Patient Safety

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Across
  1. 2. (NPSG 03.05.01) addresses the need to take extra care with patients who take/receive these types of medications.
  2. 6. Make sure that the correct surgery is done on the correct patient and at the correct place on a patient's body is a way to? (4 words)
  3. 7. This a good way to prevent infection (NPSG 07.01.01)
  4. 10. A method for individual situation monitoring of human aspects that may impact an individual's ability to function safety - Illness, Medication, Stress, Alcohol and Drugs, Fatigue, Eating and Elimination.
  5. 13. Unintentionally Retained Foreign Object
  6. 14. The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
  7. 15. After checking in for care, a atient leaves without seeing a provider. The ultimate goal is to have the patient stay and complete the recommended treatment. If they still want to leave, your best ally is thorough chart documentation AND a signed form.
  8. 16. Womack's Pediatric Clinic
  9. 17. An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome.
  10. 18. Agency for Healthcare Research and Quality
  11. 21. Who is responsible for patient safety?
  12. 24. An analytic tool that can be used to perform a comprehensive, system-based review of critical incidents. It includes the identification of the root and contributory factors, identification of risk reduction strategies, and development of action plans along with measurement strategies, to evaluate the effectiveness of the plans.
  13. 26. Planned periods of quiet and/or interdisciplinary discussion focused on ensuring that key procedural details have been addressed. Taking the time to focus on listening and communicating the plans as a team can rectify miscommunications and misunderstandings before a procedure gets underway.
  14. 29. Personal Health Information
  15. 30. An error in the phase of the medication use process that involves anything related to the act of interpreting an order by someone other than the prescriber for order processing. It could be electronic or manual from the patient's record.
  16. 31. This type of event is a Term used by The Joint Commission to define an adverse event in which death or serious harm occurred, usually referring to events that are unexpected or unacceptable.
  17. 32. A standardized method of communication between patient care providers including explanation of the situation, background, assessment and recommendations. This tool helps individuals communicate in a concise and structured format with a shared set of expectations. It also improves efficiency and accuracy.
Down
  1. 1. Event reached patient, but no harm was evident. (2 words)
  2. 3. This is considered a sentinel event, the ______ of any patient receiving care, treatment and services in a staffed around-the-clock care setting or within 2 hours of discharge, including from the hospital's emergency.
  3. 4. goals established by The Joint Commission to help its accredited organizations address specific areas of concern in regards to patient safety.
  4. 5. Defense Health Agency
  5. 7. Organizations or systems that operate in hazardous conditions but conduct relatively error-free operations. Examples are air traffic control systems, nuclear power plants, and naval aircraft carriers.
  6. 8. This is an unplanned event that did not result in injury, illness, or damage – but had the potential to do so. (2 words)
  7. 9. Six standardized communication practices. Designed to reduce miscommunication and improve information sharing. (3 words)
  8. 11. is a gradual shift in what is regarded as normal after repeated exposures to "deviant behavior" (behavior straying from correct [or safe] operating procedure) resulting in corners being cut, safety checks bypassed, and alarms ignored or turned off, and these behaviors subsequently becoming normal.
  9. 12. A method to express concern about an unsafe situation “ I am Concerned, I am Uncomfortable!, This is a Safety issue!"
  10. 18. This is the subject of the NPSG 06.01.01
  11. 19. high __________ medications are medications that bear a heightened risk of causing injury when misused, consequences of errors with these drugs may be more devastating.
  12. 20. ___________ reconciliation is a process to review patients' medications at the time of transfer to another level of care or discharge and comparing them with medications prior to hospitalization or transfer in order to identify and address discrepancies.
  13. 22. Patient _______ The reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum.
  14. 23. When nurses conduct a high-risk intravenous medication double check, the second nurse should assume the first nurse made a mistake, hunt for it, and correct it, rather than assume the intravenous pump is working or programmed properly and the medication is right. This demonstrates __________ with failure.
  15. 25. Patient safety training offered by AHRQ - Team Strategies and Tools to Enhance Performance and Patient Safety.
  16. 27. An outcome that negatively affects the patient’s health and/or quality of life.
  17. 28. This type of culture encourages and develops the knowledge, skills, and commitment of all leaders, management, healthcare providers, staff, and patients for the provision of safe patient care.
  18. 33. Read ____ is process or protocol by which the listener repeats key information back to the transmitter of the information, so that the transmitter can confirm its correctness.