Historical research
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Studies designed to establish facts and relationships concerning past
events. Example: Study examining the societal factors that led to the
acceptance of advanced practice nurses by patients. •
,Tanners model of clinical judgement
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Noticing
Interpreting
Responding
Reflecting
Provider variables
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§ Provider variables are provider-patient relationships, lack of minority
providers, as well as provider bias and discrimination. Studies have clearly
demonstrated that providers will often make different plans for different
patients when the only difference is culture or skin tone
Teamwork and communication
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promoting teams that develop shared understanding, anticipate needs and
problems, and apply standard tools for managing communication and
conflict
Systematic reviews & Meta-analysis
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Systematic reviews and meta-analyses have been referred to as synthesis
of the evidence. Systematic reviews include the available evidence on a
topic in the form of randomized controlled trials that are summarized using
a systematic methodology.
Patient-centered care
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Recognize the patient or designee as the source of control and full partner
in providing compassionate and coordinated care based on respect for
patient's preferences, values, and needs
barriers to cultural competence
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provider variables
system variables
Creativity
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, Look for different approaches if interventions are not working for a patient.
For example, a patient in pain may need a different positioning or
distraction technique. When appropriate, involve the patient's family in
adapting your approaches to care methods used at home
· Just Culture elements
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o Data about errors have not always been accessible to health care
professionals or to health care consumers. To create a culture of safety,
adverse events must be reported so they can be analyzed for lessons
learned and new procedures drafted to improve the system. "Just culture"
refers to a system's explicit value of reporting errors without punishment. A
just culture is one in which people can report mistakes or errors without
reprisal or personal risk.29 Just culture does not mean individuals are not
accountable for their actions or practice, but it does mean that people are
not punished for flawed systems. A just culture promotes sharing and
disclosure among stakeholders
o We moved to just culture to emphasize that if someone breaks a rule
knowingly and willingly, then, yes, they should be disciplined and removed
from an organization, but we won't blame people for systems problems. So
that's really the emphasis of a just culture.
o The goal is to avoid the tendency to blame individuals for patient safety
issues when the error is unintentional and is usually a product of many
forces and mishaps that led to the practice breakdown. However, a just
culture demands attention, repair, remediation, and discipline of those
professionals who willfully ignore their professional standards.
· Characteristics of a root cause analysis (RC) ]
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Studies designed to establish facts and relationships concerning past
events. Example: Study examining the societal factors that led to the
acceptance of advanced practice nurses by patients. •
,Tanners model of clinical judgement
Give this one a try later!
Noticing
Interpreting
Responding
Reflecting
Provider variables
Give this one a try later!
§ Provider variables are provider-patient relationships, lack of minority
providers, as well as provider bias and discrimination. Studies have clearly
demonstrated that providers will often make different plans for different
patients when the only difference is culture or skin tone
Teamwork and communication
Give this one a try later!
promoting teams that develop shared understanding, anticipate needs and
problems, and apply standard tools for managing communication and
conflict
Systematic reviews & Meta-analysis
,Give this one a try later!
Systematic reviews and meta-analyses have been referred to as synthesis
of the evidence. Systematic reviews include the available evidence on a
topic in the form of randomized controlled trials that are summarized using
a systematic methodology.
Patient-centered care
Give this one a try later!
Recognize the patient or designee as the source of control and full partner
in providing compassionate and coordinated care based on respect for
patient's preferences, values, and needs
barriers to cultural competence
Give this one a try later!
provider variables
system variables
Creativity
Give this one a try later!
, Look for different approaches if interventions are not working for a patient.
For example, a patient in pain may need a different positioning or
distraction technique. When appropriate, involve the patient's family in
adapting your approaches to care methods used at home
· Just Culture elements
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o Data about errors have not always been accessible to health care
professionals or to health care consumers. To create a culture of safety,
adverse events must be reported so they can be analyzed for lessons
learned and new procedures drafted to improve the system. "Just culture"
refers to a system's explicit value of reporting errors without punishment. A
just culture is one in which people can report mistakes or errors without
reprisal or personal risk.29 Just culture does not mean individuals are not
accountable for their actions or practice, but it does mean that people are
not punished for flawed systems. A just culture promotes sharing and
disclosure among stakeholders
o We moved to just culture to emphasize that if someone breaks a rule
knowingly and willingly, then, yes, they should be disciplined and removed
from an organization, but we won't blame people for systems problems. So
that's really the emphasis of a just culture.
o The goal is to avoid the tendency to blame individuals for patient safety
issues when the error is unintentional and is usually a product of many
forces and mishaps that led to the practice breakdown. However, a just
culture demands attention, repair, remediation, and discipline of those
professionals who willfully ignore their professional standards.
· Characteristics of a root cause analysis (RC) ]
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