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High Reliability (HRO)
Leadership and Performance Improvement
Environment of Care
Infection Prevention
National Patient Safety Goals
100
Provides safe, high-quality community-based healthcare and access to tertiary care in close collaboration with BIDMC, regardless of the patient's ability to pay, race, color, ethnicity, religion, gender, gender identity, sexual orientation, national origin, ancestry, age, genetics, or disability.
What is the BID-N Mission Statement?
100
BIDN Drive to ALWAYS: Quality Service People Financial Growth/Community
What are the Pillars of Commitment?
100
Safety, Security, Hazardous Materials, Fire Safety, Equipment Management, Utilities Management, Life Safety, and Emergency Management.
What are the individual plans that make up OUR Environment of Care program?
100
The length of time that is needed for WET/Contact time for patient care items that are disinfected with RED TOP Steris Coverage Plus germicidal wipes
What is two (2) minutes
100
Always use PATIENT NAME and DATE of BIRTH as unique identifiers when providing treatment and medication at BIDN
What are the patient identifiers used at BIDN?
200
Accountability, Compassion, Professionalism, and Respectfulness
What are the CORE VALUES for BIDN?
200
This group holds the ultimate responsibility for BIDN organizational quality programs and monitoring of performance improvement
Who are the Board of Trustees?
200
Response to report a threatening person with a weapon, c Call 911 Then call x3-3737
What is WEAPON THREAT?
200
Before touching a patient, before a procedure, after a procedure or body fluid exposure risk, after touching a patient, and after touching patient surroundings
What are the FIVE moments of HAND HYGIENE?
200
At the time of admission obtain a home medication list, compare it to hospital medications prescribed, and RECONCILE at discharge. Provide a WRITTEN list to the patient
What is Medication Reconciliation?
300
Leadership commitment, safe culture, and robust systems and process and process improvement system
What is TJC Model to Guide Healthcare organizations toward HIGH RELIABILITY?
300
The process used to evaluate a system or process for risk, understanding the consequences of the risk and identification of ways to improve the system/process.
What is a risk assessment?
300
R.A.C.E. Rescue, Alarm (Activate), Contain, Extnguish CODE RED
What is the acronym for YOUR role in case of a fire?
300
WHEN hands are visibly soiled.. AFTER contact with a patient or their surroundings on contact+ precautions... AFTER using the restroom
What are the times that ALCOHOL-BASED (Purell) hand gel is contraindicated for hand hygiene
300
Write Down, Read Back, Report to responsible provider.
What is the protocol when a critical lab result is reported to you?
400
Preoccupation with failure Reluctance to simplify Sensitivity to operations Commitment to resilience Deference to expertise
What are 5 characteristics of an HRO?
400
These federal regulations are the requirements for organizations to provide care to patients and serve as the foundation of the JC standards and scoring methods.
What are the CMS Conditions of Participation (CoP)?
400
You notice a stained ceiling tile, a trip hazard, a ripped seat on a patient chair...You would
Complete a WORK ORDER for Facilities? If an environmental EMERGENCY you would PAGE 97847
400
A type of precaution that TJC will expect to see our staff wearing a gown and gloves if their "clothing will have direct contact with the patient or potentially contaminated surfaces or equipment that is in close proximity to the patient
What are CONTACT Precautions?
400
The BIDN leadership established Alarm System Safety as a hospital priority. Clinicians elected to prioritize this type of alarm initially due to the medical significance of and the potential risk to patients should these alarms malfunction or go unattended
What are TELEMETRY alarms?
500
The highest quality of care and services are provided in a safe environment and processes ALWAYS: Every Patient and EVERY TIME
What is a HIGHLY RELIABLE ORGANIZATION?
500
This is the Way we have always done it! It is going to be fixed in the Meditech 6.1 upgrade! I don't need an order, I just know how to do it!
What Not to Say to the Joint Commission
500
Clinical leader in the department
Who can authorize the shut off of medical gas?
500
Equipment nurses, respiratory therapists, housekeeping, maintenance, and technicians MUST wear when entering an isolation room of a patient on AIRBORNE Precautions for possible TB, or when performing cough inducing procedures on patients at high risk for TB
What is an N95 Respirator?
500
This standardized process is conducted with a full attention of the ENTIRE team immediately PRIOR to the start of ANY invasive procedure to assure that the correct patient, correct site, and correct procedure is done.
What is TIME OUT?