Respond Immediately
This is the name of CarePartners event management system
What is RL6?
The most important person to speak with when a patient safety event has happened
Who is the patient/caregiver on behalf of the patient?
To understand what happened, why it happened, and what can be done to prevent recurrence are the key purposes of what activity lead by the Quality and Patient Experience Team
What is the event review process?
We want to be this when investigating so that we are fair
What is nonbiased, nonjudgmental or objective?
Ensuring actions are completed, shared, and embedded into practice
What does “closing the loop” mean?
This ‘R’ is part of the immediate response by our frontline staff when a patient safety event occurs
What is report?
The family complained that the nurse did not insert the catheter correctly and caused patient injury. This is an example of….
What is an allegation of improper/incompetent service delivery?
Having various departments and roles involved in the event review process/meetings helps us do this?
What is an integrated approach?
This electronic system can be used as a source of information to help in your investigation
What is Procura?
Managers should always follow up with this person(s) to close the loop
Who is the patient/family?
When a patient safety event has occurred, this action can prevent continued harm to the patient
What is stopping the process/pump/practice?
The Retirement Home complained that the CSW became frustrated while caring for the patient and yelled at them several times because they were not following verbal directions. This is an example of…
What is an allegation of abuse by HCP?
Doing this during event review meetings helps to makes them feel collaborative and supportive
What is open dialogue, clear expectations, and follow-up communication?
The number of days that cannot pass before following up with a complainant about allegations of improper or incompetent service delivery
What is 10?
This is one way to promote organization-wide improvements
What is sharing learnings/case scenarios?
This action preserves important details about what happened
What is documenting the facts of the event?
After speaking with people involved, this action ensures that your report is as accurate as possible
What is verify statements?
This activity help us go beyond surface-level issues to find deeper causes—like workflow issues, or communication breakdowns
What is a Root Cause Analysis?
This type of entry can be used to document follow-ups after a risk event has been submitted
What is a RL6 follow-up entry?
Managers may have to do this, potentially multiple times, after a HCP has been through a traumatic event
What is offer support?
This is your first question after being alerted to a patient safety event
What is ensure the patient is safe?
This is the phrase to remember when investigating a patient safety event
What is lead with the what, not the who?
A supportive tone, no-blame approach, clear expectations, and validation of the emotional toll involved does what
What is makes an investigation psychologically safe for staff?
The number of days that cannot pass before following up with a complainant about alleged abuse or alleged neglect by a HCP
What is 10?
Without this, staff may not know how their involvement in reporting risk events led to change
What is feedback or communication of outcomes to frontline?