8 Giddens Safety Flashcards
Safety
Freedom from accidental injuries
Self care
Is avoiding injuries to patients from the care that is intended to help them
Errors of commission
Errors of commmision are errors of doing the wrong thing
Error of omission
Errors of omission are errors of not doing the right thing
Errors of execution
Errors of execution are errors related to doing the right thing incorrectly
Always event: errors
Those aspects of the patient experience that are so important to patients and families that health care providers must consistently do
Adverse event: error
Unintended harm by an act of commission or omission rather than as a result of a disease process
Near miss: error
Error of commission or omission that could have harmed a patient, but harm did not occur
Sentinel event: errors
Unexpected occurrence involving death r serious injury
Never event
Serious medical errors or adverse event that should never happen to a patient
Crew resource management
Situational awareness Problem identification Decision making by generating alternative acceptable solutions Appropriate workload distribution Time management Conflict resolution
High reliability organizations
Manages work that involves hazardous environments
Predict and prevent
Just culture
Reporting errors without punishment
Balance between learning from mistakes and disciplinary actions
Transparency in health care
Information should be given to patients so they can be well informed
Exemplars of safety
Fall prevention Medication administration Care coordination Team systems Error reporting National quality benchmarks
