Quality Improvement
All hospital employees must be wearing this above their waist.
What is an employee ID badge?
Best practices for patient identification
What is "use two patient identifiers"? or What is "ask patient name and birth date"? include MRN if twin or triplet.
The best way to reduce the risk of health-care associated infections.
What is practicing good hand hygiene?
Appropriate response for a fire emergency
What is (RACE) Rescue, Alarm, Confine, and Extinguish or Evacuate?
Run, Hide, Fight. Look for doors with Gold Locks stickers. These are doors you can lock.
What is the Active Shooter Response?
Alerts and response when medical equipment is out of temperature and humidity range.
What is Use Alarms Safely?
To ensure the highest quality care and compassion is delivered, this tool is used to measure the patient experience using patient feedback.
What is NRC Picker surveys?
Transfer of care communication for non-emergent patients. Transfer of care for emergent patients.
What is a IPASS? (I-illness; P-patient summary; A-action; S-situation awareness; S-synthesis hand-off of care).
What is SBAR? (situation; background; assessment; recommendations).
Scrubs, gowns, hats, Eye protection, N-95 masks, gloves.
What is personal protective equipment (PPE) required for all aerosol generating procedure?
The resource that contains information about all chemicals and hazardous substances that we have on site, such as cleaning solutions.
Material Safety Data Sheets (MSDS)
An accident, disturbance, unfavorable circumstance, unsafe condition, or event not consistent with usual patient care and institutional operations that affects a patient, visitor or environment of the institution.
What is a reportable event?
Monitor patients' emotional state and identify those who may be at risk for...
What is Suicide?
An occurrence that results in serious patient harm, often loss of limb or life
What is a sentinel event?
Includes pre-procedure verification process, site marking and time out
What is Universal Protocol?
The PPE that must be worn for patients on Airborne plus Contact Isolation Precautions
What is a gown, gloves, eye protection and N95 Respirator?
The location of the IFUs (Instructions For Use for medical equipment and supplies).
What is the OneSource? Located in COA Resources.
An event reporting tool designed for capturing and analyzing safety concerns reported by any workforce member.
What is a PSR (Patient Safety Report)?
Identifying patients correctly includes these two patient identifiers
What is name and date of birth?
ADE (adverse drug event); CLABSI(central line acquired blood stream infection); CAUTI (Catheter Acquired Urinary Tract Infection); FALLS; Pressure Injuries; SSI (surgical site infections); VTE (Vein/Thrombo Embolism); UE (unplanned extubations)
What is Solutions for Patient Safety HAC bundles?
Written consent; Informed consent; blood consent
What are the 3 parts of surgical consent?
A medical condition or complication that a patient develops during a hospital stay, which was not present at the time of admission.
What is a Hospital Acquired Condition (HAC)?
The minimum distance that an item or storage should be placed from the ceiling.
What is 18 inches?
An act or threat occurring at the workplace that can include verbal, nonverbal, written or physical aggression; threatening; bullying or sexual harassment.
What is Workplace Violence?
This must be communicated to the right clinician on time.
What is Critical Test Results?
1. Is the surgical site above the xiphoid?
2. Does an oxygen source exist as a result of the patient receiving supplemental oxygen?
3. Is an ignition source such as an electrosurgery unit, laser or fiber optic present?
What is Fire Risk assessment?
Must be kept clean, no longer than 1/4 inch with no polish.
What are finger nail requirements for scrubbed personnel?
Minimum distance from the floor that an item can be stored ?
What is 8 - 10 inches?
Psychiatric Intake Response Center.
What is the PIRC team?
Correct Surgery done on the correct patient; Correct Site marked on patient's body; Surgical Timeout
What is universal protocol?