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PS Day 4

Across
Many victims of medical errors never learn of the mistake, because the error is simply not
_____would typically be derived from national or regional data on the rates of relevant nosocomial infections.
Institute for Healthcare Improvement (ABR)
This criticality index provides a rough quantitative estimate of the magnitude of hazard posed by each step in a high-risk process. Assigning a criticality index to each step allows prioritization of targets for improvement(ABR)
Electronic Medical Record (ABR)
illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard.
An adverse event in which death or serious harm to a patient has occurred
An event or situation that did not produce patient injury, but only because of chance
A type of statistical process control or quality control graph in which some observation is plotted over time to see if there are "runs" of points above or below a center line, usually representing the average or median.
The Health Insurance Portability and Accountability Act of 1996(ABR)
Down
Right Dose, at the Right Time, by the Right Route, to the Right Patient—are the cornerstone of traditional nursing teaching about safe medication practice
What the average, prudent clinician would be expected to do under certain circumstances
______have played a leading role in the most significant successes of the patient safety movement, including the near-elimination of central line bloodstream infections in many intensive care units.
This definition is identical to that for close call.
Having the necessary knowledge or technical skill to perform a given procedure within the bounds of success and failure rates deemed compatible with acceptable care.
An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome
If a patient with a documented serious penicillin allergy received a penicillin-like antibiotic but happened not to react to it, this event would be characterized as a potential ADE.(ABR)
in health care promotes a comprehensive framework for making risk management decisions which maximize value protection and creation by managing risk and uncertainty and their connections to total value(ABR)
The Acute Physiologic and Chronic Health Evaluation scoring system (ABR)
_____factors engineering is the discipline that attempts to identify and address safety problems that arise due to the interaction between people, technology, and work environments
The ____ cycle represents one of the cornerstones of continuous quality improvement (CQI). (ABR)