Critical Definitions
Examples of Causes and Types of Adverse Errors
Critical Clinical Quality Issues and Methods
Code of Ethics for Nurses
The Essentials of Baccalaureate Education
100
Freedom from accidental injury
What is Saftey
100
Threats are not immediately apparent. These indicate problems in the system.
What is Latent Conditions
100
Creating the most accurate list possible of all medications a patient is taking, including drug name, dosage, frequency, and route-and comparing that list against the physicians admission, transfer, and/or discharge orders with the goal of providing correct medications to the patient at all transition points in the hospital.
What is Medication Reconciliation
100
Working cooperatively with others, especially in joint intellectual efforts, in a way that included collegial action and respectful dialog.
What is Collaboration
100
Care that integrates the best research with clinical expertise and patient values for optimal care.
What is Evidence-Based Practice
200
An injury resulting from a medical intervention, not due to the patients underlying condition.
What is Adverse Event
200
Avoidable complications that prevent patients from receiving full potential benefit of a service.
What is Misuse
200
Team of healthcare clinicians who are experts in critical care. This team comes to the bedside to assist staff in making rapid decisions when a patient may be experiencing life threatening complications.
What is Rapid Response Team
200
The act or process of pleading for, supporting, or recommending a cause or course of action.
What is Advocacy
200
Includes actions to identify, respect, and care about patients' differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care, listen, inform, communicate, educate, shared decision making, advocate disease prevention, promote healthy lifestyles, focus on population health.
What is Patient Centered Care
300
The failure of a planned action to be completed as intended or the use a wrong plan to achieve an aim.
What is Error
300
Recognition that an event occurred that might have led to an adverse event. This means the error almost happened.
What is Near Miss
300
Provides accurate information about a patients general care plan, treatment, services, current condition, and any recent or anticipated changes. (seamless transition of care between members of the healthcare team)
What is Handoffs
300
To be answerable to oneself and others for one's own choices, decisions, and actions as measured against a standard such as established by the Code of Ethics of Nurses
What is Accountability
300
Working across healthcare professions to cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable
What is Interprofessional
400
An in depth analysis of an error to assess the event and identify causes and possible solutions.
What is Root Cause Analysis
400
An error that results from noncompliance with a procedure.
What is Active Error
400
Safety concern for all nurses. 30% of this type of event ends up in injury. Related issues include medication use and effects, decreased mental status, decreased mobility, physiological effects of aging, external and environmental factors and preventive interventions.
What is Patient Falls
400
The bio ethical principle of benefiting others by preventing harm, removing harmful conditions, or affirmatively acting to benefit another, or others, often going beyond what is required by law.
What is Beneficence
400
The outcomes of critical thinking in nursing practice.
What is Clinical Judgement
500
An event that has a drastic negative outcome; unexpected death, serious physical of psychological injury or serious risk.
What is Sentinel Event
500
Failure to provide a service that would have produced a favorable outcome for the patient.
What is Underuse
500
Used in the operating room to reduce wrong site surgery errors. This type of tool is also used outside of surgery to prevent errors.
What is Checklists
500
An organizational environment that holds individuals accountable for performing duties of avoiding harm, producing outcomes and following policies, procedures or guidelines that: recognizes individuals choose and need to manage human error, at risk behaviors and reckless behaviors;recognizes individuals make mistakes, coach to avoid risky behaviors, disciplines reckless behavior.
What is Just Culture
500
Experienced when neutral language, both verbal and non verbal, is used in a way that reflects sensitivity and appreciation for the diversity of another.
What is Cultural Sensitivity
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