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Questions and Answers
What type of accident is defined as a self-inflicted injury?
What type of accident is defined as a self-inflicted injury?
Which risk factor is most likely associated with Mr. Natik's condition following cataract surgery?
Which risk factor is most likely associated with Mr. Natik's condition following cataract surgery?
Which of the following is an example of a procedure-related accident?
Which of the following is an example of a procedure-related accident?
In the context of nursing malpractice, what is a critical incident?
In the context of nursing malpractice, what is a critical incident?
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Which reporting requirement is critical for improving patient safety after an adverse event?
Which reporting requirement is critical for improving patient safety after an adverse event?
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What constitutes a near miss in patient safety incidents?
What constitutes a near miss in patient safety incidents?
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What is a critical incident in the context of nursing practice?
What is a critical incident in the context of nursing practice?
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What primary lesson can be learned from the case where a patient set herself on fire?
What primary lesson can be learned from the case where a patient set herself on fire?
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What characterizes a no-harm incident in patient safety?
What characterizes a no-harm incident in patient safety?
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What is the purpose of the Saskpoly Reporting Form for Adverse Events?
What is the purpose of the Saskpoly Reporting Form for Adverse Events?
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Why is miscommunication often cited as a factor in patient safety incidents?
Why is miscommunication often cited as a factor in patient safety incidents?
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In the context of the nursing assessment regarding suicide risk, which statement is correct?
In the context of the nursing assessment regarding suicide risk, which statement is correct?
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What percentage of reported situations were classified as near misses in the Saskpoly report?
What percentage of reported situations were classified as near misses in the Saskpoly report?
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What is not a characteristic of a critical incident as defined in the Saskatchewan Critical Incident Reporting Guideline?
What is not a characteristic of a critical incident as defined in the Saskatchewan Critical Incident Reporting Guideline?
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Which of the following actions is most relevant for psychiatric nurses to ensure patient safety?
Which of the following actions is most relevant for psychiatric nurses to ensure patient safety?
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What type of health event qualifies as a serious adverse event requiring reporting?
What type of health event qualifies as a serious adverse event requiring reporting?
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Which of the following strategies can enhance health promotion effectively?
Which of the following strategies can enhance health promotion effectively?
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Under which condition is an incident not considered a critical incident?
Under which condition is an incident not considered a critical incident?
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Which of the following is a necessary component of mandatory reporting laws in health care?
Which of the following is a necessary component of mandatory reporting laws in health care?
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Which principle is vital in eliminating safety hazards in a health care setting?
Which principle is vital in eliminating safety hazards in a health care setting?
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What is the primary goal of primary disease prevention strategies?
What is the primary goal of primary disease prevention strategies?
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Study Notes
Psychiatric Nursing Litigation
- Case 1: A psychiatric patient set herself on fire despite two previous attempts to do so. Staff allowed her to keep cigarettes and a lighter.
- Case 2: A nurse assessed a client with depression as needing suicide watch, but a staff psychologist advised against it. The client later killed herself in a locked bathroom.
- Lesson: Nursing assessments must be questioned when they differ from medical orders to ensure patient safety.
Reporting Safety Incidents
- Saskpolytech Form: This form is student-focused, anonymous, and designed to be blame-free. It serves as a learning tool.
- Near Miss: 53% of incidents reported were near misses, often involving medications and occurring in long-term care settings.
- Miscommunication: The most common contributing factor to safety incidents.
Patient Safety Incident Types
- Harmful Incident: Resulted in patient injury.
- Near Miss: Did not reach the patient, causing no harm.
- No-Harm Incident: Reached the patient but caused no discernible harm.
Critical Incident Report
- Definition: A serious, undesired health event that occurs while receiving healthcare, and is not primarily caused by the patient’s underlying health condition or inherent risks of healthcare provision.
- Criteria:
- Death, disability, injury or harm.
- Unplanned admission to a healthcare facility or an extended stay.
- Significant risk of substantial harm to the patient's safety, well-being, or health.
Achieving Patient Safety
- Psychiatric Nurse Responsibility: Identifying and eliminating safety hazards.
- Practices: Follow agency protocols, best practice guidelines, provide clear communication, and self-assess to ensure safe practice.
Protecting Yourself as a Psychiatric Nurse
- Strategies:
- Follow agency policies and procedures.
- Practice good communication.
- Maintain a safe therapeutic environment.
- Identify and address potential safety hazards.
- Be aware of and respond appropriately to clients' needs and behaviors.
Health Determinants & Prevention
- Health Promotion: Increasing well-being and self-actualization.
- Disease Prevention (Primary Prevention): Actions to avoid or forestall illness/disease.
- Self-Inflicted Burn: Referred to as a self-____________ accident.
- Postural Hypotension: Can increase the risk of falls.
- Procedure-Related Accidents: Medication administration errors, improper catheter insertions, application of incorrect bandages, incorrect transcription of telephone orders.
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Description
This quiz focuses on key aspects of psychiatric nursing litigation and reporting safety incidents. It examines case studies highlighting critical nursing assessments and the importance of communication in preventing harm to patients. Understanding these concepts is essential for enhancing patient safety and care quality in psychiatric settings.
