ANSWERS
Culture eats - ANS Process for lunch
Describe culture - ANS Collective mindset norms
Drift - ANS Normalization of deviance
What are the five elements of an ideal safety culture - ANS Reporting, inform, Just, flexible,
learning
James reasons book - ANS Managing the Risk of organizational accidents, 1997
Culture is it driven locally or at the organizational level - ANS Sexton at all believe that
culture is more variable among units within the same hospital then among hospitals
What are principles and science of patient safety - ANS 1. Standardization and checklists, 2.
human factors, 3. teamwork training
How do you raise awareness about patient safety - ANS Through engagement in education
such as engaging the team and patient safety initiatives on error reporting near misses and
disclosure an apology
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, How do you respond to patient safety survey results - ANS Identify and disseminate best
practices from high-performing units
Concerns for responding to patient safety survey data - ANS Response rate reliability of data
What are surrogates of patient safety culture assessment - ANS Number one, voluntary
reporting of near misses, number two must be accompanied by just culture regarding how
reports are dealt with in number three patient safety is a strategic priority
3 Principles and science of patient safety - ANS One standardization, checklist, to human
factors, three teamwork training
Patient and family involvement and patient safety initiatives may include - ANS Patient
advisory Council's, community forums
What are the principles of standardization - ANS Era reduction within departments, across
the organization, throughout the industry, and examples include color-coded wristbands
What are the principles of patient safety - ANS 1 standardization, 2 checklists, 3 learning
from errors, 4 human factors, 5 teamwork training, 5 error reporting and near misses, 7
disclosures
What are the principles of checkless - ANS List of actions that should be performed optimize
patient outcomes. They are based on sound theoretical basis and a history of success and
patient safety. For example surgical safety checklist, handoff communication.
Patient safety principal learning from errors describe - ANS Here's our opportunities to want
to dig deep for a root cause, and look for common causes and determine what we do when we
find them
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, Scribd the principles of human factors - ANS The interrelationship between humans the tools
and equipment in the workplace and the environment in which they work. This is different than
human error
What are the 6 principles of teamwork training, Or a high-performing team - ANS Team
structure, leadership, communication, situation monitoring, mutual support, coordination and
collaboration
What is the principal: error reporting and near misses - ANS Staff education, must provide
clear expectation of what and how to report and be reviewed routinely and provide the Y such
as giving examples storytelling lessons learned
Describe the principle of patient safety disclosure - ANS Identify what needs to be disclosed,
understand barriers model disclosure and apology, patient expectations, outline the process
steps for the conversation
3 Disclosure barriers - ANS Lack of culture of safety, psychological barriers, legal barriers
What are the process steps for a conversation on patient disclosure - ANS 1. designate
personnel roles, 2. Conversation outlines, 3. Accommodations for special communication
needs, 4. Support services available to the patient family and healthcare team, 5. steps for
follow-up conversation, 6. Documentation of the conversation
What are elements that should be included in the conversation Outline for disclosure -
ANS What happened, convenience of regret, steps already taken to prevent reoccurrence,
change in patient's care plan for outlook, who will contact the family next, support services to
patient and family members
Describe affective versus ineffective disclosures - ANS Effective disclosures provide the
family with all information needed for appropriate care decisions and cannot be measured
solely on the basis of whether malpractice litigation was avoided, and ineffective disclosure
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does not serve the patient because important information is not communicated
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