - ANS in the home
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
√ Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, Bancontact of creditcard voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper DocLaura. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €9,18. Je zit daarna nergens aan vast.
