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Exam 3 Med. Error
Preventing Medical Error
| Question | Answer |
|---|---|
| Where can you find the 2010 National Patient Safety Goals | On JCAHO's website |
| When are the Safety goals published and when are they put into affect | They are published in July the previous year and they become effective January 1 |
| What is the purpose of The Commission's National Patient Safety Goals(NPSGs) | To promote specific improvements in patient safety, and to highlight problematic areas in health care and describe evidence and expert-base solutions to these problems |
| What is the Sentinel Event Advisory Group | It is a group of people who goes out and dicide what things need to be looked at |
| How does the sentinel event advisory group know what things needs to be addressed | They look at the incident reports that were filed the year before |
| What is GOAL 1 | Improve the accuracy of patient identification |
| How many name identifiers must you use and what do they do | You must use two patient identifiers. and they eliminate transdusion errors |
| What are the approved patient indentifers | 1.Name(always used) 2.Account number 3.MRI number 4.Date of Birth |
| What is Goal 2 | Improve the effectiveness of communication among caregivers |
| How do you impliment Goal 2 | 1.Timely reporting of critical tests and critical results 2.Dont use prohibited abbreciations and acronymes 3.Implemenat a standard approch to "hand off communication" |
| To impliment GOAL 2 when you are taking a verbal or telephone order what steps should you take | 1.Verify the full name of the patient and the person giveing the order 2.Get the order and write it on a physicians order form 3.Read back the entire order 4.write legibility 5.Flag and highlight verbal orders |
| In what order do you write down a verbal/telephone order on a physicans order form | 1.Date and time 2.Order 3.physician/physician designee's first and last name 4.First initial, last name and title of employee authorized to accept the order |
| What do you do when your patient has a critical value | i notify the physican if the current plan of care does not address the critical calue |
| What information do you communicat when someone else assumes care of the patient ("hand off") | 1.Patients name 2.Past and current info about care treatment and conditions including any recent or anticipated changes 3.There must be minimal interruptions and an oppertunity to ask questions |
| What is GOAL 3 | Improve the safety of using medication |
| How do we implement GOAL 3 | 1.Labing medications 2.Reducing harm from anticagulation theropy 3.Identifu a list of look-alike-sound-alike drugs |
| What should all medication lable have on it | 1.drug name 2.Strength amount 3.expiration date and timeIF the medication will expire in less than 24hours |
| What are some interruptions that accure while administering medications | 1.Nursing collegue(*) 2.self initiated(b/c of direct pt care or system failure) |
| What is Goal 7 | Reduae the risk of health care-associated infections |
| What are some drug resistant organisms that causes you to wash your hand for 15 seconds with an non-antimicrobial soap and water or a antimicronial soap and water | 1.MARSA 2.CDI 3.VRE |
| What is Goal 8 | Accurately and completely reconcile medications across the continuum of care |
| What is GOAL 9 | Reduce the risk of patient harm resulting from falls |
| How do you implement GOAL 9 | 1.Finding you which patients are more at risk for falls 2.Implement a fall reduction program 3.Evaluate the effectiveness of the program |
| When are pastients assessed for riske of falls | At admission ans they are reassessed every shift |
| What is goal 14 | Prevent health care-associated pressure ulcers |
| How is Goal 14 implemented | 1.Finding out which residents are more likely to have bed sores 2.Take action to prevent bed sores in theses patients 3.From time to time, re-check residents for bed sores |
| What do we conpare patients risk of bed sores to | to Braden scale |
| What is GOAL 15 | The organizationn identifies safety risks inherent in its patient population |
| What is the purpose of goal setting | 1.To prevent individualized care 2.to promote client participation 3.To plan care that is realistic and measurable 4.to allow for involvement of support people 5.To provide measurable evaluation criteria for determining success or failure |
| When writing a goal/outcome what are the guidelines | it must have a subject(client centered) it must have a verb(observable) it must have a criteria(measurable) and it must have a specific time(Time frame) |
Created by:
lilastacia06
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