Safety & Basics
This is an organizational culture that emphasizes learning from mistakes rather than punishing individuals.
What is Just Culture
True or False: "Older adults should avoid exercise to prevent falls."
False. Exercise helps maintain strength and balance, reducing the risk of falls.
Common mental health concerns for older adults in late adulthood.
What is Depression/Anxiety?
What is Dementia?
An error that occurs in the performance of an operation, procedure, or test.
What is a treatment error?
The stage of Erikson's psychosocial development the child focuses on developing autonomy.
What is Autonomy vs. Shame and Doubt (ages 1-3)?
When healthcare refers to the prevention of harm to patients during the provision of care. Creating an environment where the risk of errors and adverse events is minimized.
What is Safety?
One of the most important health promotion strategies for older adults.
Regular physical activity maintains mobility and independence and reduces chronic disease risks.
This type of healthcare error occurs when there is a mistake in the administration of medication, such as giving the wrong drug, wrong dosage, or administering it at the wrong time.
What is a "Medication error"?
An individual must successfully accomplish the developmental stage before proceeding to the next stage.
What is Erikson's theory of development?
The three Principles of Just Culture.
What is Accountability for actions
Learning from errors
Differentiating between types of behavior
Two factors contribute to falls in older adults.
Decreased muscle strength, poor vision, environmental hazards (Slippery floors).
This type of error refers to underlying system flaws or conditions that contribute to mistakes, often unnoticed until they result in more immediate errors or adverse events.
What is a "latent error"?
This process involves identifying the underlying factors or systemic issues that contribute to an error or adverse event, to prevent recurrence by addressing the root cause, rather than just the symptoms.
What is "Root Cause Analysis"?
The nurse's responsibility that can help reduce the risk of elder abuse.
What is a nurse advocating for regular check-ups, monitoring signs of neglect or abuse, and educating caregivers on proper care techniques and stress management?
This type of error occurs when a healthcare provider takes an action that directly leads to an unintended harm or negative outcome, such as administering the wrong medication or performing an incorrect procedure.
What is an "Error of Commission"?
This type of organizational culture prioritizes an environment where staff feel safe to report errors or near misses without fear of punishment. Encouraging open communication and transparency.
What is a "Culture of Safety"?
A nurse is preparing to administer a patient's medication and accidentally reaches for the wrong vial. Just before administering it, the nurse notices that the medication is not the correct one. The nurse then corrects the error before giving the wrong drug to the patient.
What is a "Near Miss" event?
This practice involves openly sharing information about errors, adverse events, and healthcare outcomes with patients and their families.
What is "Transparency"?
A surgical patient undergoes a procedure to remove a tumor. After the surgery, the patient develops a serious, unexpected complication due to the surgeon mistakenly performing the wrong procedure on the wrong site, resulting in permanent injury and a prolonged hospital stay.
What is a "Sentinel Event"?
The QSEN core competency focuses on the nurse's ability to communicate effectively with patients, families, and healthcare teams to ensure safety, prevent errors, and promote quality care.
What is Patient-centered care?
What is Teamwork and Collaboration?
What is Evidence-based practice?
What is Quality improvement?
A 65-year-old patient with a history of hypertension is prescribed a new medication to manage his blood pressure. Shortly after the first dose, the patient experiences dizziness and falls, resulting in a fractured wrist. Upon review, it is determined that the medication dosage was higher than recommended for his age and condition.
What is an "Adverse event"?