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Definition
When something that was planned as part of medical care does not work out or when the wrong plan was used. |
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Examples of Medical Errors |
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Definition
HAI Adverse drug events Surgical injuries Wrong-site surgery Patient suicides Restraint-related injuries or death Patient falls Patient burns Mistaken patient identities |
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Factors that affect safety in healthcare |
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Definition
^ acuity & shorter LOS Rapid client turnover Staff turnover Shift work - long hours Varying levels of education RN to patient ratio Multiple interruptions |
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Definition
Trauma or damage to some part of the body |
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Injuries can be caused by: |
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Definition
Physical Mechanical Biological Chemical Agents |
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Definition
Any unanticipated event in the healthcare setting resulting in death or serious physical or psychological injury to patients, not related to the natural course of the patient's illness. |
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What organization are sentinel event reported to? |
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Definition
Joint Commission on Accreditation of Healthcare Organizations (JACHO) |
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Definition
Quality & Safety Education for Nurses Kentucky Board of Nursing (KBN) |
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Definition
Occupational Safety & Health Administration |
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Definition
Agency for Healthcare Research & Quality |
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Factors Affecting Safety - Falls |
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Definition
Loss of Physical Function Altered Gait Decreased Mobility Incontinence Altered Sensory Function - equilibrium |
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Term
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Definition
Unassisted bathroom needs Polypharmacy (4 or more meds) |
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Definition
Hx of falling Multiple Dx Ambulatory Aids IV Therapy Gait Mental Status |
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2 Most Prominent areas of Elder Neglect & Abuse |
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Definition
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Warning Signs of Elder Neglect & Abuse |
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Definition
Basic needs unmet Pressure ulcers Unexplained bruises, burns Change in personality Unexplained vaginal/anal bleeding STD's |
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Definition
Airway obstruction Small Space Entrapment Strangulation Choking Hanging Smothering Drowning |
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Definition
Matches, candles Sensory Impairment (PVD) Diabetic Peripheral Neuropathy (disease of nerves) |
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Intervention in Acute Care Setting Client's Room |
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Definition
Orientation to environment Call light in reach SR x 2 ^ Working Equipment Bed low & locked Working Equipment Keep pathway free of clutter, well lit Keep personal items w/in reach Reinforce education w/ patient to ask for assistance Answer the call lights |
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Steps for Equipment Malfunction |
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Definition
Identify it & Remove it Check expiration dates No exposed wires |
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Term
Restraints are used only when |
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Definition
immediate physical risk to the patients safety exists. |
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Term
The different types of restraints are |
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Definition
physical mechanical drug or medication |
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