Podcast
Questions and Answers
What is the first action to take after an incident has been recognized?
What is the first action to take after an incident has been recognized?
What typically follows after caring for the patient in incident management?
What typically follows after caring for the patient in incident management?
What is the primary purpose of reporting an incident?
What is the primary purpose of reporting an incident?
Who is typically responsible for reviewing the facts of an incident report?
Who is typically responsible for reviewing the facts of an incident report?
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What must be documented during the preliminary review of an incident?
What must be documented during the preliminary review of an incident?
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What is a key benefit of timely internal and external communication during incident management?
What is a key benefit of timely internal and external communication during incident management?
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What should be done with any items related to the event following an incident?
What should be done with any items related to the event following an incident?
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What is required to determine the appropriate follow-up to an incident?
What is required to determine the appropriate follow-up to an incident?
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What limitation is associated with character-based ethical frameworks?
What limitation is associated with character-based ethical frameworks?
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Which of the following is NOT one of the goals of the Canadian Quality and Patient Safety Framework?
Which of the following is NOT one of the goals of the Canadian Quality and Patient Safety Framework?
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How often does unintended harm occur in a Canadian hospital or home care setting?
How often does unintended harm occur in a Canadian hospital or home care setting?
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Who is NOT included in the framework for health services?
Who is NOT included in the framework for health services?
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What aspect does the character-based ethical framework inherently emphasize?
What aspect does the character-based ethical framework inherently emphasize?
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Which goal aims to ensure services are timely and equitable?
Which goal aims to ensure services are timely and equitable?
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What is a potential downside of a character-focused ethical framework?
What is a potential downside of a character-focused ethical framework?
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What is the primary focus of the five customized guides in the collaboration framework?
What is the primary focus of the five customized guides in the collaboration framework?
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What is a key commitment of Health Quality Ontario regarding people with disabilities?
What is a key commitment of Health Quality Ontario regarding people with disabilities?
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What framework does St. Michael's Hospital Centre for Clinical Ethics follow?
What framework does St. Michael's Hospital Centre for Clinical Ethics follow?
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Which function is NOT fulfilled by a professional code of ethics?
Which function is NOT fulfilled by a professional code of ethics?
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What is considered the cornerstone of the patient-physician relationship?
What is considered the cornerstone of the patient-physician relationship?
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Which of the following is part of the ethical decision-making framework mentioned?
Which of the following is part of the ethical decision-making framework mentioned?
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What does AODA stand for in accessibility context?
What does AODA stand for in accessibility context?
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Which document is NOT part of the resources available in hospitals regarding ethics?
Which document is NOT part of the resources available in hospitals regarding ethics?
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What is one of the aims of the Accessibility Policy outlined?
What is one of the aims of the Accessibility Policy outlined?
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What is the primary goal of the patient safety incident management process?
What is the primary goal of the patient safety incident management process?
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What does 'Close the Loop' involve in the context of incident management?
What does 'Close the Loop' involve in the context of incident management?
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How do consequentialist theories differ from non-consequentialist theories?
How do consequentialist theories differ from non-consequentialist theories?
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What is the main focus when utilizing the Utilitarian Approach to ethical decision-making?
What is the main focus when utilizing the Utilitarian Approach to ethical decision-making?
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What distinguishes ethical egoism from other utilitarian approaches?
What distinguishes ethical egoism from other utilitarian approaches?
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In terms of patient safety, what is a crucial process when incidents are publicly disclosed?
In terms of patient safety, what is a crucial process when incidents are publicly disclosed?
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What is one key function of feedback loops in incident analysis?
What is one key function of feedback loops in incident analysis?
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Which type of ethical theory is primarily focused on the consequences of actions?
Which type of ethical theory is primarily focused on the consequences of actions?
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Which of the following describes a primary value in nursing?
Which of the following describes a primary value in nursing?
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What is considered the foundational element of the dentist-patient relationship?
What is considered the foundational element of the dentist-patient relationship?
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Which principle emphasizes doing no harm while serving patients?
Which principle emphasizes doing no harm while serving patients?
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Which of the following virtues is essential for a dentist according to the Code of Ethics?
Which of the following virtues is essential for a dentist according to the Code of Ethics?
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What does fairness in the context of dental ethics require from a dentist?
What does fairness in the context of dental ethics require from a dentist?
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Which of the following is a key commitment of pharmacists as ethical health care professionals?
Which of the following is a key commitment of pharmacists as ethical health care professionals?
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What role does accountability play in the ethical practice of dentistry?
What role does accountability play in the ethical practice of dentistry?
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Which virtue is likely to enhance the trustworthiness of professionals in the health sector?
Which virtue is likely to enhance the trustworthiness of professionals in the health sector?
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What does the principle of 'Respect for Persons/Justice' emphasize in patient care?
What does the principle of 'Respect for Persons/Justice' emphasize in patient care?
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Which characteristic do patients value the most in health care professionals?
Which characteristic do patients value the most in health care professionals?
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Why do patients prefer team-based primary care?
Why do patients prefer team-based primary care?
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What is a key responsibility associated with the principle of Accountability (Fidelity)?
What is a key responsibility associated with the principle of Accountability (Fidelity)?
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What do patients generally desire regarding their control in healthcare?
What do patients generally desire regarding their control in healthcare?
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Which technology do patients find valuable for managing their care?
Which technology do patients find valuable for managing their care?
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What unique aspect do patients want to be recognized as in their healthcare experience?
What unique aspect do patients want to be recognized as in their healthcare experience?
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How can electronic health records improve patient care?
How can electronic health records improve patient care?
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Study Notes
Canadian Incident Analysis Framework
- Intended for those managing, analyzing, or learning from patient safety incidents
- Designed to help determine what happened, how and why it happened, and how to reduce recurrence and increase safety
- Aims to enhance safety and quality of care, promote a culture of safety, promote patient/family-centered care, and encourage learning/dissemination
- Also helps improve effectiveness of incident management and improve success of incident analysis as a tool in injury prevention
- Incident analysis cannot be separated from incident management
Before the Incident
- Organizations should develop plans for handling incidents
- Plans should outline steps, responsibilities, and available resources (policies, procedures, checklists)
- Plans need visible leadership and strong organizational culture support
- Plans and procedures should be regularly tested/updated/revised to align with any changes
Immediate Response
- Caring for and supporting patients/families after an incident is crucial
- Ensuring the safety of other potential patients at risk is important
- Reporting the incident is the next step, in alignment with organizational policies and practices.
Prepare for Analysis
- Initial fact-finding is needed to determine appropriate follow-up
- The goal is a high-level timeline and documentation of facts related to the incident
- Next steps are determined after the initial investigation is complete
Select an Analysis Method
- Analysis types include concise, comprehensive, and multi-incident approaches
- Decision on the appropriate method is made jointly by involved individuals and leaders
Identify the Team and Team Approach
- A facilitator (analysis expert) and a leader (operational responsibility) coordinate the analysis process
- Team involvement of those who provided care and families is important
Coordinate Meetings
- Facilitator collaboratively gathers necessary information for analysis (records, timeline, policies, procedures, evidence)
- A full analysis team convenes at a mutually agreed-upon time and date
- All documentation is tracked and returned to the facilitator
Plan for and Conduct Interviews
- Interviews should happen as soon as possible to capture memories before they fade
- Interview all staff involved, along with patient and families (where appropriate)
- Thank individuals for their assistance and answer any questions
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Description
This quiz covers the Canadian Incident Analysis Framework, which is designed for professionals managing and analyzing patient safety incidents. It helps determine the causes of incidents and ways to enhance safety and quality of care. The framework emphasizes the importance of planning, immediate response, and continuous improvement in incident management.
