Keeping them safe
NPSG
Miscellaneous
Risky Business
The three P's (preventing problems proactively)
100
A medication error or reaction to the medication that causes a serious reaction
What is Adverse Drug Event
100

One of the most important things you can do to protect patients.

What is hand hygiene

What is hand washing

100

The response to this code is run, hide, fight

What is a code white

100

An event that is reported in joint patient safety reporting system but it did not reach the patient. It was "caught before this occurred".

What is a near miss. (These are extremely important to report so we can proactively fix problems before they impact anyone at the hospital)

100

Each team member must self-check

What is STAR

Stop / Think

Act / Review

200

The most crucial step to take to prevent medical errors and keeping patient's safe in transitions of care.

What is handoff communication

What is I-PASS

200

This applies to all surgical and nonsurgical invasive procedures. Evidence indicates that procedures that place the patient at the most risk.



What is Universal Protocol

200

Using this equipement aids in stopping the spread of infection

What is a PPE

200

A reportable patient safety event (not primarily related to the patient's natural illness or medical condition) that reaches the patient and results: death permanent harm severe temporary harm

What is a sentinel event

200
One way to prevent this is to ensure healthcare workers work reasonable shift hours and get enough sleep between shifts
What is healthcare worker fatigue
300

To feel empowered to stop a process/procedure from occurring when you feel it will cause harm to the patient or employee.

What is called "stop the line"

300

Reviewing a patient's medication list for accuracy.

What is medication reconciliation

300

To promote a _________ to end preventable patient harm by engaging, educating and equipping patient-care teams to put evidence-based safe practices in place across the organization.

What is culture of safety

300
A process of information exchange between the physician and the patient ( or patient's decision maker)resulting in their authorization to have an invasive procedure performed.
What is informed consent.
300
Written documents or oral statement giving instructions on what a patient wishes regarding care is in case they cannot make decisions for themselves.
What is advanced directives
400

When we use these steps: Rescue; Alarm; Contain; Extinguish/Evacuate

What is RACE

400

Infant/Child abduction


What is a code Pink

400

The process whereby the patient and/or patient's decision maker is informed of an adverse event that resulted in harm. This conversation should be documented in the medical record.


What is disclosure/transparency

400

Professionals who work proactively and reactively to either prevent incidents or minimize damages following an event.

What is a risk manager

400

A short session prior to start in order to share the plan, discuss team formation, assign roles and responsibilities, establish expectations and climate, anticipate outcomes and likely contingencies

What is Brief/Huddle

500

Each team member is responsible for assessing their own safety status

What is I'm Safe checklist

Illness / Medication / Stress

Alcohol and Drugs / Fatigue / Eating and Elimination

500

The form to report product or equipment discrepancies

What is a PDQR-product description quality report

500

A form used when transferring patients between departments

What is Ticket to Ride

500

“A thorough, credible, and acceptable analysis following a patient safety (PS) event that seeks to identify system vulnerabilities so they can be eliminated or mitigated in a sustainable manner to prevent reoccurrence” 

What is a Comprehensive System Analysis?

What is Healthcare Safety Review (formerly called root cause analysis, RCA)?

What is Concise Incident an abbreviated form of CSA that MTFs can use for certain patient safety events, including dental? 

500
The very first step in providing safe care to the right person. This is utilized before providing any treatment, service or procedures, which include administering medications, blood or blood products, transporting, taking blood samples or other specimens for clinical testing.
What is patient identification