Definitions
The prevention of harm (accidental or preventable injury) to patients.
What is Patient Safety?
The reporting system used to track safety trends at Porter Medical Center.
What is SQSS (Strategic Quality Support System)?
The online system where you can file a safety incident, near miss, or Great Catch.
What is SQSS?
When the action of a staff, practitioner, or patient prevents an error from reaching the patient.
What is a Near Miss?
When a form is found in the paper chart that does not belong to the current patient.
What is mis-filing or mis-labeling of patient information?
A new initiative at Porter Medical Center where staff share safety concerns, trends, and solutions.
What are Safety Huddles?
Preventable adverse events.
What is an error?
When medications are taken out of their secured areas and left at the patients bedside, at the desk, or other common areas.
What are unsecured medications?
The learning opportunity available to all staff in 2018 where they are provided professional development and work in a group on a safety initiative at Porter Medical Center.
What is the Patient Safety Fellowship?
A culture where individuals are held accountable for intentional unsafe acts but recognizes that individuals make unintentional errors and aren't responsible for systems failures (no blame).
What is a Just or Safety Culture?
The type of error when medications are not given at the right time or the right dose.
What is a medication error?
When an individual purposely voices concern for the safety of a patient to prevent an possible error or unsafe condition.
What is Speaking Up or Patient Safety Advocacy?
An event that reaches a patient and results in death, permanent harm, or severe temporary harm that requires intervention to sustain life.
What is a Sentinel Event?
The systematic breakdown of an event where contributing factors are discussed and causal factors are identified to find the "root" of an error?
What is Systems Analysis or Root Cause Analysis?
The proactive monitoring and evaluation of everyday processes, methods, and workflows where possible safety concerns are identified before they impact a patients care.
What is a Great Catch?