SLS Event Categories
Emotional Distress; Restraint-related Head Injury, Non-Head Injuries, and Deaths are reported under this SLS category
What is Restraints?
The easiest and most effective method of reducing the spread of infection
What is Hand Hygiene?
or
What is washing your hands?
PSAW
What is Patient Safety Awareness Week?
An alert of an armed shooter on campus
What is Code Black?
A patient with a yellow clasp on their identification band is at risk for this
What is a fall?
Abrasion, Blister, Laceration, Ulcer, Rash/Hives, and Wounds are reported as this SLS event category
What is Skin/Tissue?
These two patient identifiers are used prior to administering medications, performing treatments, obtaining and labeling any specimens at bedside, and prior to administering any blood products.
What are Full Name and Date of Birth?
or
What are Full Name and Medical Record Number?
RCA
What is Root Cause Analysis?
An alert of when a person’s heart stops beating or they stop breathing
What is a Code Blue?
Multidose vials, once opened, should be labeled with a new expiration date not to exceed this
What is 28 days?
Failed Intubation, Medical Gas Problem, Rate/Flow/Concentration Incorrect, Missed Treatment are reported in this SLS category
What is Airway Management?
The goal of this safety measure is to provide correct medications to the patient at all transitions points within the hospital and prevents errors
What is Medication Reconciliation?
SBAR
What is Situation, Background, Assessment, and Request or Recommendation?
An alert when a child cannot be located
What is Code Pink?
Specimen containers are labeled in the presence of this person to avoid errors
Who is the patient?
Break in Sterile Technique, Perforation, Unexpected Return to OR, and Procedure Delay are reported under this SLS category
What is Surgery/Procedure?
Non-slip socks, locked wheels, bed set in the lowest position, call light within reach, bed alarm, patient sitter, etc. are used to prevent what?
What are patient falls?
PDSA
What is Plan Do Study Act?
An alert for a security disturbance
What is a Code 60?
Mg, MgSO4, MSO4 have been shown to lead to medication errors due to confusion. They have been added to a hospital list of
What is unapproved abbreviations?
or
What is Do Not Use abbreviations?
Electrical Shock to Patient, Timeliness Response to Order, and Visitor Policy Issues are reported under this SLS category
What is Provision of Care?
A final assessment to confirm correct patient, site, and procedure have been identified prior to surgery or a procedure
What is a Time-out?
HIPAA
What is Health Insurance Portability and Accountability Act?
An alert for smoke or flame
What is Dr. Burnsite?
This is used to reinforce patient handoff between patient care areas when the patient is transported without a nurse escort
What is a Ticket to Ride/Return?