Patient Safety

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Across
  1. 1. an aid to learning, discovery, or problem-solving by experimental and trial-and-error methods
  2. 2. a technique, which provides a framework for communication between members of the health care team about a patient's condition
  3. 6. a unique 10-digit, 3-segment number, identifying the labeler, product, and trade package size of drugs
  4. 7. a culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly
  5. 12. organization that accredits and certifies health care organizations for the purpose of improving health care
  6. 13. abbreviation for blood pressure
  7. 15. the process of comparing a patient's medication orders to all of the medications that the patient has been taking
  8. 18. type of event that is unintended physical injury resulting from or contributed to by medical care, that requires additional monitoring, treatment, or hospitalization, or that results in death
  9. 22. type of vaccine (measles, mumps, rubella)
  10. 24. the prevention of harm to patients
  11. 25. two _____ must be included on every page so the provider is sure they are treating the right patient
  12. 26. design feature that prevents the user from taking an action without consciously considering information relevant to that action
  13. 29. type of adverse event that is unambiguous (clearly identifiable and measurable), serious (resulting in death or significant disability), and usually preventable
  14. 30. systematic, retrospective analysis of an error to determine the underlying causes
  15. 32. _____ lettering can help providers distinguish medications that have similar spelling or look-alike
  16. 33. the process of providers entering and sending treatment instructions via a computer application rather than paper, fax, or telephone
  17. 35. when administering medications, providers must make sure they have the correct patient, correct medication, correct dose, correct time and correct route before giving a medication; this is also known as _____
  18. 36. who introduced the 'Swiss Cheese' model regarding system errors
Down
  1. 1. engineering discipline concerned with understanding human characteristics and applying it to system design
  2. 3. the bending of rules to circumvent or temporarily fix a real or perceived barrier or system flaw
  3. 4. example of a High-risk medication that can cause significant patient harm or death when used in error
  4. 5. prescribed data model and value set, constraining users to only be able to enter or choose pre-determined values
  5. 8. _____ communication is important in making sure all tests are ordered, results sent, received and addressed in a timely manner
  6. 9. the desensitization to safety alerts, and as a result ignore or fail to respond appropriately to such warnings
  7. 10. treatment guideline specifying appropriate treatment based on scientific evidence
  8. 11. the use of 'U' instead of 'units', or 'qd' instead of 'daily' when ordering medications are examples of _____, and should not be used as they could be misinterpreted.
  9. 14. tool that enhances decision-making in the clinical workflow
  10. 16. organization that promotes the research, creation, awareness, and adoption of safe medication practices
  11. 17. the lead Federal agency charged with improving the safety and quality of America's health care system
  12. 19. regulations regarding the control and privacy of protected health information in medical records
  13. 20. providers should not use _____ zeros when expressing a medication dose in whole numbers
  14. 21. resource that identifies recommended practices to optimize the safety and safe use of EHRs
  15. 23. errors or accidents waiting to happen - failures of organization or design that allow the inevitable active errors to cause harm
  16. 27. the Office of the National Coordinator for Health IT
  17. 28. health plan accreditor and developer of the Healthcare Effectiveness Data and Information Set
  18. 31. systematic, proactive method for identifying potential risks and their impact
  19. 34. type of event that is an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof
  20. 37. goals established by TJC to improve safety and quality of care for patients