Term
| What is a sentinel event? |
|
Definition
| An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof |
|
|
Term
|
Definition
| Health care acquired complications for which medicare will no longer reimburse institutions |
|
|
Term
| What is a culture of blame? |
|
Definition
| The focus has often been to try to determine who has been at fault, and punish the discipline at fault. Makes people afraid to admit mistakes so there can be a fix in the system. |
|
|
Term
| What is a culture of safety? |
|
Definition
| When an adverse event occurs, the focus is on what went wrong, not who the problem is. |
|
|
Term
| What is the swiss cheese model? |
|
Definition
| The "holes" in the system line up and create problems. |
|
|
Term
| What are the elements of the swiss cheese model? |
|
Definition
1.) Latent Factor
2.) Error Producing Factor
3.) Active Failures
4.) Defenses |
|
|
Term
| What does safety competency do? |
|
Definition
| Minimizes the risk of harm to patients and providers through both system effectiveness and individual performance. |
|
|
Term
|
Definition
| Quality Safety and Education in Nursing |
|
|
Term
| What are the elements of the QSEN safety house? |
|
Definition
Safe care
Quality Care
Patient Centered Care
Care based on Evidence
Care Using Informatics
Care in Teams Using collaboration |
|
|
Term
| What are the national quality improvement goals that were made in 2011? |
|
Definition
1.) Better care
2.) Healthy people/healthy communities
3.) Affordable care |
|
|
Term
| What are the 6 qualities of improving quality care? |
|
Definition
1.) Making care safer
2.) Ensuring each person and family are engaged
3.) Promoting effective communication
4.) Promoting most effective prevention and treatment practices for leading causes of morality
5.) Working with communities to promote wide use of best practices
6. )Making quality care more affordable |
|
|
Term
| What are some agencies moving toward safe culture? |
|
Definition
1.) JACHO
2.) CMS
3.) ANA
4.) National Database of Quality indicators |
|
|
Term
|
Definition
Nurses and physicians have to meet these measures to receive accreditation and get paid for services.
EX: giving aspirin immediately to heart attack patients |
|
|
Term
| What are some elements that the National Database of Quality Indicators looks at? |
|
Definition
1.) Fall Injury Rates
2.) Restraints
3.) Pressure Ulcers
4.) Catheter Infection
5.) Pain |
|
|
