

Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
The concept of latent unsafe conditions and active errors in healthcare systems, highlighting the importance of shifting to a systems view of safety. It covers topics such as the definition of 'latent errors', the advantages of a systems-based approach, and interventions like checklists that have proven effective in reducing harm. The document also explores the broader definition of harm and the swiss cheese model, which illustrates the concept of multiple layers of defense against errors. Overall, this document provides valuable insights into patient safety and the strategies healthcare organizations can employ to prevent errors and minimize harm to patients.
Typology: Exams
1 / 3
This page cannot be seen from the preview
Don't miss anything!
Which of the following is a latent unsafe condition in the system that contributes to the resident's error? ✔✔Long work schedule To prevent this problem from happening again, which of the following would be the best course of action? ✔✔Develop a system that prevents messy handwriting from causing miscommunication that leads to error. "Latent errors" are best defined as: ✔✔Defects in the design and organization of processes and systems What is the active error in this scenario? ✔✔The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor. What is one of the latent errors in this scenario? ✔✔The forms are completed by hand at the same time for different patients
According to James Reason, by definition an "unsafe act" always includes: ✔✔A potential hazard This is an example of what type of error? ✔✔Lapse This is an example of what type of unsafe act? ✔✔Violation Which of the following is the most significant advantage of shifting to a systems view of safety within health care? ✔✔It allows us to change the conditions under which humans work What type of error is this intervention best designed to address? ✔✔Lapse What intervention helped prove that catheter-associated bloodstream infections (CLABSIs) were preventable consequences of care? ✔✔A checklist of evidence-based practices applied consistently and collectively every time a catheter is used What is one reason that patient safety has shifted to work on reducing harm in addition to preventing errors? ✔✔Harm is more preventable than providers once thought.