Canadian Patient Safety and Healthcare Excellence Quiz

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40 Questions

What are the different elements that impact patient safety and quality of care?

The different elements that impact patient safety and quality of care include nursing documentation, therapeutic nursing plan, effective and high quality of care, and improving health outcomes.

How can nurses contribute to patient safety and quality of care?

Nurses can contribute to patient safety and quality of care by implementing nursing documentation, following therapeutic nursing plans, and focusing on improving health outcomes for the patients under their care.

What is the goal of Healthcare Excellence Canada?

The goal of Healthcare Excellence Canada is to ensure that everyone in Canada has safe and high-quality healthcare by bringing together the Canadian Patient Safety Institute and Canadian Foundation for Healthcare Improvement and collaborating with patients, caregivers, and healthcare professionals to turn proven innovations into lasting improvements in all dimensions of healthcare excellence.

Why is patient safety considered a critical component of high-quality health care?

Patient safety is considered a critical component of high-quality health care because it directly impacts the well-being and outcomes of patients. Ensuring patient safety contributes to the overall effectiveness and quality of healthcare services provided.

Explain the purpose of nursing directives and their relationship to priority problems/needs in clinical practice.

Nursing directives contain crucial indications (interventions) to ensure that clinical monitoring, nursing care, treatment, and other interventions the client requires are carried out. Each directive must be linked to a priority problem/need stated in the TNP (Minimal Information – directives for the client’s reason for admission to hospital/long-term facility/referral to home care).

What is the nurse's role in delegation of activities and how does it relate to the TNP?

The nurse ensures that the plans are carried out by assigning tasks to team members after verifying that they have the legal authority, knowledge, and skills required to perform the activities in question. Some directives in TNP may concern all members of the nursing team, and the nurse must specify in her directives which activities are to be carried out only by a nurse.

Explain the delegation of activities when working with Nursing Assistants (LPN’S) and non-professionals (Patient Attendants/Orderlies).

The nurse must specify in her directives which activities are to be carried out only by a nurse when working with Nursing Assistants (LPN’S), and take into account the fact that non-professionals (Patient Attendants/Orderlies) may not have access to the client’s file.

What are the roles and responsibilities of a Patient Attendant (PAB)/Orderly?

A Patient Attendant (PAB)/Orderly helps patients with basic grooming and dressing, mobility, nutritional intake, and contributes to the observation of any changes in the patient's physical, emotional, or mental condition. They also communicate the status of the patient, including any changes, to a supervisor, case manager, or nurse.

Define the field of practice for Licensed Practical Nurses (LPNs) and Nursing Assistants.

The field of practice for Licensed Practical Nurses (LPNs) includes a list of clearly defined activities of the profession, while the field of practice for Nursing Assistants involves participating in the assessment of a person’s state of health and carrying out a care plan, providing nursing and medical care and treatment, and providing palliative care.

What does the TNP (Therapeutic Nurse-Patient Interaction) documentation tool contain?

The TNP contains only the priority health problems and needs (not routine care) that affect the client’s clinical follow-up and the nursing directives identified to address the priority health problems and needs.

What is the nurse's responsibility regarding the contents of the TNP and any adjustments made to it?

The nurse must support the contents of the TNP and any adjustments made to the TNP in the client’s progress notes (chart).

What is the purpose of TNP in relation to other documentation tools in healthcare institutions?

TNP is a separate documentation tool that contains only the priority health problems and needs (not routine care) that affect the client’s clinical follow-up and the nursing directives identified to address the priority health problems and needs. In addition to TNP, there are other documentation tools depending on healthcare institutions, such as nursing care and treatment plans, clinical pathways, and flowsheets.

What is the overarching goal in creating a safety culture within healthcare institutions?

The overarching goal is to create a safety culture where all patients are safe, and to commit to patient safety.

What is the role of the nurse in the practice of nursing according to the Ordre des infirmières et infirmiers auxiliaires du Québec (OIIAQ)?

The practice of nursing consists in assessing health, determining and carrying out the nursing care and treatment plan, providing nursing and medical care and treatment in order to maintain and restore the health of a person in interaction with his environment and prevent illness, and providing palliative care.

What are some of the activities that nurses deem essential to do themselves in view of the client’s condition or the complexity of the nursing care or treatment involved?

Activities pertaining to a nurse’s field of practice and activities that nurses deem essential to do themselves in view of the client’s condition or the complexity of the nursing care or treatment involved.

What are the responsibilities of Nursing Assistants according to the Ordre des infirmières et infirmiers auxiliaires du Québec (OIIAQ)?

Nursing Assistants are responsible for participating in the assessment of a person’s state of health and in carrying out a care plan, providing nursing and medical care and treatment to maintain or restore health and prevent illness, and providing palliative care.

Explain the purpose of the Therapeutic Nursing Plan (TNP) in Quebec.

The TNP aims to document nurses' clinical decisions based on assessments for patient follow-up, ensuring safety and quality of nursing care.

What are the three reserved activities involved in the TNP?

The three reserved activities are assessing physical and mental conditions, clinical monitoring, and nursing follow-up for complex health problems.

What is the significance of the TNP Bill 90 introduced in 2002?

The TNP Bill 90 legally acknowledges nurses' competence and responsibility in clinical assessment.

How do student nurses contribute to the patient's TNP?

Student nurses contribute by determining a therapeutic nursing plan for each client, except for one-time client interventions.

What is the importance of consulting the client's existing TNP for nurses?

Nurses must consult the client's existing TNP to determine relevancy and make adjustments based on changes in the client's condition.

Why are priority problems or needs in the TNP based on assessment findings?

Priority problems or needs in the TNP are based on assessment findings and require particular clinical follow-up, affecting the client's care.

What are the sources of information used for assessment findings in the TNP?

Assessment findings are based on nurses' judgment, analysis, and interpretation of relevant information from various sources.

How are TNP forms used in the nursing process?

TNP forms are used to record and adjust nursing directives based on the client's clinical course and the effectiveness of care and treatment.

What role does nursing documentation play in Quebec?

Nursing documentation is a professional responsibility ensuring public protection, based on OIIQ principles.

What are sentinel events as defined by MSSS Quebec?

Sentinel events are defined as events requiring in-depth analysis due to process flaws and serious consequences, e.g., medication or surgical errors.

Why is the TNP considered crucial for ensuring the safety and quality of nursing care?

The TNP is crucial for ensuring the safety and quality of nursing care, as it documents nurses' clinical decisions and adjustments based on assessments.

What is the legal significance of the TNP in Quebec?

The TNP is a legal document used to record comprehensive assessment and care, ensuring patient safety and continuity of care among health professionals.

What is the rank of avoidable medical incidents as a cause of death in Canada?

Third

Who is the former CEO of the Canadian Nurses Association prioritizing patient safety in Canada's healthcare system?

Michael Villeneuve

What does the 2020 Safety Competencies Framework identify for healthcare providers to promote patient safety?

Competencies

Who collaborates with diverse individuals and groups to improve patient safety in the health system?

Healthcare Excellence Canada

What is the voice of the patient, contributing healthcare experiences to enhance patient safety?

Patients for Patient Safety Canada

What departments in health establishments provide consultations and deliver in-services to employees regarding patient safety?

Patient safety officers, quality and risk management departments

What is the legal obligation for reporting preventable patient safety incidents and accidents?

Reporting

What is the name of the system through which incidents and accidents are reported in Quebec?

Système d’information de santé et services sociaux (SISSS)

What does the AH-223 form in Quebec pertain to?

Reporting incidents or accidents

In what language can the AH-223 forms for reporting incidents or accidents be completed?

English

What are the different forms used for reporting various incidents in healthcare establishments?

Work-related accidents, abuse, complications, nosocomial infections, and transfusion incidents

What informs diverse healthcare programs to teach safety and quality for any sector or healthcare program?

The 2020 Safety Competencies Framework

Study Notes

Patient Safety and Healthcare Excellence in Canada

  • Healthcare Excellence Canada collaborates with diverse individuals and groups to improve patient safety in the health system.
  • Patients for Patient Safety Canada is the voice of the patient, contributing healthcare experiences to enhance patient safety.
  • Michael Villeneuve, former CEO of the Canadian Nurses Association, prioritizes patient safety in Canada's healthcare system.
  • Despite medical knowledge and technological advances, safety issues persist, ranking avoidable medical incidents as the third leading cause of death in Canada.
  • The 2020 Safety Competencies Framework identifies competencies for healthcare providers to promote patient safety, with six key domains.
  • The framework informs diverse healthcare programs to teach safety and quality for any sector or healthcare program.
  • Patient safety officers and quality and risk management departments in health establishments provide consultations and deliver in-services to employees.
  • Reporting preventable patient safety incidents and accidents is a legal obligation, with specific guidelines for completing incident/accident reports.
  • Different forms are used for various incidents, including work-related accidents, abuse, complications, nosocomial infections, and transfusion incidents.
  • There is a legal obligation to disclose incidents, and they need to be documented in the patient's chart.
  • Incidents and accidents are reported to the MSSS via the Système d’information de santé et services sociaux (SISSS) in Quebec.
  • The AH-223 forms for reporting incidents or accidents can be completed in English, even though they are in French.

Test your knowledge of patient safety and healthcare excellence in Canada with this quiz. Explore key frameworks, legal obligations, and reporting procedures for preventable patient safety incidents and accidents, as well as the role of healthcare organizations and professionals in promoting patient safety.

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