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WEEK 18:
What is patient safety?
| Question | Answer |
|---|---|
| never event | serious incident that is wholly preventable eg operating on the wrong side |
| patient safety | Freedom for patients from unnecessary or potential harm arising from healthcare. WHO |
| patient safety incident | unintended/ unexpected incident which could have led to harm for more or one patient receiving NHS funded care |
| human error | actions and decisions of individuals result in failures that immediately and directly impact patient safety |
| harm | injury, suffering, disability or death in physical, psychological, financial, reputational ways |
| risk in healthcare | likelihood of hard that somebody/something will be harmed by a hazard x severity of potential harm |
| levels of harm (5) | no, low, moderate, severe, and death |
| no level of harm | no harm |
| low level of harm | first aid only |
| moderate level of harm | increased care required |
| severe level of harm | permanent |
| death level of harm | death |
| first level victims (3) | patient usually physical/psychological |
| second level victims (3) | staff, relatives, usually psychological |
| third level victims (3) | organisation, reputation/ financial |
| where are most incidents reported | acute hospitals |
| contributory/ latent factors | what pushed someone to do it |
| types of intended actions | violations (non concordance) and mistakes |
| violations | decided to do wrong thing even with the wrong information |
| mistakes | decided to do wrong thing because they have wrong information |
| types of unintended actions | lapses and slips |
| lapses | forget to do something |
| slips | used to doing something in a particular way but does not realise it is wrong |
| culture | norms, values, and basic assumptions of entire organisation |
| climate | employees perceptions of particular aspects of organisations culture |
| how many patients have an adverse event which is 50% preventable | 1/10 patients |
| active errors are pushed to occur by | latent/ contributory factors |
Created by:
kablooey
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