The Swiss Cheese Model is a metaphor for.
What is system failure?
Unusual or unexpected events, near miss events, and events when harm reaches the patient are times when you should submit this.
What is an iCare?
The Garibaldi is the State Marine Fish of this State.
What is California?
We all have a ____ to raise concerns when safety is compromised.
What is responsibility?
In 2022, we changed our name from LPCH to SMCH. "SMCH" stands for.
What is Stanford Medicine Children's Health?
The elephant metaphor refers to capturing each individual's _______?
What is perception/view point?
A Guiding Principle when addressing iCare is “everyone comes to work to do their…”
What is “best?”
This professional basketball team is the only team in California that truly matters and won the 2022 NBA champs.
Who are the Golden State Warriors?
A Guiding Principle when addressing iCare is “staff should be…”
What is “supported?”
Prior to rebranding, LPCH stood for.
What is Lucile Packard Children's Hospital?
This iceberg metaphor refers to _____ ______ and needing to raise more awareness to our safety risks.
What is incident reporting?
When a mistake happens and the focus is on looking at the existing systems in place instead of assigning blame, it demonstrates this type of culture.
What is a culture of safety?
This animal is on the California flag.
What is a grizzly bear?
This person’s point of view is essential to understanding an event.
Who is the iCare submitter?
David Packard co-founded this company in 1939.
What is Hewlett Packard?
The spilled pasta metaphor refers to needing to be ______ with how we address safety risks in order for there to be continued engagement in incident reporting.
What is transparent?
When Patient Safety reviews iCares, this type of error is fundamentally rejected as the root cause.
What is human error?
This is the state flower of California.
What is the California Poppy?
“The problem is seldom the fault of an individual; it is a fault of the system. Change the people without changing the system and the problems will ____.”
What is continue?
David and Lucile Packard met at this university.
What is Stanford University?
Name 3 defense mechanisms in the Swiss Cheese Model.
What are:
-policy/procedures
-training
-environment
-equipment
-communication
-competency
-uncontrollable factors?
Name at least 3 parties that review iCares daily.
What is:
-primary unit leadership
-secondary location leadership
-subject matter experts
-Patient Safety
-Associate Chief Nursing Officers
-Chief Nursing Officer
-Chief Operating Officer
This is the California State Bird.
What is the California Quail?
This is the overall goal of submitting iCares.
What is create awareness to the gaps in our systems and processes?
The Main building opened this year.
What is December 9, 2017?