NUR 2206 EXAM 11
- what is the AHRQ?
Answer the agency for Healthcare research and quality
- what did the AHRQ establish?
Answer TeamSTEPPS which stresses communication
- what is the ISMP?
Answer the institute for safe medication practices
- what does the ISMP do?
Answer investigate medicine errors, why they happen, and how to prevent them
- what is the IOM
Answer Institute of Medicine
- what does the IOM do?
Answer reports about patient safety, how to improve patient safety, and why errors occur
- what is the IOM currently called?
Answer National Academy of Sciences, Engineering, and Medicine
- what is QSEN?
Answer 1 / 3
Quality and Safety Education for Nurses
- what does QSEN do?
Answer it is the framework supporting pre-license education, establishes what competencies students need upon graduation; supports safety and patient care in pre-licensed nurses, gives 6 competencies, sets Knowledge Skills and Attitudes (KSAs) for each competency which must be met before graduation
- who made the report to err as human?
Answer IOM
- when was to err as human reported?
Answer 1999
- What did to Err as Human do?
Answer brought patient safety to the forefront in the US; showed that errors cost the hospitals money; established a connection between quality care and patient safety; determined that PREVENTING
DEATH AND INJURY FROM MEDICAL ERRORS REQUIRES LARGE SYSTEM-WIDE
CHANGES
- what did to Err as Human create?
Answer the National Center for Patient Safety within the AHRQ
- what does the National Center for Patient safety focus on?
Answer STRICTLY patient safety
- what does the National Center for Patient Safety establish?
Answer requires mandatory and voluntary reporting systems; defines the role of consumers, profes- sionals, and accreditation, BUILDS A SAFETY OF CULTURE 2 / 3
- what are the 6 competencies of QSEN?
Answer patient centered care teamwork and collaboration
evidence based practice quality improvement safety informatics
- what is the science of safety and what does it say?
Answer it minimizes risk of harm to the patients and establishes that human error is bound to happen.Says that you can control the human factors
- what is an adverse event?
Answer injury caused by medical care - umbrella event
- what is an adverse drug event?
Answer adverse event involving medication use; a specific AE relating to medications
- what is a sentinel event?
Answer an AE that causes DEATH or SERIOUS HARM to the patient; not usually anticipated or expected
- what is a medication error?
Answer a preventable event related to prescribing (NP, physician), dispensing (pharmacist), and/or administering (nurse) medications
- what is root cause analysis?
- / 3
Answer structured process identifying contributing fac- tors underlying an AE