The online system we use to report adverse events.
What is ComplyTrack?
100
The member of Senior Management Team responsible for updating the “Do Not Use” Medical Abbreviations Policy and communicating any changes.
What is the Medical Director?
100
The process undertaken twice a year by the Medication Management Committee to identify products and quantities of opioids.
What is the narcotics audit?
100
The document that directs activities and assign resources and responsibilities to evaluate and address client safety issues, manage client safety risks and identify staff training related to client safety.
What is the Client Safety Plan?
100
The HR team member responsible for quarterly hand hygiene audits.
Who is Cheresa Bacchus, HR Advisor?
200
The Board Committee that reviews quarterly incident reports and makes recommendations to management about improveming quality and the standard of our care.
What is Quality of Care Committee?
200
Known as the ISMP, we use their list of Dangerous Abbreviations to guide clinicians for safe charting.
What is the Institute for Safe Medication Practices?
200
High dose unfractionated (50,000 units total per container), in any client service areas or as stock medication.
What are Heparin dosages we do not allow at Sherbourne?
200
The company that provides our preventive maintenance service for medical devices and equipment, they're the people that pick up the phone when you call the 1-800 number on the red quarantine tags.
What is Aramark?
200
The place where we've outsourced our clinical instruments sterilization.
What is Toronto General Hospital?
300
Also known as a 'Sentinel Event', it results in serious harm (loss of life, limb or vital organ) to the client or staff, and requires immediate investigation and response.
What is a Critical Incident?
300
The frequency of EMR audits for documentation compliance.
What is twice a year ?
300
NOT found in the SHC Formulary: Calcium salts with concentrations greater than or equal to 10%; Magnesium sulfate with concentration greater than 20%; Potassium salts with concentrations greater than or equal to 2mmol/mL or 2mEq/mL; Sodium acetate and sodium phosphate at concentrations greater than or equal to 4mmol/mL; Sodium chloride at concentrations greater than 0.9%.
What is concentrated electrolytes?
300
OHA training modules; class-based ComplyTrack training; hand hygiene videos; information sessions on Dangerous Abbreviations, are all examples of focused learning areas in this document.
What is the Client Safety Plan?
300
OHA training, posters in the elevators and lobbies; selfies with Handy Helga.
What is hand hygiene education measures at Sherbourne?
400
The timeframe in which Adverse Events, Critical
Incidents and Near-Misses must be reported in ComplyTrack, unless there are extenuating circumstances.
What is 'before the end of the shift'?
400
The first steps in verifying a client's identity before providing healthcare services, procedures or administering meds.
What is asking the client to state their full name and date of birth?
400
Fentanyl ampules or vials with total dose greater than 100mcg per container; HYDROmorphone ampules or vials with total dose greater than 2mg; and Morphine ampules or vials with total dose greater than 15mg in adult care areas and 2mg in pediatric care areas.
What is High Dose Opioid formats?
400
Regular de-escalation training; personal duress alarms; brightly lit public spaces; closed circuit cameras; trained security guards on-site 24/7; plastic utensils in the café; accompaniment for staff doing home visits.
What are protective measures in the Workplace Violence Prevention Policy and Program?
400
Rooms 1016; SICK BAY (room 2037); Annex room 2080; Infirmary Exam rooms 3031 and 3032.
What is the soiled utility room?
500
Adverse events or unanticipated outcomes involving clients. These are communicated to the client and relevant members of the health care team as soon as possible, then documented and certain supports offered.
What are incidents requiring disclosure?
500
An acceptable client identifier if the SHC staff person has an established relationship with the client.
What is being "known to me"?
500
In the rare event that a client requires a parenteral opioid, the clinical provider responsible for the client will submit a request to this standing committee.
What is the Medication Management Committee?
500
The group of staff who participated in the development of the Workplace Violence Prevention Policy and Program using a risk assessment tool by the OHSCO.
What is the Joint Health and Safety Committee (plus selected other experts)?
500
78% in Primary Care.
30% at entry and exit.
We can always do better!