NURS 204 Exam 2 (final) 100% verified

Safety correct answers ***GET definitions: IOM: freedom from accidental injury ANA Code of Ethics: safe practice -- nursing profession's major goal National Patient Safety Foundation (NPSF): avoidance, prevention, amelioration of adverse outcomes or injuries stemming from the process of healthcare itself QSEN & AACN: the minimization of risk for harm to patients and to providers through both system effectiveness and individual performace Safety Incidences correct answers -Higher satisfaction scores = fewer safety events (hospitals and physician offices) -Surveys indicate nurses responsible for safety: 90-96% nurses vs. all other professions Principles r/t Occurrence of Unsafe Events correct answers Miscommunication: root cause of 70% reported sentinel events System Problems: Swiss Cheese Model of Medical Errors Professional Silos: educated separately Preventable: 70% reported cases; fatigue and many handoffs; high costs General Safety Communication Guidelines for Organizations correct answers • World Health Organization (WHO) • International Council of Nurses (ICN) • Institute of Medicine (IOM) • Agency for Healthcare Research & Quality (AHRQ) • American Nurses Association (ANA) • American Association of Colleges of Nursing (AACN) • Quality and Safety Education for Nurses (QSEN) • The Joint Commission (TJC) Barriers to Safe, Effective Communication in the Health Care System correct answers Fragmentation: mixture of unrelated departments impede communication; especially with handoffs Underreporting of Errors in a Punitive climate: why??? Fatigue: increases risk for errors Innovations that Foster Safety: Create a Culture of Safety correct answers Three C's (A Team Culture): -Communication clarity -Collaboration -Cooperation