NURS148 Unit 6 Culture of Safety in
Healthcare With Solution
Organizational culture - ANSWER a system of shared assumptions, values,
and beliefs
high reliability organizations - ANSWER HROs
hospitals are not HROs because there are unpredictable situations
traditional model of patient safety - ANSWER person approach
errors are a result of the nurse not being careful
perfectionism and punishment
contemporary model of patient safety - ANSWER systems approach
nobody is perfect
uses whole system perspective to understand error
swiss cheese model
swiss cheese model - ANSWER multiple layers (holes)
active: unsafe acts committed by people in direct contact with the system
latent: pre-existing dormant conditions
systems approach includes - ANSWER building a safety culture
promoting reporting of incidents
, learning from incidents
implementing solutions
factors that promote a culture of safety - ANSWER acknowledgement
determination
communication
supportive collaboration
the safety competencies - ANSWER understand basic theories
awareness of error
promotion of systems approach
promotion of staff empowerment
role modeling
ensuring feedback
integration of safe practices
commitment to teamwork
reporting adverse events
commitment to just culture
factors that undermine safety culture - ANSWER nurse fatigue
Healthcare With Solution
Organizational culture - ANSWER a system of shared assumptions, values,
and beliefs
high reliability organizations - ANSWER HROs
hospitals are not HROs because there are unpredictable situations
traditional model of patient safety - ANSWER person approach
errors are a result of the nurse not being careful
perfectionism and punishment
contemporary model of patient safety - ANSWER systems approach
nobody is perfect
uses whole system perspective to understand error
swiss cheese model
swiss cheese model - ANSWER multiple layers (holes)
active: unsafe acts committed by people in direct contact with the system
latent: pre-existing dormant conditions
systems approach includes - ANSWER building a safety culture
promoting reporting of incidents
, learning from incidents
implementing solutions
factors that promote a culture of safety - ANSWER acknowledgement
determination
communication
supportive collaboration
the safety competencies - ANSWER understand basic theories
awareness of error
promotion of systems approach
promotion of staff empowerment
role modeling
ensuring feedback
integration of safe practices
commitment to teamwork
reporting adverse events
commitment to just culture
factors that undermine safety culture - ANSWER nurse fatigue
