Term
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Definition
The transfer of responsibility from one individual to another while still retaining the accountability for outcome
Individual receiving task is responsible for performance of task
Delegator retains accountability for task |
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Term
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Definition
1. Systematic reviews & meta-analysis of RCTs
2. One properly designed RCT
3. Controlled trial w/o randomization
4. Case control & cohort studies
5. Systematic reviews of qualitative & descriptive studies
6. Single descriptive or qualitative study
7. Quality improvement, risk management data
8. Opinion of expert clinicians |
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Term
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Definition
Cumulative Index of Nursing & Allied Health Literature
Includes studies in nursing, allied health, & biomedical.
Among most comprehensive databases & represents scientific knowledge base of health care |
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Term
| Cochrane Database of Systematic Reviews |
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Definition
| Full text of regularly updated systematic reviews prepared by the Cochrane Collaboration. Includes completed reviews & protocols |
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Term
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Definition
| Health science library at the National Library of Medicine. Offers free access to journal articles |
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Term
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Definition
| Includes studies in medicine, nursing, dentistry, veterinary medicine, psychiatry, & allied health |
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Term
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Definition
| Biomedical and pharmeceutical studies |
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Definition
| Psychology & related health care disciplines |
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Term
| National Guidelines Clearinghouse (NGC) |
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Definition
| Respository for structured abstracts about clinical guidelines & their development. Also includes condensed version of guideline for viewing |
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Term
| Online Journal of Knowledge Synthesis for Nursing |
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Definition
| Electronic journal containing articles that provide a synthesis of research & an annotated bibliography for selected references |
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Term
| Systematic Review or Meta-analysis of RCTs |
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Definition
| Panel of experts review all of the evidence from RCTs and summarize the data. Meta-analysis adds stats analysis combining all data from the studies |
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Term
| Randomized Controlled Trial |
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Definition
| Intervention tested against usual standard of care, participants randomly assigned |
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Term
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Definition
| Group of subjects w/ certain condition is compared to group w/o condition |
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Term
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Definition
| Study describes concepts of the study |
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Definition
| Study examines health/life experiences |
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Term
| Quality Improvement Data, Risk Management Data |
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Definition
| Health care agency trending info about clinical conditions and problems |
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Term
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Definition
Do articles offer evidence to answer my PICOT question?
Do articles show true & reliable evidence?
Can I use the evidence in my clinical practice? |
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Term
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Definition
Donning: gown, mask, goggles, gloves
Removing: gloves, goggles, gown, mask |
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Term
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Definition
Use evidence in the care of a patient
Use info for a written care plan & on a receptive parent
Apply in form of new teaching tools
Apply as clinical practice guidelines
Apply into new policies & procedures
Apply in new assessment or documentation tools
Assess organizations readiness for change |
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Term
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Definition
Measure outcomes to see how intervention worked (collect monthly fall rate)
Efficacy of change
Nurses may collect data over time & compare info before practice change |
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Term
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Definition
| Confused/disorientation, history of falls, dizziness/vertigo, medications, IV fluids, incontinence |
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Term
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Definition
Method of tracking & measuring a variety of evidence-based, scientifically researched standards of care in medicine which have been shown to result in improved clinical outcomes for patients.
CMS established it in 2000 & began publicly reporting hospital data in '03
Acute MI, heart failure (CHF), pneumonia (PNE), Surgical care improvement project (SCIP) |
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Term
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Definition
CEO must sign paper saying will report all never events. CMS also asking for them to be reported - probably will become mandate in future (anticipate some by Jan.)
Catheter associated UTI
Vascular catheter-associated infection
Surgical site infections following CABG, certain orthopedic procedures, & bariatric surgery
Ventilator acquired pneumonia (VAP)
Poor blood sugar control
Deep vein thrombosis
Wrong site surgery
Wrong blood transfusion
Air embolism
Falls w/ trauma
Severe pressure ulcers |
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Term
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Definition
Rescue patient from danger
Activate alarm
Contain fire
Evacuate patients |
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Term
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Definition
Pull pin
Aim
Squeeze handle
Sweep |
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Term
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Definition
| Result from epilepsy, a neurologic condition in which a brain abnormality causes recurrent seizure activity |
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Term
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Definition
| Response to a stimulus outside the CNS such as alcohol withdrawal, drug toxicity, high fever, & poisening. |
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Term
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Definition
| starts in specific part of brain |
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Term
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Definition
Several types
Affect whole brain
Cause convulsive & nonconvulsive seizures
Last 1-2 minutes
Immediate risks are traumatic injury & choking
Cry, loss of consciousness, tonicity (muscle rigidity), clonicity (rhythmic muscle jerking) & incontinence |
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Term
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Definition
| Partial seizure where patient does not lose consciousness |
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Term
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Definition
| Partial seizure where patient does lose consciousness |
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Term
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Definition
| Prolonged seizures lasting longer than 10 minutes or series of seizures that occur in rapid succession over 30 minutes; medical emergency |
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Term
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Definition
| Period after a seizure. May last up to an hour and patient may be groggy |
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Term
| Common conditions that may lead to or worsen existing seizure condition |
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Definition
| Medical/surgical conditions including history of head trauma, electrolyte disturbances (hypoglycemia, hyperkalemia), heart disease, excess fatigue, alcohol or caffeine consumption |
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Term
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Definition
Diseases transmitted by small droplet nuclei (varicella-zoster, TB, measles, etc.)
Private room w/ neg. air flow, N95/HEPA mask (on patient when transporting), essential transport only |
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Term
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Definition
Diseases transmitted by large droplets (flu, Strep. pharyngitis, pneumonia, scarlett fever, pertussis, mumps, meningococcal pneumonia or sepsis, pneumonic plague)
Private room/Cohort
Mask if w/i 3 feet (on patient during transport)
Essential transport only |
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Term
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Definition
Diseases transmitted by direct patient or environmental contact.
MDROs like VREs and MRSA, C. diff, respiratory syncytial virus (RSV), major wound infections, herpes simplex, hep. A (if patient is diapered or incontinent), & scabies
Private room/cohort
Mask, gloves, & gown |
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Term
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Definition
| Based on principle that all body fluids (except sweat), nonintact skin, & mucous membranes may contain transmissible infectious agents |
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Term
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Definition
1. Agencies are required to inform patients of privacy rights they have & how agency will handle their protected health information (PHI)
2. Agency & health care providers are to use or disclose patients PHI only for purpose of treatment, payment, or health care operations
3. Health care providers disclose only minimum amount of PHI necessary, on a need-to-know basis, to accomplish the purpose of the use |
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Term
| Patient Self-Determination Act of 1991 |
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Definition
| Requires all Medicare- & Medicaid-recipient hospitals to provide patients with their right to accept or reject medical treatment. At time of registration patients receive info about advance directives & referred to appropriate resources if they would like to discuss or receive help with advanced directives |
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Term
| AMA & patient implications |
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Definition
Against Medical Advice
Health insurance may not pay for visit as a result of leaving AMA |
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