Who's Who
This position is the head of our organization
Who is the Chief Executive Officer/Hospital Administrator?
National Patient Safety Goals were established in this year to address specific concerns related to patient safety
What is 2002?
Call this department to report a security disturbance
What is Communication Center?
This is known as the national public health agency of the United States
What is the Centers for Disease Control and Prevention (CDC)?
Best practices recommend HIPAA training for staff at this frequency
What is annually?
This position assists with informed consent questions, ethics inquiries, SLS, and claims
Who is the Hospital Risk Management Program Officer?
This is the newest goal added to the NPSGs
What is improve health care equity (Goal 16)?
Call them when you cannot log into the EHR?
Who is Informatics?
Items such as gloves, gowns, masks, and protective eyewear
What are personal protective equipment (PPE)?
Individually identifiable health information, including genetic information and demographic information, collected from an individual
What is Protected Health Information (PHI)?
They conduct walkrounds to ensure life safety compliance
Who are Safety Officers?
The NPSG of identifying patient safety risks is focused on what main risk?
What is patients at-risk for suicide?
Call this person when the media is requesting information about a patient
Who is the Public Information Officer (PIO)?
Length of time one should wash their hands when using soap & water or an alcohol-based hand rub
What is at least 20 seconds?
The unauthorized acquisition, access, use or disclosure of protected health information which compromises the security or privacy of such information
What is a breach?
This position also serves as the Medication Safety Officer
Who is the Chief of Pharmacy?
The goal to use alarms safely focuses on critical alarms mainly associated with this
What is medical equipment?
Call this department when you want to report a phishing email
What is IT (or MIS)?
When an exposure to a patient's bodily fluids occurs, an employee needs to contact the Employee Health Nurse and immediate Supervisor and be evaluated for exposure to these
What is bloodborne pathogens?
The three reasons covered entities, such as healthcare providers, are allowed to use and share PHI without requiring patient authorization
What are treatment, payment, and healthcare operations?
Individuals collectively tasked with overseeing the hospital's Patient Safety Program
Who is the Patient Safety Committee?
Communication of these results is the primary focus of Goal 2
What are critical test results?
Call this person when you have a Medicare patient who wants to appeal their discharge
Who is the Compliance Officer?
The second tier of basic infection control and are to be used in addition to Standard Precautions for patients who may be infected or colonized with certain infectious agents
What are transmission-based precautions?
Federal entity for enforcing of HIPAA compliance
What is the Office of Civil Rights?