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Keeping them safe
Creepy crawlys
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 wash your hands
100
The response to this code is run, hide, fight
What is a code silver
100
An event that is reported in the incident reporting system but it did not reach the patient, employee or visitors. 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
Medical errors, such as wrong site surgery are less likely to occur when patients confirm their treatment.
What is patient involvement
200
The most crucial step to take to prevent medical errors and keeping patient's safe in transitions of care.
What is handoff communication
200
One way to prevent this infection from occurring is to ensure that the need for it's continued use is evaluated daily and discontinued as soon as possible.
What is Catheter Associated Urinary Tract Infection (CAUTI)
200
A legal document that can be served to an individual that requires them to appear in court. It cannot be avoided!
What is a subpoena
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
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
This is an involuntary admission and examination of an individual who poses a harm to themselves or others. Patients admitted under this "act" can refuse treatment but cannot leave the hospital until it is lifted.
What is a baker act
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
400
Licensed professionals who work proactively and reactively to either prevent incidents or minimize damages following an event.
What is a risk manager
400
This is a proactive model to identify weak areas that could be improved prior to an incident or event occurring. Risk reduction techniques are developed from the results of this review.
What is failure mode effects analysis (FMEA)
500
The lines of authority and responsibility within the hospital administration and medical staff governance structure in which employees should follow to help facilitate resolutions with patient care or hospital issues.
What is chain of command.
500
The process utilized when a major patient safety event occurs. This process focuses on system failures, not individual performance and looks for the "root" of what caused the event to occur.
What is root cause analysis (RCA)
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