Quality and Safety Terms Flashcards
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Questions and Answers

What is a serious safety event?

  • An event that does not reach the patient
  • An event that reaches the patient and results in moderate to severe harm or death (correct)
  • An event that causes no detectable harm
  • An event that is detected before reaching the patient
  • What defines a precursor safety event?

  • Reaches the patient and results in death
  • Leads to moderate or severe harm
  • Does not reach the patient
  • Reaches the patient and results in minimal or no detectable harm (correct)
  • What is a near miss safety event?

  • Does not reach the patient and is caught by a detection barrier (correct)
  • Results in death
  • Reaches the patient and causes severe harm
  • A patient safety event that reaches the patient but causes no harm
  • What is a safety event?

    <p>An incident that could have resulted in harm</p> Signup and view all the answers

    What is an adverse event?

    <p>A safety event resulting in harm to a patient</p> Signup and view all the answers

    What characterizes a sentinel event?

    <p>An event not primarily related to a patient's condition that results in severe harm or death</p> Signup and view all the answers

    What is a no harm event?

    <p>An event with no adverse reactions</p> Signup and view all the answers

    What is a close call?

    <p>An event that did not reach the patient</p> Signup and view all the answers

    What are hazardous conditions?

    <p>Circumstances that increase the risk of adverse events</p> Signup and view all the answers

    What are the Joint Commission Safety Goals?

    <p>Identify patients correctly and prevent infection</p> Signup and view all the answers

    How do we improve quality?

    <p>Focus on the patient, focus on being part of the team, focus on use of the data.</p> Signup and view all the answers

    What are some barriers to quality improvement?

    <p>Organizational Culture</p> Signup and view all the answers

    Engagement and patient satisfaction are closely linked.

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

    What is the most used model of quality improvement?

    <p>PDSA Cycle.</p> Signup and view all the answers

    What does PDS(C)A stand for?

    <p>Plan, Do, Study, Act.</p> Signup and view all the answers

    Study Notes

    Safety Events Definitions

    • Serious Safety Event: Reaches the patient and results in moderate to severe harm or death.
    • Precursor Safety Event: Occurs, reaches the patient, and results in minimal or no detectable harm.
    • Near Miss Safety Event: Does not reach the patient; error is caught by detection barriers or chance.
    • Safety Event: Event, incident, or condition that could potentially cause direct harm to a patient.
    • Adverse Event: A patient safety event that results in harm to a patient.
    • Sentinel Event: A significant adverse event not primarily related to a patient's illness; results in death, permanent harm, or severe temporary harm (e.g., wrong breast removed).
    • No Harm Event: Reaches the patient but causes no harm (e.g., wrong medication with no adverse reaction).
    • Close Call / Good Catch: A patient safety event that did not reach the patient.

    Hazardous Conditions

    • Hazardous (Unsafe Conditions): Circumstances that increase the likelihood of an adverse event, aside from the patient’s own condition (e.g., violence).

    Joint Commission Safety Goals

    • Identify patients correctly.
    • Improve staff communication.
    • Use medicines safely.
    • Use alarms safely.
    • Prevent infection.
    • Identify patient safety risks.
    • Prevent mistakes in surgery.

    Improvement Strategies

    • Quality Improvement Focus: Emphasize patient-centric approaches, teamwork, and data utilization.

    Barriers to Quality Improvement

    • Organizational culture challenges.
    • Miscommunication and misunderstanding issues.
    • Improper problem identification.
    • Inadequate constituency involvement.
    • Unrealistic goals and plans.
    • Insufficient follow-up and evaluation.

    Engagement and Satisfaction

    • Engagement and patient satisfaction are closely linked (True).

    Quality Improvement Model

    • Most Used Model: PDSA Cycle (Plan-Do-Study-Act).
      • Plan: Identify the goal.
      • Do: Implement the plan.
      • Study: Monitor outcomes.
      • Act: Integrate learnings to adjust the goal and plan the next cycle.

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    Description

    Explore essential terms in quality and safety within healthcare through these flashcards. Each card defines important events that impact patient health, ranging from serious safety events to near misses. Enhance your understanding and improve safety practices in your environment.

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