CCRN › General Care Practices
In regards to the Synergy Model for Patient Care, all of the following are acceptable outcomes of patient care EXCEPT:
the patient perceives a poor outcome
death
full recovery to health and wellness
uncertain patient prognosis
In regards to the Synergy Model for Patient Care, acceptable outcomes of patient care include: full recovery to health and wellness, uncertain patient prognosis, as well as death. An unacceptable outcome of patient care is a perception of a poor outcome by the patient.
In the unlikely situation that an adverse event or error occurs in a health care setting, an investigation into the event occurs. One of the questions asked is called the substitution test. This question asks:
"would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?"
"would the same situation occur in three different hospital setting, performed by three different health care providers?"
"would three different health care providers, one of less experience, one of equal experience, and one of greater experience in an equivalent environment act in the same manner as the individual being evaluated acted?"
"would the same situation occur in three different hospital setting, performed by equivalently trained medical personal as the individual being evaluated?"
The substitution test is a question that asks, "would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?" If the answer to this question is NO, the individual's act must be deemed a result of incompetency, knowledge deficit, or neglect. If the answer to this question is YES, then the organization and its processes must be evaluated to determine how the event was able to occur. This is viewed as a fair and just culture in which to evaluate and determine the primary cause of the adverse event.