Show:
Risk Management
Odds & Ends
Culture of Safety
Communication
Patient-Focused Items
100
Any process variation or error that could have resulted in harm to a patient, visitor, or staff but through chance or timely intervention, did not reach the individual.
What is a near miss?
100
Performing this action is the number one evidence-based method to prevent infection.
What is Hand Hygiene?
100
The process during any invasive procedure in which you confirm correct site, side, level, procedure, & patient.
What is time out?
100
A method for patient education that has them repeat back the information that they understood.
What is teachback?
100
The name of the scale used at time of admission to determine a patient's risk for skin breakdown.
What is the BRADEN scale?
200
The critical time for good handover communication, to promote patient safety and reduce readmissions, when patients change units or are discharged.
What is transitions of care?
200
Topics originated by the Joint Commission to promote and enforce major changes in patient safety in thousands of participating health care organizations in the United States.
What are the National Patient Safety Goals?
200
Patient-centered high-quality, safe, reliable healthcare. Journal of Healthcare Quality Vol. 35, No.3, p.8
What is what every patient deserves?
200
When any healthcare professional calls a halt to a procedure related to safety issues.
What is "Stop the Line"?
200
The required form in Vermont to make sure patients wishs for end of life treatment are honored no matter where they are.
What is the COLST form?
300
A structured strategic framework for safety improvement that integrates communication, teamwork, & leadership to support a culture of patient safety that can prevent harms. Provides frontline staff with tools to do this.
What is Comprehensive Unit-based Safety Program (CUSP)?
300
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?
300
The extent to which team members are aware of the status of a particular clinical event, the status of the team's patients, and operational issues impacting the team.
What is situational awareness?
300
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)?
300
These two patient identifiers are used prior to administering medications, performing treatments, obtaining and labeling any specimens at bedside, and prior to administering any blood products.
What is the patient's NAME and DATE OF BIRTH (DOB)?
400
An original medical record that is removed from the Medical Record main file and kept in a separate area.
What is a sequestered record?
400
The most frequently reported serious reportable event by hospitals in the state of Vermont to the PSSIS (Patient Safety and Surveillance Improvement System).
What are falls?
400
An organization with a "flattened hierarchy, transparency of data, a learning orientation, and mindfulness" Journal of Healthcare Quality Vol. 35, No.3, p.8
What is a "high reliability" organization?
400
The process of obtaining a verbal telephone order from a physician involves these three steps.
What is: 1. write down the order 2. read-back the order 3. verify the order as written with the prescribing individual.
400
Someone who expresses the needs or desires of the patient. It may be a member of the healthcare team, a family member or friend of the patient or a paid position that the patient utilizes.
What is a patient advocate?
500
Larger single patient rooms, bigger windows, cleaner air systems and decentralized nursing stations.
What are hospital designs for safety and quality.
500
FMEA is a systematic, proactive method for evaluating a process to identify the parts of the process that are most in need of change. The acronym FMEA represents . . .
What is Failure Mode and Effects Analysis (FMEA)?
500
Welcomes insight into defects and harm and engages staff, patients, and families in partnership. Journal of Healthcare Quality Vol. 35, No.3, p.8
What is a safe culture?
500
The acronym used to remember the three statements that incorporate the two challenge rule before taking the stronger action and stopping the line.
What is CUS? (I am concerned! I am uncomfortable! This is a safety issue)
500
Ensuring that call lights and food trays are within a patient's reach, that they have been recently toileted, and can repeat back that they will call for assistance before getting up on their own.
What are ways to prevent falls?