COMPLETE SOLUTIONS VERIFIED
freedom from accidental injury
patient safety
Describe the science of safety and factors that influence a safe health care
environment
Safety science: levels of errors
adverse effects
near misses
sentinel events
an event that results in UNINTENDED harm to the patient
adverse effects
2 types of adverse effects
Commission
Omission
performed the wrong care
Commission
did not perform the right/needed care
Omission
an UNPLANNED event that DID NOT result in injury, illness, or damage-but had
the potential to do so
no harm was done
, Near miss
An unexpected event involving death or serious physical or psychological injury
or the risk
sentinel event
called sentinel bc they signal the need for intermediate investigation and response
Safety Science: Types of Errors
Diagnostic
Treatment
Preventive
Communication failure
diagnostic error
result of delay in diagnosis; failure to detect an actual unhealthy behavior or condition
Treatment errors
occur in the performance of an operation, procedure, or test; in the administration of a
treatment; in the dose or method of administering a drug; or in avoidable delay in
treatment or in responding to an abnormal test result
Preventive errors
occur when there are failures to provide prophylactic treatment and inadequate
monitoring or follow-up of treatment.
communication failure
(meaning a lack of communication or a lack of clarity in communication) can lead to
many types of errors.
Types of failures that lead to errors: