Risk Management
What are the multiple dimensions of safety?
What is: Physical, emotional, social and functional.
Name one safety device used for fall preventions and give one limitation.
What is: Safety lifts and slings, floor mat, non-slip socks, or bed/chair alarm.
Improvement science is guided by...
What is: Triple Aim
A knowledge broker can be used to bridge the _____ gap.
What is: the research-practice gap.
What are 2 common causes of non-compliance for nurses when it comes to infection control protocols?
What is: time pressures, lack of supplies readily available
Which services are severely lacking in home care services?
What is: Mental health services.
What is a near miss?
What is: An unplanned event that did not result in injury, illness or damage – but had the potential to do so.
These three qualities are required in the healthcare workplace for improvement science initiatives to be successful.
What is: innovation, team culture and professional commitment
What is one of the biggest advantages of having a nurse as a knowledge broker in the workplace?
What is: their clinical experience.
Name three reasons why patient safety may be compromised due to abuse.
What is:
Nurses are overworked and burnout - don’t have enough time to attend to all the needs of the patient
Different perspective on what neglect is (patients view vs nurses view)
Lack of supportive work environment
Lack of self reflection
Lack of reporting
Lack of education
What factors contribute to an increased risk for medication errors when patients are discharged home?
What is: lack of provider-patient engagement, failure of medication reconciliation during admission, transfer or discharge and over-reliance on automated processes.
Commuication is essential to provide safe nursing care. To prevent errors in the future, nurses must believe these three characteristics in their colleagues.
What is: Believing in a nurses professional accountability, professional obligation, and ethical responsibility.
In 2000, 98000 annual deaths were reported in the US to be due to medical errors, improvement science has seen a ___ improvement.
What is 10%
What kind of decision making does knowledge brokering promote?
What is: evidence-informed decision making.
Two types of neglect
What is:
Intentional and unintentional
Caring and procedure
Which approach requires students to learn about patterns of illnesses to match symptoms with serious illnesses?
What is: The Safe Approach
What is a nursing error?
What is: the potential harm to the patient safety and quality of care, Actual harm to a patient and quality of care.
______ number of deaths were reported in 2000 due to medical errors.
What is: 98000
What is the research process that nurses take to translate research into a useable format (ex. BPG, protocols, pathways).
What is: conduct a literature search, obtain evidence, then critically analyze it.
When using restraints, what approach are nurses supposed to use?
What is: least restraint approach where all possible interventions are exhausted before using them.
List the 7 steps within the Safe Approach Assessment Wagon Wheel.
What is:
1. Patient,
2. History
3. clinical observation
4. Clinical examination
5. Near- Patient Tests
6. Investigations
7. Clinical input.
What are normalized errors?
What is: routine and or 'acceptable' errors that are less likely to be reported.
This is the first step in building a sustainable improvement program in health care.
What is: Communicating the why.
Name a key attribute of nurse knowledge brokers.
What is: they have a masters-level education (including research study), significant clinical experience and/or culturally compatible with others in the workplace.
Name 3 workplace violence behaviours.
What is: Social isolation, gossiping, personal attack, rumours, verbal aggregation, excessive criticism.