Canadian Incident Analysis Framework
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Questions and Answers

What is the first action to take after an incident has been recognized?

  • Analyze the incident for future prevention
  • Conduct a detailed investigation immediately
  • Care for and support the patient and the family (correct)
  • Notify external authorities right away

What typically follows after caring for the patient in incident management?

  • Preparing a public statement
  • Reporting the incident (correct)
  • Conducting interviews with witnesses
  • Collecting data for a comprehensive report

What is the primary purpose of reporting an incident?

  • To trigger a chain of notifications and determine next steps (correct)
  • To comply with legal obligations only
  • To engage with media representatives urgently
  • To document caregiver errors for training

Who is typically responsible for reviewing the facts of an incident report?

<p>Any manager or designated recipient of the report (D)</p> Signup and view all the answers

What must be documented during the preliminary review of an incident?

<p>Contributing factors identifiable at that point (B)</p> Signup and view all the answers

What is a key benefit of timely internal and external communication during incident management?

<p>Increased trust of stakeholders, including the public (D)</p> Signup and view all the answers

What should be done with any items related to the event following an incident?

<p>Secure them for testing and review (B)</p> Signup and view all the answers

What is required to determine the appropriate follow-up to an incident?

<p>Conducting a high-level timeline and documentation of facts (B)</p> Signup and view all the answers

What limitation is associated with character-based ethical frameworks?

<p>They make it difficult to determine virtuous traits. (D)</p> Signup and view all the answers

Which of the following is NOT one of the goals of the Canadian Quality and Patient Safety Framework?

<p>Financially Sustainable Care (C)</p> Signup and view all the answers

How often does unintended harm occur in a Canadian hospital or home care setting?

<p>Every 1 minute and 18 seconds (D)</p> Signup and view all the answers

Who is NOT included in the framework for health services?

<p>Insurance Companies (A)</p> Signup and view all the answers

What aspect does the character-based ethical framework inherently emphasize?

<p>Importance of role models and education (C)</p> Signup and view all the answers

Which goal aims to ensure services are timely and equitable?

<p>Accessible Care (A)</p> Signup and view all the answers

What is a potential downside of a character-focused ethical framework?

<p>Reinforces cultural norms as ethical standards (D)</p> Signup and view all the answers

What is the primary focus of the five customized guides in the collaboration framework?

<p>Improving quality and patient safety (A)</p> Signup and view all the answers

What is a key commitment of Health Quality Ontario regarding people with disabilities?

<p>Ensuring equal access and participation (D)</p> Signup and view all the answers

What framework does St. Michael's Hospital Centre for Clinical Ethics follow?

<p>YODA (C)</p> Signup and view all the answers

Which function is NOT fulfilled by a professional code of ethics?

<p>Setting legal standards for practice (C)</p> Signup and view all the answers

What is considered the cornerstone of the patient-physician relationship?

<p>Trust (B)</p> Signup and view all the answers

Which of the following is part of the ethical decision-making framework mentioned?

<p>Gather the facts (B)</p> Signup and view all the answers

What does AODA stand for in accessibility context?

<p>Accessibility for Ontarians with Disabilities Act (C)</p> Signup and view all the answers

Which document is NOT part of the resources available in hospitals regarding ethics?

<p>Marketing Strategies (D)</p> Signup and view all the answers

What is one of the aims of the Accessibility Policy outlined?

<p>To maintain dignity and independence of people with disabilities (B)</p> Signup and view all the answers

What is the primary goal of the patient safety incident management process?

<p>To prevent recurrence of incidents and heal relationships (A)</p> Signup and view all the answers

What does 'Close the Loop' involve in the context of incident management?

<p>Creating feedback and feed-forward communication loops (D)</p> Signup and view all the answers

How do consequentialist theories differ from non-consequentialist theories?

<p>Consequentialist theories evaluate the consequences of actions, while non-consequentialist theories focus on intentions behind actions. (D)</p> Signup and view all the answers

What is the main focus when utilizing the Utilitarian Approach to ethical decision-making?

<p>Maximizing the total amount of good while minimizing harm (A)</p> Signup and view all the answers

What distinguishes ethical egoism from other utilitarian approaches?

<p>It is strictly concerned with the self-interest of individuals. (D)</p> Signup and view all the answers

In terms of patient safety, what is a crucial process when incidents are publicly disclosed?

<p>Informing the public while ensuring transparency (C)</p> Signup and view all the answers

What is one key function of feedback loops in incident analysis?

<p>To share learnings with individuals and groups involved in the analysis (A)</p> Signup and view all the answers

Which type of ethical theory is primarily focused on the consequences of actions?

<p>Consequentialist theories (A)</p> Signup and view all the answers

Which of the following describes a primary value in nursing?

<p>Providing safe, compassionate, and ethical care (C)</p> Signup and view all the answers

What is considered the foundational element of the dentist-patient relationship?

<p>Trust (B)</p> Signup and view all the answers

Which principle emphasizes doing no harm while serving patients?

<p>Non maleficence (D)</p> Signup and view all the answers

Which of the following virtues is essential for a dentist according to the Code of Ethics?

<p>Competence (B)</p> Signup and view all the answers

What does fairness in the context of dental ethics require from a dentist?

<p>Treating all individuals and patients equitably (C)</p> Signup and view all the answers

Which of the following is a key commitment of pharmacists as ethical health care professionals?

<p>Prevention of harm (A)</p> Signup and view all the answers

What role does accountability play in the ethical practice of dentistry?

<p>Taking responsibility for actions and professional competence (D)</p> Signup and view all the answers

Which virtue is likely to enhance the trustworthiness of professionals in the health sector?

<p>Competence (B)</p> Signup and view all the answers

What does the principle of 'Respect for Persons/Justice' emphasize in patient care?

<p>The importance of treating all patients fairly and equitably. (B)</p> Signup and view all the answers

Which characteristic do patients value the most in health care professionals?

<p>Strong communication skills. (B)</p> Signup and view all the answers

Why do patients prefer team-based primary care?

<p>It ensures better collaboration and continuity of care. (B)</p> Signup and view all the answers

What is a key responsibility associated with the principle of Accountability (Fidelity)?

<p>Acting in the best interests of patients and upholding public trust. (B)</p> Signup and view all the answers

What do patients generally desire regarding their control in healthcare?

<p>Some degree of control over health decisions and treatment plans. (C)</p> Signup and view all the answers

Which technology do patients find valuable for managing their care?

<p>Online scheduling for appointments and discussing health issues. (C)</p> Signup and view all the answers

What unique aspect do patients want to be recognized as in their healthcare experience?

<p>An individual with unique preferences and needs. (D)</p> Signup and view all the answers

How can electronic health records improve patient care?

<p>By enhancing coordination and continuity of care. (B)</p> Signup and view all the answers

Flashcards

Immediate Action after Incident

Immediately after recognizing an incident, the first priority is to provide care and support to the affected patient and their family, ensuring the safety of other patients at risk.

Incident Report

A formal record of an incident, typically completed by the responding staff, detailing the event's details and circumstances.

Incident Analysis

The process of collecting and reviewing information about an incident to understand the event and identify contributing factors.

Internal Notification

Information about an incident is shared with relevant stakeholders such as managers, risk management teams, and health record staff.

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External Notification

Sharing information related to an incident with external parties like regulatory bodies, the media, or the public.

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Incident Analysis Review

The process of looking at a group of detailed analyses to see the bigger picture and identify trends.

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Patient Safety Incident Management

The goal is to learn from mistakes and prevent them from happening again, improving overall safety.

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Incident Analysis Follow-Through

Putting the findings of incident analyses into practice, making changes to policies or procedures.

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Close the Loop (Incident Analysis)

Sharing the lessons learned from incident analyses with others, both within and outside the organization.

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Consequentialist Theories

Ethical theories that focus on the consequences of actions, choosing the one that produces the most good.

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Non-Consequentialist Theories

Ethical theories that focus on the intentions behind actions, regardless of the outcome.

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Agent-Centred Theories

Ethical theories that focus on the overall character of individuals, evaluating their moral worth.

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Utilitarian Approach

An ethical approach that emphasizes maximizing overall happiness and well-being for the greatest number of people.

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Virtue Ethics Framework

A framework that emphasizes character development and considers all aspects of human experience as essential for ethical decision-making.

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Canadian Quality and Patient Safety Framework

A framework that focuses on understanding and preventing harmful events in healthcare settings, promoting safe and high-quality care for patients.

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Stakeholders in the Framework

This framework emphasizes the importance of collaborating with various stakeholders in the Canadian healthcare system to ensure its effectiveness.

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Accessible Care

This framework aims to ensure that healthcare services are accessible to everyone regardless of their location or personal factors.

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Appropriate Care

This framework ensures that healthcare services are evidence-based and meet individual patient needs.

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Integrated Care

This principle promotes collaboration and communication among healthcare providers, ensuring continuity and coordination of care.

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People-Centred Care

The framework's primary goal is to ensure that patients are actively involved in all aspects of their care, from planning to monitoring.

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Safe Care

The framework strives to create a healthcare system free from preventable harm, ensuring patient safety is paramount.

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Ethical Principles in Healthcare

A set of principles that guide ethical behavior in healthcare, which include honesty, competence, fairness, and accountability.

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Beneficence

A primary ethical principle in healthcare, emphasizing the duty of healthcare providers to act in the best interests of their patients.

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Non-maleficence

A primary ethical principle in healthcare, emphasizing the duty of healthcare providers to avoid causing harm to their patients.

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Informed Decision-Making

The ethical principle that emphasizes the patient's right to make informed decisions about their own healthcare.

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Honoring Dignity

The ethical principle that emphasizes respecting the dignity and worth of each individual, regardless of their circumstances.

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Privacy and Confidentiality

The ethical principle that emphasizes protecting confidential information shared between patients and healthcare providers.

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Justice in Healthcare

The ethical principle that emphasizes ensuring fair and equitable access to healthcare for all individuals.

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Accountability in Healthcare

The ethical principle that emphasizes healthcare providers being accountable for their actions and decisions.

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Professional Code of Ethics

A set of principles that guide the behavior of individuals in a specific profession, ensuring ethical conduct and upholding the standards of that profession.

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Ethical Support Framework

A hospital resource that provides support and guidance on ethical dilemmas, including decision-making, advance care planning, capacity assessment, and informed consent.

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Ethical Decision-Making Framework

A model for resolving ethical issues involving patients, encompassing steps like identifying the problem, understanding the context, considering options, and making a decision.

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Trust in the Patient-Physician Relationship

The foundational principle of the patient-physician relationship, built on trust and respect, ensuring patients feel confident in their doctor's integrity and expertise.

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Power of Attorney for Personal Care

A legal document authorizing someone else to make decisions about personal care when a person lacks capacity to make such decisions.

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YODA Framework

A framework used in ethical decision-making, focusing on identifying the problem, acknowledging emotions, gathering facts, evaluating options, and reaching a decision.

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Capacity Assessment

The ability of a person to understand and appreciate information related to their medical care and make informed decisions about their treatment.

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Informed Consent to Treatment

A legal process where individuals are given sufficient information about their medical condition and potential treatments to make informed choices about their care.

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Respect for Persons

This principle emphasizes respecting the inherent worth of each individual, regardless of their circumstances, acknowledging their vulnerability and right to make decisions about their own healthcare.

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Justice

This principle ensures fair and equitable treatment for all patients, regardless of factors like age, race, or socioeconomic status, promoting equal access to care.

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Accountability (Fidelity)

This core principle highlights the commitment of healthcare professionals to act as responsible fiduciaries, prioritizing patient well-being above personal gain.

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Strong Communication Skills

Patients value clear and effective communication with healthcare providers, enabling open dialogue and shared decision-making for their care.

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Patient Control Over Decisions

Patients prefer to have a voice in decisions impacting their health and treatment options, expressing a desire for agency in their own care.

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Individualized Care

Patients want personalized care that considers their unique needs and preferences, recognizing that they are more than just their condition.

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Team-Based Primary Care

Patients value a healthcare system that fosters collaboration among providers and ensures seamless transitions between different healthcare settings.

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Patient-Centered Technology

Patients appreciate technology that enables them to actively participate in managing their health, such as online appointment scheduling and communication with their providers.

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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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Canadian Incident Analysis Framework PDF

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.

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