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What is safety? - correct answer -freedom from psychological and physical injury
-basic human need
What is the importance of "To Err is Human: Building a Safer Health System"? - correct answer -
report by Institute of Medicine that brought patient safety to the forefront of healthcare in the
US.
-landmark study, has set the stage for the behaviors, actions occurring in HC today
-identified statistics of all the medical errors
________ _______ are the 3rd leading cause of death in the US - correct answer -medical
errors
How many people die each year from preventable medical errors (according to IOM report in
1999)? - correct answer -44,000-98,000
The number 1 cause of death of people over 80 are... - correct answer -falls
What is a sentinel event? - correct answer -An unexpected patient safety event that leads to
death or serious physical or psychological injury.
-will occur in an institution, not cared for safely in a place you would expect them to be safe
-ex: full term baby healthy at birth, unexpectedly dies 24-48 hours after delivery. Person at LTC
facility disappears, just got up and left. Psychiatric patient commits suicide
,T or F: healthcare workers experience more nonfatal occupational illnesses than construction
workers - correct answer -true
Nurses lift approx. _____ ______ per shift - correct answer -1.8 tons
What are the National Patient Safety Goals? - correct answer -Required practices to improve
patient safety that are put out every year by the Joint Commission
-first ones were in 2003, goals that identify with a variety of HC professionals to accomplish
-in 2003, basically only for hospitals, now goals for many different institutions
-ex: administer the right procedures to the right patients-- was a goal in 2003 and it is still on
the list today! This is why we use two patient identifiers, sometimes even 3.
What is the Joint Commission? - correct answer -a national organization, an accrediting body
for institutions like hospitals
-set the rules of how they should operate to meet the accreditation standards
Name the 7 National Patient Safety Goals for Critical Access Hospitals in 2017 - correct answer -
1.) Identify patients correctly
2.) Improve staff communication
3.) Use Medicines safely
4.) Use alarms safely
5.) prevent infection
6.) prevent mistakes in surgery
7.) identify patient safety risks
Name 9/10 of the top safety issues in 2016 - correct answer -1.) Health IT configurations and
organizational workflow that do not support each other
2.) patient identification errors
, 3.) inadequate management of behavior health issues
4.) Inadequate cleaning and disinfect of flexible endoscopies
5.) inadequate test results and follow up with patient
6.) inadequate monitoring for respiratory depression in patients with prescribed opioids
7.) med errors related to pounds and kilograms
8.) unintentionally retained objects
9.) not embracing culture of safety
What are the two main "risk factors" in a HC agency - correct answer -Medical errors and
environmental (extrinsic, outside the body) factors
Name two initiatives to decrease patient risk - correct answer --TJC and CMS "Speak Up"
campaign-- patients watch videos on what to do when they come to the hospitals to help
educated consumers about how to keep save in institutions, then patients call the nurses out if
they are doing something unsafe
-National Quality Forum mission-- develop a national strategy to deal with all the problems in
HC
-TJC, CMS, and NQF all work together to keep patients safe
Name 7 environmental risk factors affecting personal safety - correct answer -1.) Transmission
of pathogens
2.) falls
3.) fires
4.) Accidental poisoning
5.) Disasters
6.) Radiation
7.) Pollution