tJC: Patient Safety Hot Spots
This process uses at least two patient identifiers before providing care, treatment, or services.
What is patient identification
The AAC section grouping that specifically governs hospitals under Title 9, Chapter 10 is called this.
What is Article 2 - Hospitals.
The single most effective action to reduce transmission of pathogens in hospitals.
What is hand hygiene.
This is the basic "starting point" event that transitions a person into inpatient hospital services.
What is admission.
The acronym commonly used for what to do first when discovering a fire.
What is RACE (rescue, alarm, contain, extinguish).
The "read-back" technique is most critical during this type of order to prevent miscommunication.
What is verbal/telephone order
Article 2 includes rules requiring the hospital to have an organized approach to this, including monitoring and improvement activities.
What is a Quality Management Program.
The type of precautions used for measles and varicella.
What is airborne precautions.
Discharge planning should begin early and include this key concept to avoid unsafe discharges.
What is assessing post discharge needs and arranging appropriate services.
What is PASS (pull, aim, squeeze, sweep).
This safety practice requires staff to stop and verify the correct patient, procedure, and site immediately before an invasive procedure begins.
What is a timeout.
Under Arzona hospital regulations, this set of written documents establishes how services are provided, staff responsibilities, and the operation rules that guide patient care.
What are hospital policies and procedures.
A common "miss" during isolation practice is forgetting this when moving from dirty-to-clean tasks in the same room.
What is changing gloves and performing hand hygiene between tasks.
A frequent documentation miss: discharge instructions should include medication changes plus this confirmation step.
What is patient/family understanding (teach-back) and follow up instructions.
This is the typical reason corridor clutter is cited during rounds.
What is egress obstruction.
A standardized method used to improve handoffs by organizing key patient information into a consistent format.
What is a structured handoff tool (e.g., SBAR).
These two patient movement topics are both called out as dedicated hospital rule sections.
What are admission and discharge planning.
This program monitors how antibiotics are used to reduce resistance and harm.
What is antibiotic stewardship.
What is a provider order for restraint use.
In many hospitals, this committee reviews hazards, safety events, and compliance issues related to the physical environment.
What is the Safety Committee.
This is the best immediate action when a staff member notices a high-alert medication stored outside required safeguards.
What is secure/segregate it per policy and notify pharmacy leadership.
Article 2 includes a section requiring oversight of outside vendors providing services to the hospital under agreements called this.
What is contracted services.
Surveyors often trace this documentation to provide sterile processing quality from start to finish.
What is sterilization cycle monitoring/records (biologicals, chemical indicators, load documentation, maintenance).
When a patient is in restraints, the medical record must show ongoing assessments that include patient safety, circulation, behavior, and this critical determination to justify continued use.
What is documentation that restraints remain necessary and are discontinued at the earliest possible time.
This is the survey-friendly proof that your organization doesn't just do rounding, but acts on what it finds.