contributing factors to poor quality hc - Answers • Overuse of expensive invasive technology
• Underuse of inexpensive care services
• Error-prone implementation of care that could harm patients and waste money
major events that still occur in patient safety and quality care - Answers • adverse drug events
• health care-associated infections (HAIs)
• falls, and
• obstetric adverse events
patient safety can be defined as - Answers The prevention of errors and adverse effects
topatients associated with health care.
-involves creating systems and practices that reduce the risk of harm during care delivery.
define adverse events - Answers an injury caused by medical management rather than the
underlying condition of the patient.
Examples:med errors, surgical complications, or HAIs
define near miss - Answers An event that could have led to an advers eoutcome but did not,
either by chance or timely intervention.
-are important learning opportunities for improving safety systems
define sentinel event - Answers serious, unexpected occurrence involving death or serious
physical or psychological injury, or the risk thereof.
-These events signal the need for immediate investigation and response
define never events - Answers serious adverse events during an inpatient stay that should never
occur or are reasonably preventable by using EBP
-CMS provide hospitals with financial incentives to reduce the occurrence of never events.
what does the quality improvement process inlcude - Answers continuous cycles of planning,
acting, andstudying to enhance patient care effectively
patient safety aims to - Answers minimize risks and prevent errors toprotect patients from harm
professionalism in nursing invovles - Answers accountability, ethics, and lifelong learning
supporting QI and safety goals
, what are the 10 simple rules to guide improvements from the inst of medicine - Answers Care
based on continuous healing relationships•
Care customized to patient needs and values•
The patient is the source of control•
Knowledge is shared, and information flows freely• Decision making is evidence based
• Safety is a system property
• Transparency is necessary
• Needs are anticipated
• Waste is continually decreased
• Cooperation among clinicians is a priority
what are the core improvements - Answers -continuous improvement (ongoing refinement of hc
processes)
-EBP
-patient centered care
-team collaboration and transparency
what are the QSEN competencies - Answers patient centered care
eBP
teamwork and collaboration
QI
safety
informatics
what is the PSDA cycle - Answers a QI model that supports iterative testing of changes to
improve processes contiually and effectively
what is the six sigma approach - Answers QI model that aims to reduce defects by using stat
analysis to minimize variability in processes
what is the lean methodology - Answers QI model that focuses on elim wastes and enhancing
efficiency within care deleivery proceses