2025 National Patient Safety Goals
Performance Improvement
Environment of Care
Provision of Care
Life Safety
100

How do you properly identify a patient before administering medications, performing procedures, or providing treatments?

Use at least two patient identifiers (Name and Date of Birth) 

100

What are our current Performance Improvement Initiatives in CSC or BH.

CSC: 

Benefit Verification

Sitzmarks

Fine Needle Aspiration 

Wound Care

Call Triage

Press Ganey


BH: 

Benefit Verification

Treatment Plans

Discharge Lists

Controlled Substance Agreement and Policy Review

Press Ganey

100

Where is the closest eye-wash station?

CSC and BH/PCP med rooms

100

What standard tool do we utilize in screening someone for suicidality?

Columbia Suicide Severity Rating Scale

100

Where are Material Safety Data Sheets stored?

On the portal and library!

200

What is our standardized hand-off tool for transition in care?

SBAR
200

Where do you report patient safety concerns?

Clarity

200

Name 3 different types of things in your environment that will automatically trigger a Joint Commission Surveyor

Examples: 

open food and drinks

Cardboard

Visible patient information

Whiteboards/Communication boards up to date

Visible tape

200

How can you check to see if an instrument is sterile?

Verify package integrity, check sterile indicator, make sure instrument is open using items to hold them open.

200

What do you say to a surveyor if you do not know an answer to a question?

Be honest and explain how you would find the answer. 

300

Before a surgery or invasive procedure how do you perform a time-out?

Verify consent is signed. 

Verify the correct patient, procedure, and correct site. 

300

What is your appropriate Chain of Command for escalating patient care concerns?

Coordinator, Director, Senior Leader, CEO

300

A piece of equipment is broken. What are your steps?

Tag malfunctioning equipment, remove from patient care, and notify director and maintenance. 

300

How do you transfer a soiled item to central sterilization?

Wipe down bioburden off of the instrument.

Put in a red bin

spray with enzymatic spray

close and transfer over to surgery.

300

There is a missing child reported by a parent. What do you do?

Refer to your badge. 

Dial 8989, Page "Attention Please: Missing person + Description of the child."

400

What are the WHO's five moments of hand hygiene?

1. Before touching a patient.

2. Before a clean or aseptic procedure.

3. After body fluid exposure.

4. After touching a patient. 

5. After touching patient surroundings. 

400

A patient's mother calls in stating she would like to know the results of her adult child's MRI. What do you need to do?

Check Crossing Rivers Health Consent for verbal authorization sheet to see if you can release that information as the patient is an adult. 

400

Demonstrate how you shut off the emergency shut off for oxygen.

Demo

400

If you use a multi-use vial for medications what do you need on it?

opened date AND discard date

400

How do we prepare for emergencies?

Review the safety plan, participate in drills, and keep our contact lists updated. 

500

Name the 8 Medication Rights

Patient

Route

Dose

Time 

Medication

Reason

Documentation

Response

500

A patient states they are concerned they have chicken pox. What do you do? 

Place patient in a room and notify the provider. Don PPE

500

How much clearance above and below do you need for storage of medical equipment?

Maintain @ least 18 inch clearance below sprinkler heads and a 6 inch clearance above the floor for stored item to ensure fire safety and cleanliness

500

How often do you need to reprocess scopes if they are hung?

Every 7 days

500

You have an active fire in the department what do you do?


RACE: Rescue, Alarm, Contain, Extinguish/Evacuate

Pull the fire alarm and get the fire extinguisher

PASS: Pull, Aim, Squeeze, Sweep