Safety Metaphors
Name this model.
What is the Swiss Cheese Model?
Unusual or unexpected events, near miss events, and events when harm reaches the patient are times when you should submit this.
What is an iCare?
When filing an iCares on a Safety/Security form, besides unit leadership, this team will also review and respond to the event.
What is Security?
We all have a ____ to raise concerns when safety is compromised.
What is responsibility?
In 2022, we changed our name from LPCH to SMCH. "SMCH" stands for.
What is Stanford Medicine Children's Health?
The Swiss Cheese Model is a metaphor for.
What is system failure?
A Guiding Principle when addressing iCare is “everyone comes to work to do their…”
What is “best?”
When filing an iCares on a Medication/Fluid form, besides unit leadership, this team will also review and respond to the event.
What is Pharmacy?
A Guiding Principle when addressing iCare is “staff should be…”
What is “supported?”
David Packard co-founded this company in 1939.
What is Hewlett Packard?
This iceberg metaphor refers to.
What is incident reporting?
When a mistake happens and the focus is on looking at the existing systems in place instead of assigning blame, it demonstrates this type of culture.
What is a culture of safety?
When you file an event on a Skin Tissue form, this team will automatically consult and schedule a time to assess your patient.
What is Wound Care?
This person’s point of view is essential to understanding an event.
Who is the iCare submitter?
The Main building opened this year.
What is December 9, 2017?
The elephant metaphor refers to.
What is perception?
When Patient Safety reviews iCares, this type of error is fundamentally rejected as the root cause.
What is human error?
IPC reviews all events filed on an Infection form. IPC stands for.
What is Infection Prevention and Control?
“The problem is seldom the fault of an individual; it is a fault of the system. Change the people without changing the system and the problems will ____.”
What is continue?
David and Lucile Packard met at this university.
What is Stanford University?
Name 3 defense mechanisms in the Swiss Cheese Model.
What are:
-policy/procedures
-training
-environment
-equipment
-communication
-competency
-uncontrollable factors?
Name at least 3 parties that review iCares daily.
What is:
-primary unit leadership
-secondary location leadership
-subject matter experts
-Patient Safety
-Associate Chief Nursing Officers
-Chief Nursing Officer
-Chief Operating Officer
When filing an iCares on a Healthcare Worker Injury/Workplace Violence form, besides unit leadership, this team will also review and respond to the event.
What is Environmental Health and Safety?
This is the overall goal of submitting iCares.
What is create awareness to the gaps in our systems and processes?
Lucile Packard Children's Hospital officially opened this year.
What is 1991?