an unusual event/outcome that could potentially or actually does result in personal injury
What information needs to be reported?
100
Our standard safety check when administering medications
What is the Care Mobile device?
100
Once a critical lab result is received and verified, how long do you have to notify the physician?
What is one hour?
100
OMC's performance method
What is PDSA (Plan-Do-Study-Act)?
100
2 minutes for purple top
3 minutes for white top
5 minutes for bleach wipes
What are the "wet times" for various disinfecting wipes?
200
-surgery on wrong body part or patient
-retained foreign object after invasive procedure/surgery
-discharge of infant to wrong family
-infant abduction
-unanticipated death of a full-term infant
-maternal death
What are examples of a sentinel event?
200
Patient
Drug
Dose
Route
Time
What are the 5 rights of medication administration?
200
Where can you find hospital policies/procedures?
What is "Policies and Procedures- OMC" under hot links on the intranet home page?
200
current quality improvement projects in TBP & SCN
What are alarm fatigue, OB hemorrhage, clotted CBCs, hand hygiene, exclusive breast milk feeding, early elective deliveries, CAUTIs, CLABSIs/hospital acquired CL infections, quietness?
200
FIFO stands for....
What is Foam In, Foam Out
300
Investigation to determine why something occurred. Focuses on systems and processes, not individual performances.
What is a Root Cause Analysis (RCA)?
300
high alert medications in TBP & SCN are....
What are oxytocin, insulin, magnesium sulfate, heparin, epidural & PCA infusions, TPN/PPN?
300
The operator should confirm power settings on this piece of equipment before activation for surgery.
What is the ESU (electrosurgical cautery)?
300
occurs every Tuesday throughout the hospital to create/promote a culture of safety
What is "Patient Safety Rounds"?
300
How do you know if a provider is qualified to perform various procedures
What is "Clinical Privileges Inquiry"?
400
Risk Manager
President of Medical Staff
CEO
Who should be contacted if you identify a possible sentinel event?
400
Med rec list should not be "completed" if there are meds with this status
What is "investigating" status?
400
Prohibited on all premises of OHSI
What is smoking and tobacco use?
400
TJC Perinatal Core Measures
What are Early Elective Deliveries, Nulliparous C/S, Antenatal Steroids (>24wks <34wks), Healthcare associated blood stream Infections in Newborns, Exclusive Breast milk feeding during hospitalization?
400
stored in a segregated way, labeled "unopened/full" or "opened" (empty or partially filled)
What are portable oxygen tanks?
500
A proactive investigation to determine how a process could fail.
What is a Failure Modes and Effects Analysis (FEMA)?
Medication reconciliation, alarm monitoring, & risk for hospital acquired C-diff have been evaluated using FEMA;
med rec process changed as a result
500
IV pumps can improve safety of medication administration by these two mechanisms
What are preventing free flow of infusion and preventing dosage errors through use of guardrail parameters?
500
Which high-alert drugs are used in TBP and where do you find a list of them?
What are oxytocin, magnesium sulfate, insulin, heparin, lovenox, and TPN. The list is posted by our main pyxis and also found in the High-Alert Medication Management policy.
500
The CUS technique for improving effectiveness of communicating a concern stands for...
What is C- Concerned, U - Uncomfortable, S - Safety Issue?
500
the emergency number to call for OMC codes other than code blue