Perry and Potter ch 27 patient safety – Flashcards

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Safety in health care organizations
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-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
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Quality and safety education for nurses (QSEN)
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-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
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CMS (center of medicare services) of "never events"
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CMS denies Hospital higher payments resulting from a never event. Nurse sensitive indicators (it's up to us to prevent)
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National patient safety goals
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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
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Safety in health care settings
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-decrease change cell of illness and injury -decrease length of stay
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Factors affecting safety
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-age and development -lifestyle -mobility and health status -sensory perceptual impairments -cognitive awareness -emotional state -ability to communicate -environmental factors
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Risk assessment tools
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-fall risk -Suicide risk -nutrition risk
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Falls
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-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
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Basic human needs
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Oxygen Nutrition Temperature
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Safety and the nursing process: implementation
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Health promotion Individualization of implementation -dev. stage -lifestyle. -enviornment (some thing we can change and some we cant) Restraints
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Restraints
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Physical Chemical
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Physical restraints
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Manual method, physical or mechanical device ... reduces biliary of a patient to move his arms, head, legs or body freely
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Chemical restraints
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Anxiolytics and additives used to manage a patients behavior and are not standard treatment for patients condition
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Risks of restraints
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-Complications from immobilization (incontinence, pneumonia, constipation and pressure ulcers) -loss of self esteem -death
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Restraints
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-Assess patient to determine if there is a cause for behavior -ongoing assessment -remove periodically
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Long term care
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-Law prohibits any unnecessary use -can't use without consent unless in emergency situation
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Acceptable uses of restraints
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-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
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Fire safety
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-Rescue patients in immediate danger -sound alarm -contain/shut doors -evacuate if necessary
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Basic safety concepts
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-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
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