Term
| JCo.org; HealthGrades.com |
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Definition
| references to standards of quality care |
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Term
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Definition
| common, not always harmful, sometimes dire, and come from many sources |
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Definition
| individual, package label, distractions |
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Term
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Definition
| '08 $19.5 billion; 25% avoidable |
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Term
| IOM Documents Catalysts for Change |
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Definition
| To Err is Human, Crossing Quality Chasm |
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Term
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Definition
| independent, nfpo, symbol of quality (other organizations know that this is at least standard care) |
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Definition
| survey every 3 years; no accreditation = no funding (state) |
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Definition
| continuously improve health care for the public |
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Term
| Categories of Performance Measurement |
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Definition
| Core Measure Info; Performance Measurement Initiatives; Spec Manuals; & performance measurement systems |
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Term
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Definition
unexpected occurrence involving death/serious injury/risk thereof
signal need for investigation and response
not equal to: medical error |
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Term
| Top 3 Sentinel Event Categories |
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Definition
| Unintended Retention of a Foreign Body; Wrong-Patient/Site/Procedure; Delay in Treatment |
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Term
| most frequently identified root cause of sentinel events |
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Definition
| human factors, communication, leadership, and assessment |
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Term
| Nat'l Patient Safety Goal Establishment |
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Definition
| Sentinel Event Advisory Group: panel of interdisciplinary patient safety experts |
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Term
| Major Nat'l Patient Safety Goals |
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Definition
ID pts
Improve staff com
prevent infection
ID pt safety risks
surgery mistake prevention |
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Term
| Catheter Associated Urinary Tract Infection |
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Definition
| most frequent type of nosocomial infection; 80% of HAIs |
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Term
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Definition
| inappropriate medication use or pt harm while med is in HCP control |
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Term
| Med Info Reconciliation: Best practice |
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Definition
| compare meds a pt should be taking and is taking to new orders: RN knows purpose of meds being prescribed, and resolves any discrepancies |
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Term
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Definition
overdose
wrong drug
wrong route |
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Term
| Majority of Med Errors have ___ root cause(s) |
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Definition
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Term
| Instead of "Nurse Jackie made an error on the dose" one should write |
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Definition
| "RN gave a varied dose of XX mg rather than YY mg" |
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Term
| Areas of Initiative on Future of Nursing |
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Definition
Ensuring Safety/Quality in Clinical setting (diversification of staff, technology)
Redesigning Nursing Ed
Redirecting Research Funding |
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Term
| Six Domains of Healthcare Quality |
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Definition
PE TEES
Pt-centered
Effective
Timely
Efficient
Equitable
Safe |
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