Safety

Question 1

Optimum system

Answer 1

Systemic approach to prevent mistakes

Question 2

Normalizing deviance

Answer 2

Chronic intentional rule violation that seems benign and accepted by individuals within the organization; it is a form of maladaptive group behaviors

Many serious medical errors result from violations of recognized standards of practice

Question 3

Principles of safe design

Answer 3

3 principles of safe design
1. Standardization (i.e. line carts)

2. Independent checks
3. Learning from defects

Question 4

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)

Answer 4

It is based on team structure and 4 teachable-learnable skills:
1. Communication

2. Leadership
3. Situation monitoring
4. Mutual support

Question 5

Comprehensive Unit-based Safety Program (CUSP)

Answer 5

A structured strategic framework that:

1. Educates staff on science of safety
2. Identifies defects
3. Assigns executive to adopt unit
4. Learns from defects
5. Implements teamwork tools

i.e. Debriefing, training, shadowing, AM/PM briefings, debriefing after codes