Patient Safety Awareness Week 2024 Crossword Puzzle

3. Event type that results in death, permanent or severe harm.
4. An act of omission or commission exposing patients to harm.
6. Environmental evaluation tool for acute mental health units
8. Type of cognitive aid used in healthcare settings
9. Patient safety reporting system in VHA
10. Safety activity performed prior to surgery
13. Communicate urgent notices that require immediate action
15. According to HRO, what should we be preoccupied with?
16. Process for finding the why, what, how of an adverse event
20. Activity to stop the spread of germs
22. How "old" will NCPS be in 2024?
24. Our customers at VHA
26. Document outlining steps and actions needed to improve care/avoid adverse event.
28. Individual responsible for leading patient safety at facilities.

1. Human ___ is the study of the interaction of humans and their environment
2. A narrowly avoided adverse event.
5. Program Office supporting patient safety in VHA
7. A cognitive aid to assist managers and staff conduct an objective assessment of a patient safety program.
8. Acronym for clinical team training
11. Who is responsible for patient safety?
12. VHA external accreditation body
13. Harm from medical care rather than an underlying disease
14. One of several patient identifiers that may be used to ensure correct identification
15. Top reported RCA event type
17. The "R" in HRO
18. Principle for speaking up and using the 3Ws
19. ______ and Missing Patients
21. Type of proactive risk assessment
23. Number of principles of a HRO
25. Individual responsible for leading patient safety at the VISN
27. Closed ___ Communication