Across
- 2. the bending of rules to circumvent or temporarily fix a real or perceived barrier or system flaw
- 5. systematic, retrospective analysis of an error to determine the underlying causes
- 6. type of culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly
- 8. an adverse event that is unambiguous, serious, and usually preventable
- 9. a technique, which provides a framework for communication between members of the health care team about a patient's condition
- 13. tool that enhances decision-making in the clinical workflow
- 16. abbreviation for blood pressure
- 17. treatment guideline specifying appropriate treatment based on scientific evidence
- 21. 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 ____________
- 22. an aid to learning, discovery, or problem-solving by experimental and trial-and-error methods
- 23. design feature that prevents the user from taking an action without consciously considering information relevant to that action
- 27. type of vaccine
- 28. regulations regarding the control and privacy of protected health information in medical records
- 30. an unintended physical injury resulting from or contributed to by medical care, that requires additional monitoring, treatment, or hospitalization, or that results in death
- 31. prescribed data model and value set, constraining users to only be able to enter or choose pre-determined values
Down
- 1. lead Federal agency charged with improving the safety and quality of America's health care system
- 3. the process of comparing a patient's medication orders to all of the medications that the patient has been taking
- 4. discipline concerned with understanding human characteristics and applying that knowledge to the design
- 7. a logical sequence of operations which are carried out in order to obtain a pre-defined result
- 10. organization that accredits and certifies health care organizations for the purpose of improving health care
- 11. a unique 10-digit, 3-segment number, identifying the labeler, product, and trade package size of drugs
- 12. who introduced the 'Swiss Cheese' model regarding system errors
- 14. what orgainzation promotes the research, creation, awareness, and adoption of safe medication practices
- 15. the prevention of harm to patients
- 18. an unexpected event involving death or serious physiological or psychological injury, or the risk thereof
- 19. systems that are reliable, safe, efficient, and comfortable to use
- 20. the desensitization to safety alerts, and as a result ignore or fail to respond appropriately to such warnings
- 24. systematic, proactive method for identifying potential risks and their impact
- 25. the process of providers entering and sending treatment instructions via a computer application rather than paper, fax, or telephone
- 26. resource that identifies recommended practices to optimize the safety and safe use of EHRs
- 29. errors or accidents waiting to happen - failures of an organization or design that allows the inevitable active errors to cause harm