BSNC 2055 FINAL EXAM REVIEW WITH 207 QUESTIONS
AND ANSWERS UPDATED NEW!!
Safety
The condi on of being safe from undergoing or causing hurt, injury, or loss
Requirements of a culture of safety
- trust
- recogni on of the importance of safety
- an agreement that error-preven ng strategies are effec ve in improving safety
Characteris cs of a culture of safety
- just culture
- transpancency
Just culture
- an explicit value of repor ng errors without fear of punishment
- encourages sharing and disclosure among HC professionals and people are not punished for
flawed systems
Transparency
- open communica on and informa on sharing with clients about their care, including adverse
events
Psychological safety
A belief that one will not be punished or humiliated for speaking up with ideas, ques ons,
concern or mistakes
Importance of trust
- within the team, it allows us to not fear repercussion of error and allows repor ng, analysis of
problems, and improvement of systems
,- within the HC system, it fosters public trust
Psychological safety is the founda on for
Effec ve collabora on and pa ent safety
Ideal zone for psychological safety
Learning zone
Communica on barriers
- behavioural
- cogni ve
- linguis c
- environmental
- technological
Behavioural barrier
- lack of providers speaking up to supervisors
- can use CUS protocol to address it
CUS protocol
- concerned, uncomfortable, stop/safety issue
- used when SBAR fails
- meants as a series of escala ng statements, both in tone and asser veness, to stop a
poten ally dangerous situa on
Cogni ve barrier
- distrac ons from the environment including alarms, human traffic, and unnecessary
communica on
- use communica on templates like SBAR
SBAR
- situa on
- background
- assessment
- recommenda on
Linguis c barrier
,- during handoffs senders and receivers have differing speech tempos
- used closed loop communica on
Environmental barrier
- during surgery physical barriers such as drapes, maks, equipment impede verbal and
nonverbal communica on
- implement clear window technologies
Technological barrier
- providers spending too much me interac ng with computers/EMR and not enough me for
pa ents
- leverage best prac ces and mnemonics
Structured communica on tools
- e.g., CUS (concerned, uncomfortable, stop) and SBAR
- improve effec veness of informa on transfer
- short and concise
- increase pa ent safety
Situa on
- iden fy yourself
- state the pa ent's name
- briefly describe the problem and your concern
Background
Clinical context (use chart):
- pa ent's diagnosis and reason for admission
- medical status and relevant history
Assessment
- provide specific informa on on vital signs, recent labs and other data
- may include a clinical impression/picture of the pt.
Recommenda on For Safety
- explain what is needed clearly and specifically
- include what is needed to address the problem
Bullying
, - generalized psychological harassment (behaviours are broader in scope)
- can be ac ve (e.g., physical threat) or passive (e.g., neglect)
- if physical, can be a form of workplace violence
- repeated, unwanted, harmful ac ons intended to humiliate, offend, and cause distress in the
recipient
- power-over situa ons
- addressed by workplace policies
- mean to a target or a group
Civility
An authen c respect for others that requires:
- me
- presence
- willingness to engage in genuine discourse
- inten on to seek common ground
Civility requires
- tolera ng
- listening
- discussing different viewpoints without acrimony, violence, or personal a8acks
Purpose of civility
Trea ng others with respect is a requisite to:
- communica ng effec vely
- building community
- crea ng high-func oning teams
- ensuring client safety
Direct types of ac ve incivility
- insul ng, giving condescending replies, yelling
- sending cold, non -verbal messages
- verbally and/or physically assaul ng
Direct types of passive incivility
AND ANSWERS UPDATED NEW!!
Safety
The condi on of being safe from undergoing or causing hurt, injury, or loss
Requirements of a culture of safety
- trust
- recogni on of the importance of safety
- an agreement that error-preven ng strategies are effec ve in improving safety
Characteris cs of a culture of safety
- just culture
- transpancency
Just culture
- an explicit value of repor ng errors without fear of punishment
- encourages sharing and disclosure among HC professionals and people are not punished for
flawed systems
Transparency
- open communica on and informa on sharing with clients about their care, including adverse
events
Psychological safety
A belief that one will not be punished or humiliated for speaking up with ideas, ques ons,
concern or mistakes
Importance of trust
- within the team, it allows us to not fear repercussion of error and allows repor ng, analysis of
problems, and improvement of systems
,- within the HC system, it fosters public trust
Psychological safety is the founda on for
Effec ve collabora on and pa ent safety
Ideal zone for psychological safety
Learning zone
Communica on barriers
- behavioural
- cogni ve
- linguis c
- environmental
- technological
Behavioural barrier
- lack of providers speaking up to supervisors
- can use CUS protocol to address it
CUS protocol
- concerned, uncomfortable, stop/safety issue
- used when SBAR fails
- meants as a series of escala ng statements, both in tone and asser veness, to stop a
poten ally dangerous situa on
Cogni ve barrier
- distrac ons from the environment including alarms, human traffic, and unnecessary
communica on
- use communica on templates like SBAR
SBAR
- situa on
- background
- assessment
- recommenda on
Linguis c barrier
,- during handoffs senders and receivers have differing speech tempos
- used closed loop communica on
Environmental barrier
- during surgery physical barriers such as drapes, maks, equipment impede verbal and
nonverbal communica on
- implement clear window technologies
Technological barrier
- providers spending too much me interac ng with computers/EMR and not enough me for
pa ents
- leverage best prac ces and mnemonics
Structured communica on tools
- e.g., CUS (concerned, uncomfortable, stop) and SBAR
- improve effec veness of informa on transfer
- short and concise
- increase pa ent safety
Situa on
- iden fy yourself
- state the pa ent's name
- briefly describe the problem and your concern
Background
Clinical context (use chart):
- pa ent's diagnosis and reason for admission
- medical status and relevant history
Assessment
- provide specific informa on on vital signs, recent labs and other data
- may include a clinical impression/picture of the pt.
Recommenda on For Safety
- explain what is needed clearly and specifically
- include what is needed to address the problem
Bullying
, - generalized psychological harassment (behaviours are broader in scope)
- can be ac ve (e.g., physical threat) or passive (e.g., neglect)
- if physical, can be a form of workplace violence
- repeated, unwanted, harmful ac ons intended to humiliate, offend, and cause distress in the
recipient
- power-over situa ons
- addressed by workplace policies
- mean to a target or a group
Civility
An authen c respect for others that requires:
- me
- presence
- willingness to engage in genuine discourse
- inten on to seek common ground
Civility requires
- tolera ng
- listening
- discussing different viewpoints without acrimony, violence, or personal a8acks
Purpose of civility
Trea ng others with respect is a requisite to:
- communica ng effec vely
- building community
- crea ng high-func oning teams
- ensuring client safety
Direct types of ac ve incivility
- insul ng, giving condescending replies, yelling
- sending cold, non -verbal messages
- verbally and/or physically assaul ng
Direct types of passive incivility
