Patient Safety and Risk Assessment Flashcards

The WHO Surgical Safety Checklist has checks at which three phases?

Answer: Sign In (before anaesthesia), Time Out (before incision), Sign Out (before leaving theatre)

The three phases: Sign In (before anaesthesia), Time Out (before first incision), Sign Out (before patient leaves theatre).

What is 'Sepsis Six' and within what timeframe should it be delivered?

Answer: Six interventions (three investigations, three treatments) within one hour

The Sepsis Six: three investigations (blood cultures, lactate, urine output) and three treatments (IV antibiotics, IV fluids, high-flow oxygen) within one hour.

A patient receives another patient's medication by mistake but appears unharmed. How should this be classified?

Answer: Report as a patient safety incident through the local incident reporting system

All medication errors must be reported regardless of outcome. Near-miss data is crucial for prevention.

How frequently should a high-risk immobile patient be repositioned for pressure ulcer prevention?

Answer: At least every 2 hours, or more frequently if indicated

At least every 2 hours for bed-bound high-risk patients, more frequently based on individual assessment.

What are the essential bedside safety checks before commencing a blood transfusion?

Answer: Two registered practitioners independently verify: patient identity (patient states name and DOB), compatibility label, blood group, unit number, and expiry date

Two registered practitioners must independently verify all details. The patient must state their name and DOB. ABO-incompatible transfusion is a Never Event.

What is a 'safety huddle' in NHS ward management?

Answer: A brief, focused team gathering to discuss current patient safety risks, staffing, and concerns

A brief (5-10 minute), standing meeting where the team discusses safety risks, vulnerable patients, staffing, and anticipated challenges.