Patient Safety Test Questions – Flashcards

develops national patient safety goals (NPSGs), critically access hospital accreditation program

event with a negative patient outcome, root-cause analysis conducted, fail to rescue

after sentinel event to determine what happened, why, what factors, what systems and processes, action planned developed

a disease produced secondary to the treatment of the patient; often it is the result of side effects of the drug therapy chosen by the physician

patient name, assigned ID number, telephone number, other person specific identifier (DOB)

The process of identifying the most accurate list of all medications a patient is currently taking and then comparing the list against the physician's orders at each transition point (admission, transfer and discharge) along the continuum of care.

Branch of medical science concerned with the incidence, distribution, and control of diseases that affect large numbers of people.

prevent by conducting a pre-procedure verification process, "time out", mark procedure site involving patient,

The study of workplace equipment design or how to arrange and design devices, machines, or workspace so that people and things interact safely and most efficiently.

freedom from accidental injury due to medical care or medical errors

Institute of Medicine, created in 1999

44,000-98,000

developed by the Joint Commission, critical access hospital accreditation program

1. improve accuracy of patient information 2. improve communication among caregivers 3. improve safety of meds 4. reduce harm associated with clinical alarm systems 5. reduce risk of hospital acquired infections 6. identify safety risks 7. prevent wrong site, wrong procedure

use at least two patient identifiers when providing care, treatment, and services

patient name, assigned ID number, telephone number, DOB

before initiating transfusion, match blood/component to the order, match patient to blood/component, use 2 person verification process or 1 person verification using automated identification technology (bar code)

use only oral-unit dose products, prefilled syringes, or pre-mixed infusion bags, use approved protocols, assess coagulation status before starting warfain, use IV pumps if heparin is administered IV and continuously, provide patient education

obtain information, compare medicines that patient takes at home vs hospital, provide written information about meds taking after discharge, explain importance

Label medications, containers, and other solutions

medication name, strength, quality, diluent and volume, expiration date or time

establish alarm safety as organizational priority, identify the most important alarms to manage based on own internal situations, educate staff about alarm management

comply with current CDC hand hygiene guidelines or the current WHO hand hygiene guidelines; implement EBP to prevent infections due to multidrug resistant organisms by maintaining CDC guidelines, patient education, implement policies and procedures regarding drug resistant organisms; implement EBP to prevent central-line associated bloodstream infections by educating healthcare practitioners, educate patient and families before insertion, use standardized protocol; EBP to prevent surgical site infections by educating staff and patients/families pre-op, implement policies, assess and report infection rates; EBP to prevent indwelling catheter UTI by using established guidelines, measuring and monitoring CAUTIs

history of falls, medication use, previous injury such as closed head injuries, concussions, and fractures

in psychiatric hospitals, patients treated for emotional or behavioral disorders, conduct risk assessment, address safety needs, provide suicide prevention information

smoke detectors, fire extinguishers, use of oxygen

incorporating user centered designs avoiding reliance on memory attending work safely avoiding reliance on vigilance training for team collaboration involving patients in their care anticipating the unexpected improving access to accurate timely information high reliability organization

freedom from accidental injury doe to medical care of medical errors

Nosocomial infections (surgical wound infections, UTI), adverse effects (central venous catheter, post-op respiratory failure), deaths (pneumonia)

written procedures, definition of critical results, by whom and to whom are results reported, read back results