1. Agency for healthcare research and quality(AHRQ)
Answer
agency that encompass- es team strategies and tools to enhance performance and patient
safety(Team- Stepps)
2. 98000
Answer
how many lives lost each year from medical error in US hospitals
3. medical error
Answer
the failure of a planned action to be completed as intended or the use of a wrong plan to achieve
an aim
4. systemwide
Answer
preventing death and injury from medical errors requires dramatic changes
5. culture of safety
Answer
commitment to safety at all levels of an organization from front-line personnel to executive
management
6. key components of a culture of safety
Answer
leadership, communication, and enviornment
7. error prevention strategies
Answer
open communication(TeamStepps), organized error reporting systems, rounding, peer
checking, checklists, 60 second situational awareness, patient ID and safety enhancing
technologies
,8. high risk medication
Answer
what should be peer checked
9. avoids relying on memory
Answer
why are checklists considered an error prevention strategy
10. observation in first minute in roo with patient
Answer
what is 60 second situational awareness
11. bar code scanning, CPOE, smart pumps, alarms/alerts
Answer
examples of safe- ty-enhancing technologies
12. root cause analysis
Answer
a structured process for identifying the causal or contributing factors underlying adverse eventsor
other critical incidents
13. identify underlying problems that increase the likelihood of error while avoiding focusing
on mistakes made by individuals
Answer
how does one go about root cause analysis
14. surgical asepsis
Answer
elimination of ALL microorganisms including spores
15. situations in which surgical asepsis is necessary
Answer
surgery, Urinary catheter, central IV, wound dressings
, 16. relates to the degree of number of microorganisms present
Answer
difference between medical asepsis and surgical asepsis
17. what areas of the body are considered sterile
Answer
circulatory system, urinary tract, spinal fluid, inside body cavities
18. what areas of the body are considered unsterile
Answer
upper respiratory tract, GI tract, skin
19. principles of surgical asepsis
Answer
sterile packages opened properly, raise the working surface to waist height, any doubt of sterility
is considered unsterile, expired
sterile packages are considered unsterile, your back is considered contaminated so do NOT turn
your back on sterile field; ONLY STERILE TO STERILE
20. environmental safety risks
Answer
falls, fire, poisoning, suffocation, firearms, equip- ment related accidents, procedure related
accidents
21. team STEPPS
Answer
communication techniques; mutual support; leadership strategies, situation monitoring
22. leadership strategies in teamSTEPPS
Answer
planning/brief, problem solving/huddle, process implement/debrief
23. situation monitoring