Show:
Safety First
Be a HeRO
It's All About Culture
Speak Up For Safety
Acronyms
100
What are you supposed to do every time you enter and exit a patient room?
Wash your hands.
100
These brief and routine meetings among a team are held to share information about potential or existing safety issues facing patients or associates.
Safety Huddles
100
A culture in which front-line operators and others are not punished for actions, omissions or decisions taken by them which are commensurate with their experience and training, but where gross negligence, willful violations and destructive acts are not tolerated.
Just Culture
100
How do you access the Patient Safety Event Management System (PSEMS)?
Starport: under "Application Quick Links" or Cerner: under "Links"
100
SBAR - Facilitates prompt and effective communication. S:___ B:___ A:___ R:___
Situation, Background, Assessment, Recommendation/ Request
200
How many stretchers are allowed to be stored in the hallway on a nursing unit?
None
200
These team members contribute to a high reliability culture by providing real-time feedback about practice and compliance with our safety behaviors and error prevention tools and help to prevent events of harm.
Safety Coaches
200
This story featuring a confusing glucometer reading has become an example of just culture and human factors collaboration at MedStar. ____Get Your Gun.
Annie's Story
200
What should you report in the Patient Safety Event Management System (PSEMS)?
Anything that could ultimately affect the safety of our patients, visitors and associates.
200
SOPSC- This staff survey, developed by the Agency for Healthcare Research and Quality (AHRQ), is administered to help assess perceptions of safety culture within a hospital. S:___ O:___ P:___ S:___ C:___
Survey On Patient Safety Culture
300
Leaving side rails up and ensuring that call lights and personal possessions are within a patient's reach are examples of ways to prevent __________?
Falls
300
What does the S in the SAFE toolkit stand for?
Speak Up for Safety
300
True or False: The "blame" approach to medical error reflects the understanding that human perfection is unattainable.
False
300
Why is it important to report in the Patient Safety Event Management System (PSEMS)?
Identify problems, Build reliable systems, Improve safety
300
STAR - A four step process used to self-check and focus on tasks S:___ T:___ A:___ R:___
Stop, Think, Act, Review
400
This element of Universal Protocol performed in the OR immediately before a planned surgery serves as a final reassurance of accurate patient identity, surgical site and procedure.
The Time Out
400
Name one HRO principle.
All correct: Deference to Expertise, Preoccupation with Failure, Failure to Simplify, Commitment to Resilience, Sensitivity to Operations
400
This former Boeing aircraft engineer first coined the term just culture, not be confused with the one that wrote The Communist Manifesto.
David Marx
400
Name the communication technique that can effectively convey information related to a safety event.
SBAR: Situation, Background, Assessment, Recommendation/Request
400
NPSF - This organization engages key stakeholders to advance patient safety and disseminate strategies to prevent harm. Also sponsors National Patient Safety Awareness Week. N:___ P:___ S:___ F:___
National Patient Safety Foundation
500
This term used by The Joint Commission defines an adverse event in which death or serious harm occurs, usually referring to events that are unexpected or unacceptable.
Sentinel Event
500
The E in the SAFE toolkit represents Effective Communication, Every time. Give an example of how we can practice using effective communication.
All correct: SBAR, Read and Repeat Backs, Communication Clarifiers
500
This Dutch engineer has been a prolific writer of books on the subject of just culture and patient safety, Safety Differently: Human Factors for a New Era (2014), Second Victim: Error, guilt, trauma and resilience (2013), Just Culture: Balancing Safety and Accountability (2012) to name a few, just don’t hit the “Dekk” when you see him.
Sidney Dekker
500
What was the first form changed during the recent revision project that took place in the Patient Safety Event Management System (PSEMS)?
Medication/Fluid Form
500
ARCC - Tools that can be used to Speak Up For Safety A:___ R:___ C:___ C:___
Ask a question, Request a change, voice a Concern, use the Chain of Command