Across
- 3. miss: An error that is discovered and rectified before it results in harm. Identification of the error may be due to chance or to interception of the error before harm could occur. May also be referred to as a "close call" or "good catch." Definitions may vary in federal, state, and local regulations and accrediting body standards.
- 7. count: A count discrepancy that cannot be reconciled. This term is used for documentation purposes.
- 8. cause analysis: A retrospective process for identifying basic or causal factors underlying variation in performance, including the occurrence or possible occurrence of a sentinel event.
- 9. adverse event: Any undesirable experience associated with the use of a medical product in a patient that involves death, hospitalization or prolonged hospitalization, disability or permanent damage, or intervention to prevent permanent impairment or damage or that is life-threatening.
- 11. system: A system that identifies surgical soft goods by scanning a 2-dimensional data-matrix label.
- 12. method: A dialogue in which the listener verbally repeats patient information so that the sender can confirm the accuracy of the message.
- 14. item: A type of count discrepancy that occurs when an item is missing. Potential locations of items may include the floor, waste receptacles, drapes, or inside the patient.
- 15. count: No count discrepancy was identified, or a discrepancy was reconciled. This term is used for documentation purposes.
Down
- 1. detection: A system that locates objects with an imbedded chip using radio waves.
- 2. device fragment: A fragment of a medical device that has separated and unintentionally remains in the patient after a procedure.
- 4. event: Any undesirable experience associated with the use of a medical product in a patient.
- 5. A type of count discrepancy that occurs when the number of the items counted does not reflect the number of items present.
- 6. discrepancy: A subsequent count does not agree with the previous one.
- 9. event: An unanticipated incident involving death or serious physical or psychological injury, or the risk of serious injury or adverse outcome.
- 10. identification: A system that locates and transmits the identity of an object (in the form of a unique serial number) wirelessly, using radio waves.
- 13. modes and effects analysis: A proactive systematic method for guiding a team in evaluating a process to determine how the process may fail, how likely the failure is to occur, and what the severity of the consequence may be for the failure. This information is used to inform improvement effort prioritization and strategies to prevent process failures.