Craven Ch 4 The Nurse's Role in Healthcare

A combination of patient care elements that can be consistently implemented to reduce harm

CMS - A federal organization that pays for healthcare for low-income and elderly people and tracks healthcare outcomes

A report filed that documents an accident or injury occurring in the hospital

An organization that focuses on safety of patients and that has developed a number of bundles of care to achieve that goal

A professional organization that has identified six aims of 21st century healthcare: that all healthcare should be safe, effective, patient-centered, timely, efficient, and equitable

Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care.

Evidence-based practice - Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal healthcare.

Quality improvement - Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.

Minimize risk of harm to patients and providers through both system effectiveness and individual performance.

Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

that all healthcare should be safe, effective, patient-centered, timely, efficient, and equitable

An approach to error evaluation that examines the nature of the error to assist in determining the appropriate response to the individual who made the error

The excellence or superiority of something; often viewed on a continuum, from poor quality to high quality

A project designed to provide a framework for the knowledge, skills, and attitudes necessary for future nurses

RCA - A process used to determine the underlying cause of an event. Asking why 5 times.

The avoidance or prevention of adverse outcomes for patients

The study of safety knowledge and technology to prevent harm to patients

Safety error in which hospitals are required to report serious safety events to regulatory agencies and state health agencies

Medications with similar names may lead to administration errors. The Institute for Safe Medication Practices (ISMP) has advocated a system of using capitalized letters within a drug name to differentiate drugs with similar names.

• Care bundle: central line–associated bloodstream infection. 5 elements:
• -Hand hygiene
• -Maximal barrier precautions during insertion of the line (sterile gown and gloves, cap, face shield, sterile drape)
• -Preparation of skin at insertion site with chlorhexidine
• -Optimal catheter site selection, avoiding the femoral vein site in adults
• -Daily review of line necessity with prompt removal when no longer needed

VBP - CMS adjusts hospital reimbursement based on adherence to guidelines for processes and outcomes of care and patient satisfaction.

Latent errors are those due to systems issues. The effects of latent errors may be apparent immediately and may certainly cause significant harm to patients.