National Patient Safety Goals
Rights and Responsibilities
Environment of Care
Medication Management
Grab Bag
100
Goals that are developed to improve patient safety and focus on problems in health care safety and how to solve them:?
What are: National Patient Safety Goals (NPSG)? National Patient Safety Goals help improve : Accuracy of patient identification Effectiveness of communication among caregivers Safety of using medications Safety of harm associated with clinical alarm systems
100
A written instruction, such as a living will or medical durable power of attorney, that provides instruction in the event the person becomes incapacitated and unable to make his/her own decisions.?
What is: An Advance Directive? Patients have the right to make healthcare decisions. Advance directives are legal documents that allow patient's to spell out decisions about end-of-life care ahead of time. At CHCO patients 18 and older are asked about advance dircetives Ref: Policy - "Advance Directives"
100
RACE stands for:?? a. Run – Act – Command – Escape?? b. Rescue – Alarm – Confine – Extinguish/Evacuate??
What is: B All staff should be able to describe their role in the event of a fire. Ref: Emergency Manual-"Emergency Codes"
100
Cerebyx CeleBREX ? Depo-Medrol Solu-MEDROL ?ePHEDrine EPINEPHrine ?
What are: Sound alike – Look alike drugs Sound alike/Look alike medications are involved in a high percentage of errors and sentinel events. Staff should recognize the triggers in place and be diligent when administering these medications. Ref: Policy - "Look-Alike, Sound Alike Medication Precautions"
100
Computer screens should be minimized or logged off to …….
What is: maintain privacy of Protected Health Information It is the responsibility of all health care providers to protect private health information for those we care for. Ref: Policy - "Information Security"
200
This goal assists with assuring that patients get the correct medications or blood by using two forms of information prior to administration
What is: Using two patient identifiers?(Name & MRN)?? Accuracy of patient identification assist with reliably identifying the individual as the person for whom the service or treatment is intended. Ref: Policy - "Identification of the Patient" NPSG #1
200
A document that allows the patient to participate fully in decisions about his/her care that explains care, treatment, and services that the patient will receive.
What is: Informed Consent? Obtaining informed consent presents an opportunity to establish a mutual understanding between the patient and the LIP about the care, treatment, and services the patient will receive. Ref: Policy - "Consent: General Informed"
200
Which hallway is ready for Joint Commission?? a. A clear uncluttered hallway b. A hallway full of carts, supplies, furniture, etc
What is: A? It is everyone's responsibility to provide a safe and functional environment for patients, staff and visitors
200
Any unexpected, unintended, undesired, or excessive response to a drug
What is: An adverse drug reaction ADR’s place patients at considerable risk. For the safety of our patients, hospitals must have systems in place to respond to and monitor patients in the event of an ADR. Ref: Policy - Adverse Drug Reaction Monitoring & Reporting"
200
To improve the health of children, through the provision of high-quality, coordinated programs of patient care, education, research and advocacy.
What is: our Mission A Mission statement articulates the purpose of our organization, provides a framework for our goals and guides our actions .
300
The most effective way to prevent health care associated infections.?
What is: Hand washing? The Center for Disease Control and Prevention (CDC) reports each year that millions of people acquire an infection while receiving care in a health care setting. According to the CDC and the World Health Organization, following strict hand hygiene practices will reduce the transmission of infectious agents by staff to patients. Ref: Policy - "hand Hygiene, Hand Hygiene Products & Artificial Nails. NPSG #7
300
Individuals that can provide medical interpretation and/or sign language services.?
Who are: Professional and qualified medical interpreters? Patients have the right to receive information in a manner he/she understands. Only professional and qualified medical interpreters are used, in order to provide safe and effective communication to patients and families. Ref: Policy - "Patients'/Families'/Legally Authorized Representatives' Rights & Responsibilities"
300
Which action is not an expectation of all staff as it relates to the environment??? a. Reporting broken or malfunctioning equipment ?b. Keeping supplies/storage at least 18” from the ceiling? c. Participating in fire drills?d. Leaving the building during an emergency??
What is: D?? Broken or malfunction equipment needs to be reported to assure patient and staff safety Supplies need to remain at least 18 inches from the ceiling in order for the fire sprinklers to spray adequately Everyone needs to practice fire drills in order to be prepared in a true emergency. Staff need to remain in their work area to assist with evacuation of patients if necessary
300
Adrenergic Agents: Dobutamine, Dopamine, Epinephrine, Isoproterenol, Norepinephrine, Phenylephrine ?Alprostadil ?Amiodarone (IV formulation only) ?Antineoplastic agents ?Antithymocyte globulin (ATGAM, Thymoglobulin) ?Benzodiazepines and opiates ?Beta-blockers: Esmolol, Labetalol ?Calcium (IV formulation) ?Digoxin ?Heparin ?Insulin ?Ketamine ?
What are: High-alert/risk medications High-alert/risk medications are involved in a high percentage of errors or sentinel events and carry a higher risk for abuse or other adverse outcomes. Ref: Policy - "High-Alert/Risk, Management of"
300
A process that provides a guide to determine a patients care, treatment, and services that takes into consideration the patients specified needs and is based on goals.
What is: a patient Plan of Care Planning for care, treatment and services is individualized to meet the patient’s unique needs. The plan is maintained or revised based on the patients response to care.
400
Which patients are to be screened for suicide risk???a. Patients admitted to a psychiatric hospital?b. Patients being treated for emotional or behavioral disorders in a general hospital?c. Both examples are correct?
What is: Answer C? Suicide in a health care setting is a frequently reported sentinel event. Identification of individuals at risk for suicide is important in protecting these at-risk individuals. Ref: NPSG #15
400
Persons responsible for reporting child abuse or neglect.
Who are: physicians, psychologists, child health associates, nurses, hospital personnel, social workers, mental health workers………? Patients have the right to receive information in a manner he/she understands. Only professional and qualified medical interpreters are used, in order to provide safe and effective communication to patients and families. Ref: Policy - "Child Abuse & Neglect: Care of
400
Horizontal then Vertical
What is: How to evacuate patients? Patients should first be evacuated horizontally, by relocated them to another smoke compartment on the same floor; then vertically to a safe area or outside the building. Ref: "Emergency Operations Plan"
400
When a patient is transferred to a different level of care or service medication reconciliation does not have to occur.? a. True? b. False
What is: B When a patient is transferred to a different level of care or service; medication reconciliation must be done. Ref: Policy-"Medication Reconciliation"
400
Collecting and analyzing data; taking actions to improved based on data.
What is: Performance Improvement Performance improvement is the responsibility of healthcare organizations; to provide better patient outcomes, provide safe and quality care through the measurement of data and using this data to improve performance. Ref: "Quality & Patient Safety Plan"
500
The process that identifies correct information regarding patients home medications:
What is : Medication reconciliation? Medication reconciliation is a process for obtaining and documenting a complete list of the patients' current medications upon admission to the hospital. Obtaining this list assists providers with providing safe care as is relates to medication management within the health care setting. Ref: Policy - "Medication Reconciliation", NPSG #3
500
The patient and family has the right to receive information about the individuals responsible for his/her care, treatment and services? a. True? b. False?
What is: A? The hospital respects the patient’s right to receive information about the individual’s responsible for, as well as those providing, his/her care, treatment and services. Ref: Policy - "Patients'/Families'/Legally Authorized Representatives' Rights & Responsibilities"
500
At CHCO, risk is minimized by having procedures in place to respond to selecting, handling, storing, transporting, using, and disposing of hazardous chemicals.?? a. True? b. False?
What is: A Hazardous materials pose a risk to staff and patients. (Examples: radiation and x-ray equipment, glutaraldehyde, ethylene oxide, nitrous oxide) Ref: Policy - "Hazardous Waste & Medical Waste Managemen"t
500
Following opioid and non opioid analgesics, a pain reassessment needs to be done in what time frame?
What is: 30 minutes A reassessment needs to be done following administration to assess possible side effects, excessive sedation, etc. Ref: Policy - "Pain Assessment & Management"
500
A form of restraint that is used for acute medical and surgical care that supports medical healing.
What is: a Medical (non-violent) Restraint Medical restraints are used when a patient interferes with treatment or has a need for a protective intervention. Ref: Policy -" Restraint & Seclusion"
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