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Session V

Across
May be misinterpreted and therefore should only be used in an emergency
National standardized processes and best practices to improve patient care and outcomes
Pre-procedure verification of accurate patient identification, surgical site, and planned procedure
Desensitization to alarm alerts that causes missed alarms or delayed responses
Persons or groups that have a vested interest in a clinical change or decision and the evidence that supports the decision
Creating the most accurate list possible of all medications a patient is taking in order to avoid errors of omission, duplication, dosing errors or drug interactions
Comprehensive process that seeks to identify all contributory factors to an error and identify their cause(s)
Technique used to enhance communication during handover between shifts or between staff in the same or different clinical areas
National accrediting agency responsible for evaluating health care organizations and institutions
Unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness
Acknowledges human error and sees events as opportunities to improve our understanding of risk
Down
Minimizes the risk to an institution from an error or problem that could result in legal action or liability
Activities, outcomes, & structural resources that establish the expected level of care or performance
Aims at bringing about an immediate improvement in quality of healthcare
Use hospital inpatient and discharge data to measure and compare health care quality & identify areas for further study
Must be reported to physician within the facility-specific length of time; may indicate a life-threatening condition
The use of information technology to retrieve and manage information relevant to nursing practice