Patient Safety Awareness Week 2024 Crossword Puzzle

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Across
  1. 3. Event type that results in death, permanent or severe harm.
  2. 4. An act of omission or commission exposing patients to harm.
  3. 6. Environmental evaluation tool for acute mental health units
  4. 8. Type of cognitive aid used in healthcare settings
  5. 9. Patient safety reporting system in VHA
  6. 10. Safety activity performed prior to surgery
  7. 13. Communicate urgent notices that require immediate action
  8. 15. According to HRO, what should we be preoccupied with?
  9. 16. Process for finding the why, what, how of an adverse event
  10. 20. Activity to stop the spread of germs
  11. 22. How "old" will NCPS be in 2024?
  12. 24. Our customers at VHA
  13. 26. Document outlining steps and actions needed to improve care/avoid adverse event.
  14. 28. Individual responsible for leading patient safety at facilities.
Down
  1. 1. Human ___ is the study of the interaction of humans and their environment
  2. 2. A narrowly avoided adverse event.
  3. 5. Program Office supporting patient safety in VHA
  4. 7. A cognitive aid to assist managers and staff conduct an objective assessment of a patient safety program.
  5. 8. Acronym for clinical team training
  6. 11. Who is responsible for patient safety?
  7. 12. VHA external accreditation body
  8. 13. Harm from medical care rather than an underlying disease
  9. 14. One of several patient identifiers that may be used to ensure correct identification
  10. 15. Top reported RCA event type
  11. 17. The "R" in HRO
  12. 18. Principle for speaking up and using the 3Ws
  13. 19. ______ and Missing Patients
  14. 21. Type of proactive risk assessment
  15. 23. Number of principles of a HRO
  16. 25. Individual responsible for leading patient safety at the VISN
  17. 27. Closed ___ Communication