IOM stands for_______________________. correct answers Institute of medicine
_______________ avoiding injuries to patients from the care that is intended to help them.
correct answers Self-Care
According to the National Patient Safety foundation, ______________________ is the
prevention of health care errors and the eliminations or mitigation of patient injury caused by
health care errors. correct answers Patient safety
QSEN stands for __________________________. correct answers Quality and Safety
education for nurses.
____________________ are unintended health care outcomes caused by a defect in the
delivery of care to a patient. correct answers Health Care errors
The three types of health care errors: correct answers Omission, commission, and execution
errors.
Health care errors;
___________________________ wrong action taken
_________________________ failure to do the right thing
__________________________ Right action, wrong outcome correct answers Omission
Commission
Execution
What are the 3 levels of error?
_____________________.
_____________________.
_____________________. correct answers Near-miss
Adverse event
Sentinel event
When it comes to placement of error, errors that occur on the procedural level are at the
______________ end of the triangle and errors on the clinical side (point of care) are on the
_______________________ end. correct answers Blunt
Sharp
Levels of Error;
_______________________________ Error resulted in unintended harm.
, _______________________________Error did not result in harm.
_________________________________ Error resulted in death or catastrophic harm. correct
answers Adverse event
Near-miss
Sentinel event
_______________ Errors, also known as human errors, are made by those providers (nurses,
physicians, etc.) who are providing patient care, responding to patient needs. correct answers
Active
_________________ errors, also known as system errors, are more organizational,
contextual, and diffuse in nature or design-related. correct answers latent
Historically: Culture of blame
Focus: ____________________
Goals: ______________________ correct answers Who is to blame?
Disciplinary
Currently: Culture of safety
Focus: _______________________
Goals: ____________________ correct answers What contributed to the error?
Investigating- root cause analysis (learning from errors, instituting corrective measures.)
HRO stands for_________________________________________________________.
correct answers High reliability organizations
HROs exhibit___________________ to operations and have the ___________________ to
simplify. correct answers Sensitivity, reluctance
Just culture: Seeks to find________________ between the need to learn from mistakes and
the need for disciplinary action against employees. correct answers Balance
Interrelated concepts to safety:
__________________________.
_________________________.
_________________________.
_________________________. correct answers Health care quality
Communication
Collaboration
Care coordination