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Near Miss
An error that occurred but did not reach the patient.
Reached the Patient but Caused No Harm
The error reached the patient but resulted in no negative consequence.
Sentinel Event
An outcome that fundamentally changes the patient's life, such as a wrong surgical procedure.
Medication Errors
Giving the wrong medication or administering it by the incorrect route.
IV Fluid Errors
Issues arising from mishaps in intravenous fluid administration, including incorrect fluid or rates.
Patient Mix-Up
Confusion due to similar names or birthdates causing a mix-up in patient identification.
Swiss Cheese Model
A model illustrating that accidents occur when multiple weaknesses in system barriers align.
Conflict Context
A situation arising from opposing viewpoints or differences in opinion.
Crucial Conversations
High-stakes discussions where opposing opinions and strong emotions are present.
Two Challenge Rule
The rule requiring team members to voice concerns at least twice to ensure they are heard.
DESC Script
A conflict resolution tool that involves describing a situation, expressing feelings, suggesting alternatives, and discussing consequences.
Culture of Safety
An organizational atmosphere that promotes error reporting without fear of punishment.
Root Cause Analysis (RCA)
A method for conducting an in-depth analysis of sentinel events to determine underlying causes.
Incident Reports
Documentation tools for errors that are confidential and not part of the patient’s medical record.
Universal Protocol/Timeout
A safety checklist performed before procedures to confirm patient identity and procedure details.
SBAR
Structured communication model consisting of Situation, Background, Assessment, and Recommendation.
Active Listening
Engaging with the speaker by attentively hearing and understanding their message.
Empathy and Validation
Understanding and acknowledging another person's feelings and experiences.
Kübler-Ross Five Stages of Grief
The stages include Denial, Anger, Bargaining, Depression, and Acceptance.
Palliative Care
Specialized medical care focused on providing relief from symptoms of serious illness.
Hospice Care
A type of palliative care for patients with a prognosis of six months or less, focusing on comfort.
Actual Loss
Loss that is recognized by others, such as the loss of a limb or death.
Perceived Loss
Loss experienced by the individual but intangible to others, like a miscarriage.
Anticipatory Loss
Experiencing loss and grief behaviors before the loss has occurred.
Documentation Errors
Incomplete or missed communication in medical records causing potential patient harm.
Crucial Conversations
High-stakes situations that require effective communication to resolve conflicting viewpoints.
Layers of Defense
Different factors in a system that can potentially lead to errors if not adequately addressed.
Therapeutic Communication
Communication that fosters a healing relationship between caregiver and patient.
Non-Therapeutic Communication
Communication that impedes interaction, often characterized by avoidance or judgment.
Five Whys Technique
A method used to identify the root cause by asking 'Why?' repeatedly until the cause is discerned.
Complications
Negative consequences resulting from a healthcare error, such as additional surgeries or infections.
Quality of Life
The overall enjoyment of life and satisfaction experienced by individuals, particularly in healthcare settings.
Shared Mental Models
The collective understanding among team members that enhances coordination and effectiveness.
Mutual Trust
A foundational element of teamwork that fosters collaboration and open communication.
Emotional Support
Providing comfort and reassurance to individuals experiencing loss or hardship.
Quality Improvement
Initiatives aimed at enhancing services and processes within healthcare environments.
Patient-Centered Care
Approach to healthcare that respects and responds to individual patient preferences and needs.
5-Whys Technique
Used to explore the underlying cause of errors by repeatedly asking the question 'Why?'.
Comprehensive Care
Holistic approach encompassing physical, emotional, and spiritual wellness in patient treatment.
Shared Commitment
A dedication among healthcare providers to prioritize the patient's best interest.
Structured Tools
Frameworks or models that provide clarity and efficiency in communication and reporting.
Behavioral Responses
Actions taken by healthcare professionals based on circumstances of conflict or error.
End-of-Life Support
Care focused on providing comfort and dignity during the last stages of a patient's life.
Clinical Course Summary
A narrative detailing the progression of a patient's clinical condition throughout treatment.
Organizational Influences
Factors such as culture and resource management that affect safety and error prevention.
Unsafe Supervision
Inadequate oversight that allows for errors to occur without correction.
Safety Breach
An incident that compromises patient safety, prompting the need for immediate attention.
Identification Errors
Mistakes arising from misidentifying patients during diagnosis or treatment.
Communication Strategies
Methods employed to facilitate effective dialogue between clinical teams.
Interprofessional Teamwork
Collaboration among various healthcare professionals to enhance patient care.
Crisis Management
The process of handling emergencies effectively to minimize disruption to patient care.
Completeness of Information
Ensuring all necessary details are conveyed during patient handovers.
Emotional Drain
The fatigue and hopelessness experienced by individuals coping with grief.
Healing Relationship
A supportive and therapeutic bond established between a patient and a caregiver.
Support Autonomy
Empowering patients to make their own decisions in their care process.
Treatment Options
Various methods or therapies available to manage a patient's health condition.
Hospitalization Complications
Additional health issues that arise as a consequence of being admitted to the hospital.
Patient Empowerment
Encouraging patients to take an active role in their healthcare decisions.
Emotional Signature
Distinctive feelings and responses that individuals exhibit in grief or loss.
Isolation in Grief
The state of being withdrawn and disconnected from others during the grieving process.
Healthcare Culture
The shared values and practices that shape the behavior and attitudes of healthcare professionals.
Continuous Improvement
Ongoing efforts to enhance services or processes through systematic evaluations.
Transparency in Care
Openness in communication regarding treatment plans and patient-centric approaches.
Decision-Making in Care
The process through which healthcare providers determine treatment plans in collaboration with the patient.
Healthcare Standards
Established guidelines and principles that govern safe and effective patient care.
Quality Care Delivery
The provision of healthcare services that meets established standards of excellence.
Patient Safety Culture
An environment that encourages the reporting of errors and prioritizes patient protection.
Professional Responsibilities
Ethical and legal obligations of healthcare providers to act in the patient's best interest.
Role Understanding
Awareness of the positions and functions of various members in a healthcare team.
Communication Breakdown
Failure to convey important information accurately, leading to errors.
Assertive Voice
The ability to express concerns or opinions confidently in a professional setting.
Emotionally Charged Topics
Difficult subjects that can elicit strong emotional responses, such as death.
Healthcare Dilemmas
Challenging situations involving conflicting interests or ethical considerations.
Integrated Care Models
Approaches that unify various aspects of health services for optimal patient outcomes.
Effective Coordination
The seamless operation of team members working together to provide patient care.
Patient-Centered Interventions
Actions taken that are primarily focused on the needs and preferences of the patient.
Curative Treatment
Medical interventions aimed at eliminating a disease or condition.
Holistic Care Approach
Incorporating physical, emotional, and spiritual aspects into patient treatment.
Dignified Death
Supporting patients in dying with respect and comfort.
Grief Reactions
The various emotional responses individuals experience in the face of loss.
Supportive Presence
Being available emotionally for someone experiencing difficult times, enhancing their coping.
Emotional Release
Expressions of feelings that may occur as individuals process grief.
Team Dynamics
The interactions and relationships among team members influencing teamwork effectiveness.
Patient Education
Providing information to patients to help them understand their health and treatment options.
Shared Understanding
The mutual agreement and comprehension among team members regarding patient care.
Quality and Safety Initiatives
Programs designed to improve the safety and quality of care provided to patients.
Self-Reflection in Practice
The process of analyzing personal responses and behaviors in professional settings.
Professional Development
Continual education and training to enhance the skills and knowledge of healthcare providers.
Chronic Illness Management
Strategies employed to assist patients in managing long-term health conditions.
Adaptive Leadership
Flexibility in leadership styles to meet the needs of shifting healthcare environments.
Leadership in Healthcare
The act of guiding healthcare teams towards achieving quality patient care.
Interpersonal Communication Skills
The ability to effectively engage with others in a professional context.
Holistic Patient Assessment
Evaluating all aspects of a patient’s condition, including mental and emotional health.
Consultative Approach
Involving multiple professionals in decision-making to address complex patient issues.
Professional Integrity
Adhering to ethical standards and principles in clinical practice.
Compassionate Care
Offering care that demonstrates empathy and a deep concern for the patient's well-being.
Team Leadership
The ability to direct and motivate a group towards common healthcare goals.
Healthcare Protocols
Pre-established procedures followed to ensure consistency and safety in patient care.
Critical Thinking in Nursing
The ability to analyze information and make informed decisions regarding patient care.
Client Advocacy
Acting on behalf of patients to ensure their needs and rights are respected and met.