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1. Near miss: An error of commission (did not provide care correctly) or omission (did not provide care) that
could have harmed the patient, but serious harm did not occur as a result of chance (e.g., the patient received a
contraindicated drug but did not experience an adverse drug reaction), prevention (e.g., a potentially lethal overdose
was prescribed, but a nurse identified the error before administering the medication), or mitigation (e.g., a lethal dose
was administered but discovered early and countered with an antidote)
2. Sentinel Event: Unexpected occurrence involving death or serious physical or psychological injury including
loss of limb or function. Event signals the need for immediate investigation and response.
3. adverse Event: An event that results in unintended harm to the patient by an act of commission or omission
rather than by the underlying disease or condition of the patient
4. QSEN: Acronym for Quality Safety and Education for Nurses. It helps establish safety standards the nurse follows
when delivering patient care. Funded by the Robert Wood Johnson foundation
5. NPSG: National Patient Safety Goals - performance standards, that are reevaluated annually, addressing elements
of operations related to patient safety developed by The Joint Commission
6. NPSG Goals: 1.Improve Accuracy of patient identification
2. Improve effectiveness of communication among caregivers
3.Use Medications safely
4.Use alarms safely
5.Prevent infection
6. Identify patient safety risks
7.Prevent mistakes in surgery
7. R.A.C.E.: R: Rescue all patients in immediate danger and move them to safe areas.
A: Activate the manual-pull station or fire alarm and have someone call 911.
C: Contain the fire by closing doors, confining the fire, and preventing the spread of smoke.
E: Extinguish the fire if possible after all patients are evacuated from the area.
8. P.A.S.S.: P: Pull the pin, breaking seal
A: Aim nozzle
S: Squeeze handle
S: Sweep at base of fire
9. Risk associated with infants: suffocation
10. risk for Toddlers: choking/poison
11. risks for young children: drowning/trampolines
12. risk for MVC: Teens
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13. risk for drugs/ unprotected sex: young adults
14. risk for falls/ med errors: elderly
15. Medicare: 65+, disabled, end stage renal disease
federal health insurance
16. medicaid: Low income
state and federal funded
17. HMO: A group healthcare practice that provides basic and supplemental health maintenance services. Enrollees
prepay a fixed periodic fee that is set without the kind of services received. This includes diagnostics, surgery, dental,
mental and eye care and rx drugs
18. PPO: Patients pay a monthly premium for healthcare insurance and receive a list of providers that participate in
the PPO. PPO generally offer more flexibility in providers that are both in and out of network.
19. Community-based setting: Focuses on interventions necessary to help individuals prevent illness,
maintain or regain their health, or die with dignity while living in a community
Vulnerable populations are served (children, elderly people, those experiencing homelessness, the economically
disadvantaged, single and expectant parents, people who experience abuse, and those with substance use disorders)
Services provided include advocating for clients, conducting routine checkups, caring for the sick or dying, providing
client education, and managing chronic client conditions at outpatient, community, or government health care facilities
An example would be a nurse visiting an elderly person at home to help with medication
20. Public health setting:: It is not limited to a particular setting but instead focuses on disease prevention,
health protection, and health promotion within identified populations
Focuses on the greater community as a whole—the city, county, state, nation, continent, world
Services performed by public health nurses are advocating with housing authorities to ensure accessible and safe
housing; planning multilingual, culturally based immunization clinics to increase participation; and investigating the
incidence (rate of occurrence) of foodborne illness
An example would be smoking cessation ads and free flu vaccines
21. Acute care setting: Focuses on patients needing brief treatment for a severe illness, for conditions that
are the result of trauma or disease, and during recovery after surgery
Population served would include an individual and the environment around them
Services provided include emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical
care, urgent care and short-term inpatient stabilization
An example would be treating a child with a fever in the emergency department
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