Miscellaneous
Incident Management Program
Charts and Graphs
Incident Types and Reporting
Quality Improvement Methods
100

This process is a safety feature that automates medication administration to reduce the risk of human error.  You might also do it at the check-out counter.

What is bar-code scanning?

100

This application is used to report all patient-related incidents, errors, and near misses.

What is Keepsafe?

100

This type of chart is used to show the parts that make up a whole.  You might also have a slice for dessert. 

What is a pie chart?

100

At WBH, all unwanted touch between patients is classified as this. 

What is assault?

100

This one priority always outweighs all other considerations (even patient rights).

What is safety?

200

Patients at risk of THIS are not allowed to dress in street clothes and may need a security escort when going to the emergency room.

What is elopement?

200

This application is used to report any harm to staff.

What is Worksafe?

200

If WBH is performing better than 3/4 of similar hospitals, our percentile rank is this.

What is the 75th (or 76th) percentile?

200

At WBH, if a patient has any unauthorized item, the item is considered this.

What is contraband?

200

This type of quantitative or qualitative information, often shown in a graph or table, is the defining element of continuous quality improvement.

What is data?

300

This evidence-based tool is used to assess patients' violence risk daily.

What is the DASA (dynamic assessment of situation aggression) and/or the VRA-P (violence risk assessment for psychiatry)?

300

This interdisciplinary group meets to discuss all serious incidents (without patient or staff identifiers), to identify opportunities to learn and improve.

What is the Incident Review Committee?

300

Performance on a quality indicator may fluctuate over time.  To see whether we are improving overall, this type of line (the dotted line below) may be added to a graph.

What is a trendline?

300

Any incident or fall that causes harm greater than first aid must be reported to these 2 agencies.

What are the Justice Center and OMH?

300

When developing SMART Goals, "M" stands for this.

What is measurable?

400

This NYS gun law requires mental health professionals to report patients at risk of violence, to help prevent them from obtaining guns.

What is the SAFE Act?

400

To reduce the risk of an incident happening again, it's most effective to focus on THESE, rather than the individuals involved. 

What are systems and/or processes?

400

When we compare WBH's performance vs. that of other hospitals, we are using the comparison group's performance as THIS (shown in black below).


What is a benchmark?

400

Externally reportable events must be reported within this time frame.

What is 24 hours?

400

P-D-S-A cycles are a common quality improvement method. The "S" stands for this.

What is "study?" 

500

Patients with a history of violence due to medication non-adherence may need this type of court order to return safely to the community.

What is AOT (Assisted Outpatient Treatment)?

500

To build a culture of safety, it is critically important for leaders to respond in this manner when someone reports an error, so people feel comfortable speaking up.

What is non-punitive?

500

This organization provides benchmarks for WBH's fall rates and other key indicators.

What is NDNQI? (National Database of Nursing Quality Indicators)

500

This policy provides guidelines for (1) the investigation of reports of sexual contact between patients on the psychiatric inpatient units and Comprehensive Psychiatric Emergency Programs (CPEPs), and (2) the investigation of reports of sexual contact between patients and staff of or visitors to NYP. 

What is Policy SC50?

500

The purpose of quality improvement is to improve our systems and services, while the purpose of research is this.

What is generating new knowledge?