HAI & MDRO
What are Healthcare-associated infections (HAI) & Multiresistance Drug Organism (MDRO)?
This NPSG requires staff to follow hand-cleaning guidelines and set goals for improving hand hygiene.
What is Prevent infection?
mane, RMN,
BOD, NSS
hpneo unbmer
daressd
What are patient identifiers?
RACE and PASS
What are
R=Rescue all pts, visitors, and staff from fire area.
A= Activate the alarm & call 911 inside GMH and 9-911 for all other facilities.
C= Contain the fire, if Possible by closing all corridor doors.
E= Extinguish fire, if possible, Evacuate, if necessary.
Pull the pin.
Aim at the base of the fire.
Squeeze the top handle or lever.
Sweep from side to side
Snooping on healthcare records
Insufficient ePHI Access Controls
Failure to Use Encryption to Safeguard ePHI on Portable Devices
Impermissible Disclosures of Protected Health Information
Improper Disposal of PHI
What are HIPPA violations?
SBAR
What is Situation, Background
Assessment, and Recommendations?
SBAR is completed whenever there is a transfer of responsibility.
Supports the NPSG- Improve staff communication
NPSG "____ ______ _____" requires us to make improvements to ensure that alarms on medical equipment are heard and responded to on time.
What is Use Alarms Safely?
When armbands are used as a means of conveying pt identification info, the band must be
ttacheda
to the pt at all times. Simply placing it on the bedside table or taping it to the bed are not be acceptable
What is attached to the patient?
NPSG: Identify patients correctly
There's a lot of change occurring within our organization; we are all excited and would like to broadcast it however combustible decorations are a potential
_ _ _ e h_ _ _ _ _ that could hurt our JC Survey!
What is a fire hazard?
The NPSG "Improve Alarm Safety" came about after deaths attributed to
"A __ __ __ __ Fa _ _ _ _ _" a situation in which staff become overwhelmed by alarm signals resulting in them being turned down or off outside of safe limits.
What is alarm fatigue?
NPSG- Improve Alarm Safety
NPSG
What are the National Patient Safety Goals?
This NPSG is addressed with the following practices
1. Before a procedure, label medicines that are not labeled.
2. Take extra care with pts on blood thinners.
3. Give the pt written info about their medicines.
What is Use medication safely?
andh egyhine is the single most important procedure for the prevention of healthcare
What is hand hygiene?
NPSG: Prevent infection
Griddles, Hot Plates, Waffle Irons, Electric Skillets, George Foreman Grills, Toaster Ovens, Sternos & Crock Pots are items confiscated by security and are
non-ap _ _ _ _ _ d h_ _ t-producing devices.
What are non-approved heat-producing devices?
404-717-0135
What is the phone number for the Rapid Response Team?
Anyone can call
PHI and HIPPA
What is Protected Health Information and
Health Insurance Portability and Accountability Act?
Mitigating suicide risk, including conducting an environmental risk assessment, monitoring at-risk pts, and using safe transportation procedures when moving pts
What is Identify Patient Safety Risk?
r e a b k -the- l a g s s
is a security tool within EPIC utilized to uphold the HIPAA Privacy Rule regarding access and use of electronic Protected Health Information (ePHI)
What is Break-the-glass?
Healthcare facilities will first evacuate __________ and then _________ if warranted.
What are horizontally and vertically?
The most common sentinel events are
w_ _ _ g-s_te surgery,
f _ _ _ _ _ _ body retention,
& f_ _ _s.
What are Wrong-site, Foreign body retention and falls?
IVYY
What is Interrupting violence in youth and young adults?
The IVYY Project is a hospital-based violence intervention program
NPSG Improve Healthcare Equity
This NPSG addresses the following-
1. Make sure that the correct surgery is done on the correct pt and at the correct place on the pt's body.
2. Pausing before the surgery to make sure that a mistake is not being made
What is Prevent Mistakes in Surgery?
The Teen Experience and Leadership Program and Interrupting Violence in Youth and Young Adults programs are initiatives at Grady to address
e a h l t h q u e i t y
What is health equity?
In the event of a
m_ j _ _ c_______l sp_ _ l
evacuate the staff from the spill area. Supervisors call 911 to initiate a code orange and submit an incident report.
What is a major chemical spill?
An employee holds a door to a secure area for an unauthorized individual or simply does not realize who is following them into the area
What is piggybacking or tailgating?
One of the most common security issues at hospitals across the country.