| A | B |
|---|
| Effective program evaluation | begins with in-depth assessment of all aspects associated with safety of organization |
| Primary goal of patient safety | prevention of harm thru methodical analysis of previously harmful events |
| How to accomplish goal of patient safety | systematic review of policies/procedures both directly and indirectly related to pt. safety |
| NPS | National Patient Safety |
| National Patient Safety goals | established by the Joint Commission in 2002 |
| 3 main principles of risk management assessment | assessment, avoidance and control |
| risk assessment | what happened and why? |
| first step of 3 main principles of risk management | risk assessment |
| second step of 3 main principles of risk assessment | risk avoidance |
| 3rd step of 3 main principles of risk management | risk control |
| risk avoidance | what specific actions, policies, procedures would prevent this type of incident in future? |
| risk control | develop measure to increase quality of care thru adaptation of specifc control measures |
| Human-factors engineering | discipline that develops devices & technology based on physical/psychological needs of those who use them |
| Human-factors engineering aka | Ergonomics |
| Usability | explains how a device is used in a real-world situation |
| Forcing functions | prevents one step from being completed without a prior necessary step |
| advantages of being a high-reliability operator | reliance on practical experience, loyalty in adversity, outcome-focused approach, emphasis on operationalized definitions of expected outcomes, deeper-dive perspective when problems arise |
| Systems thinking | holistic approach to risk management investigating incidents based on how separate systems in network influenced outcome |
| Incident report review steps | read incident report, interview, analyze everything & id contributing factors |
| best way to prevent infection spread | proper hand hygiene |
| considered synonymous with risk management | pateint safety |
| Six Sigma | specific technique works to improve business processes by tools/concepts to reduce errors and eliminate waste |
| tools used to determine why goals not achieved or discrepancy between expected results & actual results | Gap analysis, Root cause analysis, Cause-and-efect diagram |
| Validation | method that monitors a process from start to finish to ensure same results occur every time |
| looks at ea. step within a process to ensure consistency & predictability | Validation |
| Transparency | vital component of communication that builds trust |
| Data Collection | specifc process of sourcing information |
| Risk Management | process that identifies potential risks within a process |
