Nursing 102 Exam 1 Safety, Nur 102 v v v v v v
Nursing Fundamentals v v
1999 IOM landmark report - ANSWER-✔✔To Err is Human: Building a Safer Health System
v v v v v v v v v v v v v
To Err is Human: Building a safer health system - ANSWER-✔✔Report that showed 48,000-96,000 ppl died
v v v v v v v v v v v v v v v
due to medical error (Gap is due to reporting errors)
v v v v v v v v v v
National Patient Safety Goals (NPSG) 2002 - ANSWER-✔✔Identify Patients Correctly
v v v v v v v v v
Improve Staff Communication v v
Use Medicine Safely
v v
Use Alarms Safely
v v
Prevent Infections v
Identify Patient Safety risks - suicidal thinking
v v v v v v
Prevent Surgical Mistakes v v
2001 IOM Report - ANSWER-✔✔Quality Chasm Report showing healthcare disparity among different
v v v v v v v v v v v
socioeconomic status groups. National Safety Patient Goals (NSPG) came after this in 2002
v v v v v v v v v v v v v
2005 Patient Safety and Improvement Act - ANSWER-✔✔QSEN competencies came from this report
v v v v v v v v v v v v
, National Patient Safety Initiatives - ANSWER-✔✔Foster collaboration with healthcare facilities, gov't
v v v v v v v v v v
agencies, providers and consumers to enhance patient safety and care (Ex: QSEN)
v v v v v v v v v v v v
QSEN - ANSWER-✔✔outlines the KSA's (knowledege, skills and Attitudes) all graduating nurses should have
v v v v v v v v v v v v v
QSEN Competencies - ANSWER-✔✔Patient Centered Care
v v v v v
Quality Improvements
v
Evidence Based Practice v v
Teamwork and Collaboration v v
Safety
Informatics
Human Error Vs. System Error - ANSWER-✔✔Human Error - Things ppl bring to errors (sleep deprivation,
v v v v v v v v v v v v v v v
distraction, emotional problems, etc)
v v v v
System Error - Things in work environment that cause errors (short staffing, computer issues, etc)
v v v v v v v v v v v v v v
Blunt vs. sharp edge of medical errors - ANSWER-✔✔Blunt - All of the things that lead up to making the error
v v v v v v v v v v v v v v v v v v v v
Sharp edge - Actual point of committing the error
v v v v v v v v
Sentinel Events * - ANSWER-✔✔Very bad events such as death or permanent physical or psychological
v v v v v v v v v v v v v v
disability that occur as a result of a medical error
v v v v v v v v v v
Promote culture of psychological safety - ANSWER-✔✔Not punished for reporting errors or near misses
v v v v v v v v v v v v v
Adverse Events in the Clinical Setting - ANSWER-✔✔Falls
v v v v v v v
Injury related to restraints
v v v
Nursing Fundamentals v v
1999 IOM landmark report - ANSWER-✔✔To Err is Human: Building a Safer Health System
v v v v v v v v v v v v v
To Err is Human: Building a safer health system - ANSWER-✔✔Report that showed 48,000-96,000 ppl died
v v v v v v v v v v v v v v v
due to medical error (Gap is due to reporting errors)
v v v v v v v v v v
National Patient Safety Goals (NPSG) 2002 - ANSWER-✔✔Identify Patients Correctly
v v v v v v v v v
Improve Staff Communication v v
Use Medicine Safely
v v
Use Alarms Safely
v v
Prevent Infections v
Identify Patient Safety risks - suicidal thinking
v v v v v v
Prevent Surgical Mistakes v v
2001 IOM Report - ANSWER-✔✔Quality Chasm Report showing healthcare disparity among different
v v v v v v v v v v v
socioeconomic status groups. National Safety Patient Goals (NSPG) came after this in 2002
v v v v v v v v v v v v v
2005 Patient Safety and Improvement Act - ANSWER-✔✔QSEN competencies came from this report
v v v v v v v v v v v v
, National Patient Safety Initiatives - ANSWER-✔✔Foster collaboration with healthcare facilities, gov't
v v v v v v v v v v
agencies, providers and consumers to enhance patient safety and care (Ex: QSEN)
v v v v v v v v v v v v
QSEN - ANSWER-✔✔outlines the KSA's (knowledege, skills and Attitudes) all graduating nurses should have
v v v v v v v v v v v v v
QSEN Competencies - ANSWER-✔✔Patient Centered Care
v v v v v
Quality Improvements
v
Evidence Based Practice v v
Teamwork and Collaboration v v
Safety
Informatics
Human Error Vs. System Error - ANSWER-✔✔Human Error - Things ppl bring to errors (sleep deprivation,
v v v v v v v v v v v v v v v
distraction, emotional problems, etc)
v v v v
System Error - Things in work environment that cause errors (short staffing, computer issues, etc)
v v v v v v v v v v v v v v
Blunt vs. sharp edge of medical errors - ANSWER-✔✔Blunt - All of the things that lead up to making the error
v v v v v v v v v v v v v v v v v v v v
Sharp edge - Actual point of committing the error
v v v v v v v v
Sentinel Events * - ANSWER-✔✔Very bad events such as death or permanent physical or psychological
v v v v v v v v v v v v v v
disability that occur as a result of a medical error
v v v v v v v v v v
Promote culture of psychological safety - ANSWER-✔✔Not punished for reporting errors or near misses
v v v v v v v v v v v v v
Adverse Events in the Clinical Setting - ANSWER-✔✔Falls
v v v v v v v
Injury related to restraints
v v v
