Perry and Potter ch 27 patient safety – Flashcards

-performance improvement: what can we do to make it better -risk management and safety reports: department/individual how many medical errors -current reliable technology: electronic medical records (quicker) -evidence based practice -safe work enviornment -adequate staff education

-future nurses need knowledge,skills and attitudes to promote safety -continuous improvement is essential -QSEN minimises risk of harm to patients and providers by --system effectiveness --individual performances

CMS denies Hospital higher payments resulting from a never event. Nurse sensitive indicators (it's up to us to prevent)

Joint commission -system wide solutions to improve patient safety -goals: --improve accuracy of pt id --improve communication among care givers --decrease HAI -reconcile Meds accurately and completely --improve medication safety

-decrease change cell of illness and injury -decrease length of stay

-age and development -lifestyle -mobility and health status -sensory perceptual impairments -cognitive awareness -emotional state -ability to communicate -environmental factors

-fall risk -Suicide risk -nutrition risk

-referral to a falls program -use of low rise bed that measures 14 in from floor -use of floor mats -easy access to call light -mitigation and or avoidance of physical restraints -use of personal or pressure sensor alarms -increased observation and surveillance -use of rubber soled heeled shoes -regular toiling at set intervals/easy success to urinals -observation during walking rounds or safety rounds

Oxygen Nutrition Temperature

Health promotion Individualization of implementation -dev. stage -lifestyle. -enviornment (some thing we can change and some we cant) Restraints

Physical Chemical

Manual method, physical or mechanical device ... reduces biliary of a patient to move his arms, head, legs or body freely

Anxiolytics and additives used to manage a patients behavior and are not standard treatment for patients condition

-Complications from immobilization (incontinence, pneumonia, constipation and pressure ulcers) -loss of self esteem -death

-Assess patient to determine if there is a cause for behavior -ongoing assessment -remove periodically

-Law prohibits any unnecessary use -can't use without consent unless in emergency situation

-reduce risk or injury of falls -prevent interruption of therapy and treatment -prevent confused patron from moving life saving equipment -Reduce risk of injury to other patients

-Rescue patients in immediate danger -sound alarm -contain/shut doors -evacuate if necessary

-ID pt (name and DOB) -hand hygiene -call bell within reach -bed in low position -side rails in appropriate up/down position -over bed table near by -hourly rounding -lighting