University:
University of Alberta
Course:
NURS 120 | Foundations for Success in Nursing
Academic year:

2024
Views:

479

Pages:

3
Author:

Ali O

Lab Week 3: Personal Safety Readings: Chapter 14, Article on nurse patient relationships and patient safety Learning Objectives: 1. Discuss the nurses role in advancing patient safety and reducing harm 2. Discuss the importance of student/nurse safety (within various settings) and nursing standards 3. Review the dimensions of harm that can affect aspects such as the physical and psychological 4. Discuss attributes of a culture of safety 5. Discuss how you can keep yourself safe as a student on campus Notes on Chapter 14: · The Canadian Patient Safety Dictionary defines patient safety as the pursuit of “the reduction and mitigation of unsafe acts within the health care system, as well as the use of best practices shown to lead to optimal patient outcomes · The WHO’s vision for patient safety is that every patient receives safe health care, every time, everywhere · There are three types of patient safety incidents: 1) harmful incident: a patient safety incident that resulted in harm to the patient 2) near miss: a patient safety incident that did not reach the patient and therefore no harm resulted 3) no-harm incident: a patient safety incident that reached the patient but no discernible harm resulted · Harm is a product of unsafe acts or safety events. Harm occurs because of the health care interaction unrelated to the reason the person entered the health care system · Remember to listen to your patients; they have health care experience as well, but from the opposite side of the health care interaction (blindfold activity in class) Swiss Cheese Model: · Harmful events pass through many systems before reaching the patient, the holes represent the weaknesses · the layers of cheese represent many system safety layers that must all fail in order for a patient safety incident to occur The Domino Theory: · The safety event takes the form of falling dominos, each time it passes through a system layer or subsystem of the organization, the momentum of the fallen dominos cause more dominos to fall. · You have to stop at least one of the dominos from falling to stop a patient safety event The Iceberg Model: · helps you identify invisible and underlying factors that can lead to the event, as there is more than what you immediately see in every event · Canadian Patient Safety Dictionary: “contributing factors are the reason(s), situational factor(s), or latent conditions that caused an adverse event · WHO: defines contributing factors/hazards “as the circumstances, actions, or influences that are thought to have played a part in the origin or development of an incident or to increase the risk of an incident” · a nurse needs to advocate for a different nonblame approach, one that looks below the surface of the water so the entire iceberg can be understood. (a system wide holistic approach) Makes sure that you look at root causes.