Patient Safety: March 2020

12345678910111213141516171819202122232425262728293031323334353637
Across
  1. 4. a unique 10-digit, 3-segment number, identifying the labeler, product, and trade package size of drugs (abbreviation)
  2. 5. type of event that is an unexpected occurrence involving death or serious physiological or psychological injury, or the risk therof
  3. 7. the desensitization to safety alerts, and as a result ignore or fail to respond appropriately to such warnings
  4. 10. two ____must be included on every page so the provider is sure they are treating the right patient
  5. 11. resource that identifies recommended practices to optimize the safety and safe use of EHRs
  6. 12. blood pressure (abbreviation)
  7. 13. the lead Federal agency charged with improving the safety and quality of America's health care system (abbreviation)
  8. 14. type of event that is unintended physical injury resulting from or contributed to be medical care, that requires additional monitoring, treatment, or hospitalization, or that results in death
  9. 15. 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 ____
  10. 18. a technique, which provides a framework for communication between members of the health care team about a patient's condition (abbreviation) condition
  11. 19. design feature that prevents the user from taking an action without consciously considering information relevant to that action
  12. 25. treatment guideline specifying appropriate treatment based on scientific evidence (abbreviation)
  13. 28. providers should not use ____ zeros when expressing a medication dose in whole numbers
  14. 29. prescribed data model and value set, constraining users to only be able to enter or choose pre-determined values
  15. 31. ____lettering can help providers distinguish medications that have similar spelling or look-alike
  16. 32. the process of comparing a patient's medication orders to all the medications that the patient has been taking
  17. 35. organization that accredits and certifies health care organizations for the purpose of improving health care
  18. 37. the process of providers entering and sending treatment instructions via a computer application rather than paper, fax, or telephone (abbreviation)
Down
  1. 1. who introduced the 'Swiss Cheese' model regarding system errors
  2. 2. an aid to learning, discovery, or problem-solving by experimental and trial-and-error methods
  3. 3. example of a High-risk medication that can cause significant patient harm or death when used in error
  4. 6. tool that enhances decision-making in the clinical workflow
  5. 8. regulations regarding the control and privacy of protected health information in medical records (abbreviation)
  6. 9. the prevention of harm to patients
  7. 10. 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
  8. 16. the bending of rules to circumvent or temporarily fix a real or perceived barrier or system flaw
  9. 17. the Office of the National Coordinator for Health IT (abbreviation)
  10. 20. engineering discipline concerned with understanding human characteristics and applying it to system design
  11. 21. ____communication is important in making sure all tests are ordered, results sent, received and addressed in a timely manner
  12. 22. errors or accidents waiting to happen - failures of organization or design that allow the inevitable active errors to cause harm
  13. 23. systematic, retrospective analysis of an error to determine the underlying causes (abbreviation)
  14. 24. goals established by TJC to improve safety and quality of care for patients (abbreviation)
  15. 26. health plan accreditor and developer of the Healthcare Effectiveness Data and Information Set (abbreviation)
  16. 27. a culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly
  17. 30. systematic, proactive method for identifying potential risks and their impact (abbreviation)
  18. 33. organization that promotes the research, creation, awareness, and adoption of safe medication practices (abbreviation)
  19. 34. type of adverse event that is unambiguous (clearly identifiable and measurable), serious (resulting in death or significant disability), and usually preventable
  20. 36. type of vaccine (measles, mumps, rubella) (abbreviation)