Keeping Them Safe
A medication error or reaction to the medication that causes a serious reaction.
What is Adverse Drug Event?
Alert hospital staffs to a fire or probable fire
What is CODE RED?
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 clinic).
Medical errors, such as wrong site surgery are less likely to occur when patients confirm their treatment.
What is patient involvement?
The most crucial step to take to prevent medical errors and keeping patient's safe in transitions of care.
What is handoff communication?
An interdisciplinary process comparing a complete list of medications that the patient has been taking prior to admission, with the medications that will be provided during hospitalization; performed at pre-admission, admission and/or at time of transfer or discharge.
What is MEDICATION RECONCILIATION?
Drugs, which by the nature of their name, are involved in a high percentage of medication errors or other adverse outcomes. Examples include Novolog and Novolin-R, Oxycodone and Oxycontin, Hydromorphone and Morphine, Heparin and Hespan
What are Look Alike - Sound Alike medications?
One way to prevent this is to ensure healthcare workers work reasonable shift hours and get enough sleep in between shifts.
What is healthcare worker fatigue?
To feel empowered to stop process/procedure from occurring when you feel it will cause harm to the patient or employee.
What is called "Stop the Line"
Command Policy is used for serious incident report.
What is Policy #16
The primary objective of SBAR is to provide a standardized form of communication between caregivers in providing accurate, clear and complete information during transitions (“hand-offs”) in patient care. The acronym SBAR represents . . .
What is Situation, Background, Assessment, and Recommendation (SBAR)?
The right patient, the right drug, the right time, the right dose and the right route
What are the 5 Rs in medication?
an evidence-based set of teamwork tools, aimed at optimizing patient outcomes by improving communication and teamwork skills among healthcare teams, including patients and family caregivers.
What is TeamSTEPPS
A multi dose medication vial is good once it has been opened for first use.
What is 28 days?
Examples include central line–associated bloodstream infections (CLABSIs), surgical site infections (SSIs), catheter-associated urinary tract infections (CAUTIs), clostridium difficile infection (CDI), methicillin-resistant staphylococcus aureus (MRSA) and other multidrug-resistant organisms (MDROs).
What are Healthcare Associated Infections (HAI)?
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
These pamphlets are available promote patient awareness and involve patients and families in their care.
What are the SPEAK-UP pamphlets?
A voluntary confidential, non-punitive reporting system available to collaborate with both private and federal medical facilities.
What is Patient Safety Reporting System?
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?