Performing Procedure Beyond Level of Skill/Training Ineffective Defibrillation Needlessly Removing Caregiver/ Family Closed Loop Communication Absent Wrong Dose of Medication Poor Operating Room Set-Up Prolonged Interruption of Compressions Primary Physician Cannot Be Reached Making Excuses for Medical Errors Unlisted Error: __________ __________ __________ Scrub in Incorrectly Breaking Sterile Field (Gown/Torso) Unsafe Foreign Objects in Operating Room Overconfident Physician Critical Information Delayed Failure to Offer Standard of Care Breaking Sterile Field (Gloves/ Hands) Failure to Share Important Information Incorrect Equipment Illegal Declaration of Death Failure to Fixate Equipment Failure to Provide Ventilation Ineffective CPR Poor History Taking Performing Procedure Outside Scope of Practice Inadequate PPE Failure to Provide Oxygen Excessive Outside Distractions Suture Cut Incorrectly Specialist Essential to Procedure Absent Talking About the Patient Like They Aren't There Failure to Follow ACLS Protocol Inappropriate Surgical Setting Wrong Defibrillator Setting Unlisted Error: __________ __________ __________ Early Cessation of Resuscitation Efforts External Pressure/ Rushing a Procedure Something Really Good: __________ __________ __________ Unstructured Sign-Out Bad Ergonomics Lack of Physician Follow- Through Procedure Performed Incorrectly Unnecessarily Delaying Procedure Wrong Dose of Electricity Performing Procedure Beyond Level of Skill/Training Ineffective Defibrillation Needlessly Removing Caregiver/ Family Closed Loop Communication Absent Wrong Dose of Medication Poor Operating Room Set-Up Prolonged Interruption of Compressions Primary Physician Cannot Be Reached Making Excuses for Medical Errors Unlisted Error: __________ __________ __________ Scrub in Incorrectly Breaking Sterile Field (Gown/Torso) Unsafe Foreign Objects in Operating Room Overconfident Physician Critical Information Delayed Failure to Offer Standard of Care Breaking Sterile Field (Gloves/ Hands) Failure to Share Important Information Incorrect Equipment Illegal Declaration of Death Failure to Fixate Equipment Failure to Provide Ventilation Ineffective CPR Poor History Taking Performing Procedure Outside Scope of Practice Inadequate PPE Failure to Provide Oxygen Excessive Outside Distractions Suture Cut Incorrectly Specialist Essential to Procedure Absent Talking About the Patient Like They Aren't There Failure to Follow ACLS Protocol Inappropriate Surgical Setting Wrong Defibrillator Setting Unlisted Error: __________ __________ __________ Early Cessation of Resuscitation Efforts External Pressure/ Rushing a Procedure Something Really Good: __________ __________ __________ Unstructured Sign-Out Bad Ergonomics Lack of Physician Follow- Through Procedure Performed Incorrectly Unnecessarily Delaying Procedure Wrong Dose of Electricity
(Print)
Performing Procedure Beyond Level of Skill/Training
Ineffective Defibrillation
Needlessly Removing Caregiver/
Family
Closed Loop Communication
Absent
Wrong Dose of Medication
Poor Operating Room Set-Up
Prolonged Interruption of Compressions
Primary Physician Cannot Be Reached
Making Excuses for Medical Errors
Unlisted Error: __________
__________
__________
Scrub in Incorrectly
Breaking Sterile Field (Gown/Torso)
Unsafe Foreign Objects in Operating Room
Overconfident Physician
Critical Information Delayed
Failure to Offer Standard of Care
Breaking Sterile Field (Gloves/ Hands)
Failure to Share Important Information
Incorrect Equipment
Illegal Declaration of Death
Failure to Fixate Equipment
Failure to Provide Ventilation
Ineffective CPR
Poor History Taking
Performing Procedure Outside Scope of Practice
Inadequate PPE
Failure to Provide Oxygen
Excessive Outside Distractions
Suture Cut Incorrectly
Specialist Essential to Procedure Absent
Talking About the Patient Like They Aren't There
Failure to Follow ACLS Protocol
Inappropriate Surgical Setting
Wrong Defibrillator Setting
Unlisted Error: __________
__________
__________
Early Cessation of Resuscitation Efforts
External Pressure/ Rushing a Procedure
Something Really Good: __________
__________
__________
Unstructured Sign-Out
Bad Ergonomics
Lack of Physician Follow-Through
Procedure Performed Incorrectly
Unnecessarily
Delaying Procedure
Wrong Dose of Electricity
