Culture of Safety
The procedures and processes by which one party justifies and takes responsibility for its activities.
What is accountability?
lack of care that demonstrates a reckless disregard for the safety or lives of others
What is gross negligence?
Aims to prevent and reduce risks, errors and harm that occur to patients
What is patient safety?
Failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim
What are errors?
Used to staff the OR for elective, unplanned, and emergent procedures or to cover staff nurse vacancies
What is mandatory overtime?
when a person dies as a result of someone’s criminal negligence
What is negligent homicide?
The right patient, right medication, right dose, right route and right time are called.
What are The Five Rights of Medication Safety?
All employees are held responsible for the quality of their choices.
What is just culture?
The widespread phenomenon characterized by a reduction in nurses’ energy that manifests in emotional exhaustion, lack of motivation, and feelings of frustration and may lead to reductions in work efficacy.
What is nurse burn out?
This case is considered a double standard for nurses and physicians
What is the RaDonda Vaught case?
These two patient identifiers are used prior to administering medications, performing treatments, obtaining and labeling any specimens at bedside, and prior to administering any blood products.
What is the patient's Name and Date of Birth?
1. Address Adverse Events
2. Shared Accountability
3. All situations are addressed
4. Providers are held accountable w/consideration of systemic failures
What are just culture components?
The concept that establishes an organization-wide mindset that positively impacts the work environment and work outcomes in several ways
What is just culture?
When a medical or health care professional, through a negligent act or omission, deviates from standards in their profession, thereby causing injury or death to a patient.
What is medical malpractice
Failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim.
What is an error?
Disclosure without fear of retribution is an important characteristic of a just culture.
What is honest disclosure?
Having open and non-judgmental communication when things go wrong and there have been mistakes/errors in a patient's care that have led to harm.
What is transparency?
The physical or emotional abuse, neglect, or financial exploitation of a victim 65 years of age or older.
California Penal Code § 368 PC
What is elder abuse?
Ensuring that call lights and food trays are within a patient's reach, that they have been recently toileted, and can repeat back that they will call for assistance before getting up on their own.
What are ways to prevent falls?
1. Uncertainty
2. Checklist
3. Written Procedures
4. Decision Making
5. Practice
What are the applications of just culture in healthcare?