Let's Fix That!
A potential event that is caught prior to reaching the patient.
What is a near miss/good catch?
This condition, often called the "silent killer," can lead to serious complications if left untreated.
What is hypertension?
After an incident, take a pause and figure out your process flaws.
What is root cause?
The safest place for pedestrians to cross the street.
What are crosswalks?
PFAC
What is Patient Family Advisory Council?
It’s the most common—and most avoidable—error in primary care.
What is medication error?
Use this tool to recheck a patient’s blood pressure if the initial reading is over 140/90
What is a blood pressure cuff/monitor?
Want to try a different way? Give this tool a try, I say!
What is PDSA?
Scrub-a-dub-dub! This act is the #1 way to stop germs in their tracks.
What is hand hygiene?
STARS
What is safety tracking and reporting system?
This is the most common type of vaccine administration error.
What is Incorrect Vaccine?
This term describes the presence of both diabetes and hypertension in a patient, which can complicate their treatment.
What is comorbidity?
When you find your workflow has a gap, draw one of these to find the trap.
What is a process map?
Patients with limited English proficiency, or deaf/hard of hearing have the right to this when receiving care.
What is an interpreter?
SDOH
What is Social Determinants of Health?
According to this organization, approximately 40% of patients experience harm in ambulatory and primary care settings, with 80% of these harms being preventable.
What is the World Health Organization?
This lifestyle change involved a dietary plan that emphasizes fruits, vegetables, and low sodium to lower blood pressure.
What is the DASH diet?
Even if the day is rainy, this friend gives us feedback – how brainy!
What is Press Ganey?
You’ve got mail! Or maybe just a new test result online. This tool lets you access your health info 24/7.
What the patient portal/myChart?
PDSA
What is Plan Do Study Act?
When a clinician gives a wrong diagnosis, it’s known as this kind of error.
What is a diagnostic error?
This term describes the phenomenon where blood pressure readings are higher in a clinical setting than at home, often caused by anxiety.
What is white coat syndrome?
Some might call this a work of art; this data display makes you look smart!
What is a run chart
This three-word phrase refers to what to do in an active shooter scenario.
What is run, hide, fight?
HIPAA
What is the Health Insurance Portability and Accountability Act?