No rhyme or reason
Defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve the aim
What are Medical errors?
This nurse was influential in the development of nursing in North America and is the founder of American Nursing Association.
Florence Nightingale (1820-1910)
A body response to infection that can include warmth, swelling, pain, and redness.
What is an inflammatory response
Any process variation that doesn't not affect the outcome or result for an adverse event, but carries significant chance of an adverse outcome if it were to occur (aka close call)
What is a near miss.
Wearing this will prevent exposure to infectious material when matching level of protection to exposure.
What is PPE?
patient, route, mediation, documentation, dose, & time
What are the 6 rights of medication administration?
1. Ask question
2. Collect data
3. Critical appraisal
4. Apply evidence
5. Evaluate outcome
steps in evidence based practice
The procedural safety checklist used prior to any surgical event.
What is a "time out"
Leading cause of injury for adults 65 or older.
What are falls?
The error of commission, error of omission and error of execution.
What are the three types of health care errors?
Organization created to ensure an adequate standard of medical care is given to patients in hospitals; later expanded to accreditation of long term care facilities, labs and home health agencies.
Who is the Joint Commission
The TJC and QSEN
What are the 2 national/federal organizations for safety?
MRSA, VISA, VRSA, & VRE.
What are examples of Multidrug-resistant organisms
Identify patients correctly, Improve staff communication, Improve safe medication administration, Reduce patient harm associated with clinical alarms, Reduce risk of Hospital acquired infections, Better identify patient safety risks in hospital & Better prevent surgical mistakes.
What are the 2021 National Patient Safety Goals.
Assessment, Diagnosis, Outcome identification and Planning, Implementation, Evaluation
What is the nursing process
Any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely.
What is physical restraint?
Time required for serum concentration to decline by 50%
What is the "half-life" of a drug?
Plan, Do, Study, Act
What are steps of PDSA?
The method used to reduce or eliminate transmission of disease from person to person, used to virtually eliminate small pox and polio.
What are immunizations.
Unfavorable occurrence that is a direct result of the provision of care or health care services and is unrelated to the patients medical condition.
What is an adverse event?
After a safety event or near miss this review takes place to identify or address areas in process that can cause patient harm
What is Root Cause Analysis
The kidney and liver share this essential property
What is drug metabolism?
An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof
What is a sentinel event
This is the transfer of information during transitions in care across the continuum. It provides an opportunity to for the nurse or provider to ask questions, clarify, and confirm details on patients condition.
What is SBAR or Handoff.
This type of precaution is used with all patient encounters. It applies to blood, body fluids, secretions, excretions (except sweat), non-intact skin, and mucous membranes
What are Standard Precautions