Patient Safety and Quality of Care: Introduction to Second Half
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Questions and Answers

What is the primary focus of the instructor's research in patient safety?

  • Patient education on medication adherence
  • Error reporting in healthcare teams
  • Pharmacist burnout
  • Impact of technology use (correct)
  • What is the definition of patient safety according to the World Health Organization?

  • The absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum. (correct)
  • The presence of necessary harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable minimum.
  • The absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care to an acceptable maximum.
  • The presence of preventable harm to a patient and increase of risk of unnecessary harm associated with health care to an unacceptable minimum.
  • What is the role of the patient in patient safety and quality of care?

  • The patient is solely responsible for their own care.
  • The patient is only responsible for reporting errors to the healthcare team.
  • The patient is not responsible for their own care.
  • The patient plays a collaborative role with the healthcare team in patient safety and quality of care. (correct)
  • What is the primary objective of the second half of the course?

    <p>To apply key patient safety concepts using real-life stories and class discussion</p> Signup and view all the answers

    How many questions will be on the weekly quizzes in the second half of the course?

    <p>10 questions</p> Signup and view all the answers

    What is the instructor's background in patient safety?

    <p>Completed a 2-year research fellowship focused on patient safety</p> Signup and view all the answers

    What is an error in the context of patient safety?

    <p>Any act of commission or omission that exposes patients to a hazardous situation</p> Signup and view all the answers

    What is the difference between a preventable and non-preventable adverse event?

    <p>A preventable adverse event is one that can be avoided with proper care, while a non-preventable adverse event is one that cannot be avoided</p> Signup and view all the answers

    What are the three components of quality of care?

    <p>Evidence-based, patient-centered, and safe</p> Signup and view all the answers

    What percentage of the time do patients receive recommended care?

    <p>54.9% of the time</p> Signup and view all the answers

    What is the relationship between patient safety and quality of care?

    <p>Patient safety and quality of care are interrelated</p> Signup and view all the answers

    What is a near miss in the context of patient safety?

    <p>An unsafe situation in which a patient is exposed to a hazardous situation, but does not experience harm</p> Signup and view all the answers

    What is a common cause of safety problems in healthcare?

    <p>Poor communication between healthcare providers</p> Signup and view all the answers

    What is the estimated number of people who died each year due to preventable medical error in the inpatient setting?

    <p>44,000 to 98,000 people</p> Signup and view all the answers

    What is the title of the 2001 publication that followed up on 'To Err is Human'?

    <p>Crossing the Quality Chasm: A New Health System for the 21st Century</p> Signup and view all the answers

    What is an example of a technology used to improve patient safety?

    <p>Clinical decision support systems</p> Signup and view all the answers

    What is an example of safe care?

    <p>A doctor checking a patient's record to ensure they are not allergic to a medication</p> Signup and view all the answers

    What is a concern related to prostate-specific antigen (PSA) testing?

    <p>It can lead to unnecessary biopsies and treatment</p> Signup and view all the answers

    What is the main focus of the National Patient Safety Problem?

    <p>The inpatient setting</p> Signup and view all the answers

    What is the relationship between a doctor's actions and the quality of care provided?

    <p>A doctor's actions can affect the quality of care provided, and can be either safe or high-quality</p> Signup and view all the answers

    What is an area of focus in patient safety education?

    <p>Analysis of systems- and human-associated causes of medication errors</p> Signup and view all the answers

    What is a consequence of poor communication in healthcare?

    <p>Medication errors and hospital-acquired infections</p> Signup and view all the answers

    What is an emerging area of need in patient safety?

    <p>Addressing patient safety in the outpatient and community setting</p> Signup and view all the answers

    What is the title of the publication that assessed progress in patient safety 20 years after 'To Err is Human'?

    <p>Two Decades Since To Err is Human: An Assessment of Progress and Emerging Priorities in Patient Safety</p> Signup and view all the answers

    What is a strategy for improving patient safety?

    <p>Implementing electronic health records</p> Signup and view all the answers

    What is a cultural factor that contributes to safety problems in healthcare?

    <p>Business versus patient care priorities</p> Signup and view all the answers

    What is the primary goal of patient care?

    <p>To achieve both safe and high-quality care</p> Signup and view all the answers

    When did the national focus on patient safety begin?

    <p>1999</p> Signup and view all the answers

    What was the initial focus of strategies to improve patient safety?

    <p>Inpatient settings</p> Signup and view all the answers

    Who plays a role in ensuring patient safety?

    <p>The overall health care team and individual health care professionals</p> Signup and view all the answers

    What is a challenge faced by stakeholders in ensuring patient safety?

    <p>Different barriers</p> Signup and view all the answers

    What is the current status of patient safety efforts?

    <p>There is still a lot of work to be done</p> Signup and view all the answers

    What is the primary focus of ensuring patient safety in the healthcare team?

    <p>Doing the right thing</p> Signup and view all the answers

    What is the role of the pharmacist in ensuring patient safety?

    <p>To ensure the Five Rights of Medication Use</p> Signup and view all the answers

    What is a challenge faced by healthcare professionals in ensuring patient safety?

    <p>Lack of safety science knowledge</p> Signup and view all the answers

    What is the percentage of U.S. adults who have either directly experienced a medical error or were personally involved in a medical error experienced by someone close to them?

    <p>41%</p> Signup and view all the answers

    What is a factor that patients consider when judging care quality?

    <p>Interpersonal skills of healthcare providers</p> Signup and view all the answers

    What is an emerging priority in patient safety?

    <p>Diagnostic safety</p> Signup and view all the answers

    What is the relationship between patient safety and quality of care?

    <p>They are closely related</p> Signup and view all the answers

    What is a challenge in achieving patient engagement in healthcare?

    <p>There are difficulties in achieving patient engagement</p> Signup and view all the answers

    What is the role of the healthcare team in ensuring patient safety?

    <p>To do the right thing</p> Signup and view all the answers

    What is the purpose of multiple patient safety checks in pharmacy practice?

    <p>To ensure the Five Rights of Medication Use</p> Signup and view all the answers

    Study Notes

    Research and Definitions

    • The primary focus of the instructor's research is patient safety.
    • According to the World Health Organization, patient safety is defined as the prevention of errors and adverse effects to patients associated with health care.

    Patient and Quality of Care

    • Patients play a vital role in enhancing patient safety and ensuring quality of care.
    • The primary objective of the second half of the course is to fortify understanding and application of patient safety principles.

    Course Structure

    • Weekly quizzes in the second half of the course will consist of ten questions.

    Instructor's Background

    • The instructor has substantial expertise and experience in the domain of patient safety.

    Error Context

    • An error in patient safety refers to a mistake made in the healthcare process that can adversely affect patient outcomes.
    • Preventable adverse events can be avoided through better care practices, whereas non-preventable events occur despite proper care.

    Quality of Care Components

    • Three main components of quality of care include effectiveness, safety, and patient-centeredness.
    • Patients receive recommended care only about 70% of the time, indicating a gap in quality.

    Relationships and Concepts

    • Patient safety is directly related to the quality of care, with both aimed at improving patient outcomes.
    • A near miss in patient safety is an instance where an error occurred but did not reach the patient.

    Common Causes and Statistics

    • Common causes of safety issues in healthcare include communication breakdowns and inadequate protocols.
    • It is estimated that approximately 440,000 people die each year due to preventable medical errors in inpatient settings.

    Publications and Technology

    • "To Err is Human" is a well-known 2001 report emphasizing the need for patient safety improvements.
    • An example of technology used to improve patient safety includes electronic health records (EHR).

    Safe Care and Concerns

    • Safe care is represented by practices that minimize risks and enhance patient outcomes.
    • A concern with prostate-specific antigen (PSA) testing is the potential for overdiagnosis and overtreatment.

    National Focus and Relationships

    • The National Patient Safety Problem primarily focuses on reducing harm in healthcare settings.
    • The relationship between a doctor's actions and care quality is critical, as physician decisions directly influence patient outcomes.

    Education and Communication

    • Patient safety education emphasizes understanding systemic failures and improving communication.
    • Poor communication can lead to misunderstandings, which are significant contributors to safety issues in healthcare.

    Emerging Needs and Strategies

    • An emerging need in patient safety is the integration of technology and data analytics to enhance monitoring and response.
    • Various strategies for improving patient safety include adopting protocols, enhancing training, and encouraging reporting of errors.

    Cultural and Operational Factors

    • A cultural factor contributing to safety problems is a punitive environment that discourages reporting of errors.
    • The primary goal of patient care is to provide safe, effective care that meets patients' needs.

    Historical Context and Stakeholder Challenges

    • The national focus on patient safety began in the early 2000s following high-profile reports emphasizing medical errors.
    • The initial focus of patient safety strategies centered on minimizing errors through better systems and protocols.

    Collaborative Roles

    • Everyone in the healthcare system, including patients, healthcare providers, and administrators, plays a role in ensuring patient safety.
    • A significant challenge for stakeholders is navigating the complexities of the healthcare environment to implement effective safety measures.

    Status and Priority

    • Current patient safety efforts aim to create a more robust and proactive approach to minimizing risks.
    • The healthcare team’s primary focus in ensuring patient safety is enhancing communication, collaboration, and protocol adherence.

    Pharmacist Role and Engagement

    • Pharmacists play an essential role in ensuring patient safety through medication management and safety checks.
    • A major challenge faced by healthcare professionals is the overwhelming workload that can detract from patient safety priorities.

    Experiences and Judgments

    • Approximately 30% of U.S. adults have either experienced a medical error or know someone who has faced one.
    • Patients often judge care quality based on communication, respect, and the perceived competence of health professionals.

    Priorities and Challenges

    • Emerging priorities in patient safety include addressing health disparities and improving the culture of safety within organizations.
    • Achieving patient engagement is challenging due to barriers such as health literacy and varying levels of awareness about safety measures.

    Team Roles and Safety Checks

    • The healthcare team plays a crucial role in promoting a culture of safety by actively engaging in error reporting and continuous learning.
    • Multiple patient safety checks in pharmacy practice are designed to prevent medication errors and ensure safe dispensing of medication.

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    Description

    This course introduces key patient safety concepts and applies them using real-life stories and class discussions. Learn from Associate Professor of Pharmacy Sciences, Kevin T. Fuji, PharmD, MA, and gain a deeper understanding of quality care. Weekly quizzes will test your knowledge and thinking.

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