Quality and Performance test 9-13

Attach the vector for each of the transmission of the following diseases and explain the mechanism: Diseases: HIV, tuberculosis, West-Nile Virus, Hantavirus Vector: airborne, droplet, direct contact, insect-borne

1.) HIV: Direct Contact 2.) Tuberculosis: Droplet 3.) West-Nile Virus: Insect Borne 4.) Hantavirus: Air Borne

When us an incident or occurrence report completed? Who may access them?

A structured data collection tool that risk managers use to gather information about potentially compensable events, sometimes called incident reports. Effective occurrence reports carefully structure the collection data, information, and facts in a relatively simple format. Risk managers access them.

What are the six critical areas that need to be addressed in a healthcare organization's emergency operations plan (EOP)?

Communication Resources and assets safety and security staff responsibilities utilities management patient clinical and support activities

Which of the following represents a list of potential blood-borne pathogens?

HIV and hepatitis B

An infection defined as occurring in a patient in a hospital or healthcare setting in whom it was not present or incubating at the time of the admission is...

Healthcare associated infection

Defend why healthcare organizations require their staff to have certain vaccinations in order to be employed at the facility.

Healthcare organizations recommend staff members to have certain vaccinations in order to be employed at the facility so that they can reduce the risk of contagious diseases. They also do it to want to prevent some illnesses that may cause death.

Step 5: Administer Medications

In many healthcare organizations, medication administration is the step in the process that has the fewest safeguards because it typically relies on a single healthcare professional to perform it correctly. Healthcare organizations use at least two patient identifiers (such as the patients name and date of birth) prior to administering medications as a safety precaution to ensure patients receive the correct medication.

What is medication reconciliation?

Is the process of identifying the most accurate list of all medications a patient is currently taking (including prescription and nonprescription drugs, vitamins, herbal agents, and nutritional supplements) and them comparing (reconciling) the list against the physicians admission, transfer, and discharge orders at each transition point along the patients continuum of care.

Step 4: Prepared and Dispense Medications

Joint Commission standards specify procedure for pharmacist prescription review prior to administration of any medication. No medication or patient care area is exempt from this requirement, unless a licensed independent practitioner controls the ordering, preparation, and administration of the medication; or when a delay would harm the patient in an urgent situation.

Bacterial of any kind that has become resistant to many different antibiotics is called _____.

MDROs

The four components in a fishbone diagram include _____.

Manpower- examines influences of the human worker on the situation. Material-Examines the influences of supplies and equipment on the situation. Methods-examines influences of policies and procedures on the situation. Machinery-examines influences of machines or other major pieces of equipment on the situation.

Step 3: Order (Prescribe) and Transcribe Medications

Many medication errors occur while communication or transcribing medication orders. A clear understanding and communication among staff involved in the medication process are essential. The healthcare organization is responsible for taking steps to reduce the potential for error or misinterpretation which orders are written or verbally communicated.

Step 2: Properly and safely store medications

Medications stored in the pharmacy and in patient care areas are tightly controlled, and policies clearly delineate who has access theses storage areas.

Step 6: Monitor the effects of medications on patients

Monitoring the effects of medications on patients helps ensure that medication therapy is appropriate and minimizes the occurrence of an ADE.

Potentially compensable events

Occurrences involving liability for injury or property loss.

Acronyms for training for fire emergencies

PASS

Step 1: Select and procure Medications

Pharmacies in most healthcare organizations have processes in place to select, purchase, store, and evaluate medications.

Be able to discuss the ways that the well managed medication management system contributes to patient safety and improves the quality of care provided.

Reducing variation, errors and misuse, Using evidence-based practices to develop medication management processes, and managing critical processes to promote safe medication management throughout the healthcare organization.

Discuss the role of the risk management department.

Risk management-seek to manage organizations risk exposure and improve processes so that the threat of injury and it associated liability is minimized. Most people think of risk management as the process of working through a malpractice suit. Although that is sometimes the case, risk managers are more often trying to identify organizational conditions that increase risk exposure before occurrences involving injury happen. Identification before injury allows the organization to be proactive in improving care processes prior to incurring the exposure. Most healthcare organizations use an incident or occurrence reporting system to collect and report data. The system is set up to track all different types of incidents and rate them anywhere from "near miss" and "no harm" to "serve harm or death". This PI process is reported regularly to both the leadership team and the governing board. There is usually an assigned risk manager or team, depending on the size of the organization. This team is involved investigating incidents and is usually directed by legal support from the healthcare facility or a contracted agency. Some risk management teams also are active in the patient advocacy program. They help track patient grievances and many times act as an intermediary between the patient and the organization to resolve conflicts that, if left unaddressed, could lead to claims. The goal of the risk management team is to spot patterns in incidents and, through an intense investigative process, identify problems or concerns. They work through the PI council to address the patterns and problems identified and to develop interventions to resolve the problems.

Right patient

The caregiver validates patient identity by comparing the medication order to the medication label, and the patient identification band.

Right Drug

The caregiver validates that the drug to be administered is the drug that was ordered

Right Route

The caregiver validates the administration route (IM, IV etc.) matches the administration route on the order.

Right dose

The caregiver validates the dose to administered is the dose that was ordered.

Right Time

The caregiver validates the order for the time frame and frequency of the medication administration matches the parameters of which the drug should be given

Evaluate the medication management system

The key to an effective medication management system is having mechanisms for reporting potential and actual medication-related errors and a process to improve patient safety based on this information.

What is formulary and why is it maintained?

This is the list of medications maintained in the healthcare organizations. It also includes medications selected by members of the healthcare team those involved in ordering, dispensing, or administering medications or monitoring their use. This is composed of medications used for commonly occurring conditions or diagnoses treated in the healthcare organization.

Proper handwashing has been identified by the CDC as one of the single most important methods for preventing the spread of infection.

True

Inappropriate timing of dose, transcription errors, missed doses, and extra doses given are all examples of this type of medication error _____.

administration

The established criteria against which the decisions and actions of healthcare practitioners and other representatives of healthcare organizations are assessed in accordance with state and federal laws, regulations, and guidelines are called _____.

clinical practice standards

An infection that was present in the patient before he or she was admitted to the facility is called _____.

community-acquired infection

Large population based studies are used to identify the care processes or interventions that achieve the best healthcare outcomes in different types of medical practice. This research concept is called _____.

evidence-based medicine

This component of a healthcare organization's infection surveillance program is responsible for documentation and tracking of follow-up procedures related to staff exposure to blood-borne pathogens:

facility infection surveillance

This technique promotes systems thinking and includes the use of flowcharts to define high-risk processes.

failure mode and effect analysis

A list of drugs approved for use in the healthcare organization is generally referred to the _____________.

formulary

A family member of a patient is walking through the hall in the hospital and slips and falls on a recently mopped floor. A nurse on the floor observes the fall and helps the family member. This nurse should report this event to the risk manager using which of the following?

incident report

What is the medication administration record?

is the record used to document each dose of medication administered to a patient, is critical.

CLIA and the CDC have established protocols for _____.

laboratory departments

This section of a cause and effect diagram examines influences of the human worker on the situation:

manpower

This record is used in the healthcare organization to document each dose of medication that is given to the patient during their hospitalization.

medication administration record

Analysis of a sentinel event from all aspects to identify how each contributed to the occurrence of the event and to develop new systems that will prevent recurrence is called _____.

root-cause analysis

A patient was taken into surgery at a local hospital for treatment of colon cancer. A large section of the colon was removed during surgery and the patient was taken to the medical floor after surgery. Within the first 24 hours post-op, the patient developed fever, chills, and abdominal pain. A abdominal CT scan revealed the presence of a foreign body. This situation describes a _____.

sentinel event