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