Inefficientuse of CodeTeammembersBreachof SterileFieldAssistingSurgeon Failsto ProvideCriticalInformationUnstructuredShift Sign-OutLeadSurgeonasking fortrainee inputDr. lies tocover foranotherDr.Traineesharesfear/anxietywith co-residentFailure toFollowACLSProtocolExcessiveDose ofElectricityFailure toProvideOxygenFailure tomonitor patient(despiteadequate staff)InadequateventilationduringsurgeryDr.Inaccuratelystates a VitalSign isstabilizingInterpersonaldynamicsdistractingfrom careChargedefibrillatorbeforepausingcompressionsPoorHistoryTakingOverconfidentPhysicianInadequatePPE: EyeProtectionFailure to startcompressionsExcessiveInterruption ofCompressionsIneffectiveCompressionsDr.Emphasizespatientperspective,trustFailure to startcompressionsInternoperatingwithoutsupervisionPoorOperatingRoomSet-UpDr. withneededinformationunreachableIncorrectScrub-InClosed LoopCommunicationAbsentInadequatePPE: HairCoverInadequatePPE: MaskFailure toFixateET TubeAttendinginsists traineepracticewithin level oftrainingTalkingAbout thePatient LikeThey Aren'tThereTrainee(belatedly)confessesto mistakeIllegalDeclarationof DeathAttendingreadilyexcusestrainee fromtaskSutureCutIncorrectlyTraineeunable tosharefear/anxietyto supervisorPrematureCessation ofResuscitationEffortsDangerousforeign bodyin operatingroomNeedlesslyRemovingCaregiver/FamilyEssentialspecialistabsentDr. did notfollow-up withpatient/familyStethoscopeearpieces inbackwards!HandHygeineFailureDr. explainsclinicalreasoning topatient/familyInappropriateSurgicalSettingDr. callscode rightaway afterstatuschangeInefficientuse of CodeTeammembersBreachof SterileFieldAssistingSurgeon Failsto ProvideCriticalInformationUnstructuredShift Sign-OutLeadSurgeonasking fortrainee inputDr. lies tocover foranotherDr.Traineesharesfear/anxietywith co-residentFailure toFollowACLSProtocolExcessiveDose ofElectricityFailure toProvideOxygenFailure tomonitor patient(despiteadequate staff)InadequateventilationduringsurgeryDr.Inaccuratelystates a VitalSign isstabilizingInterpersonaldynamicsdistractingfrom careChargedefibrillatorbeforepausingcompressionsPoorHistoryTakingOverconfidentPhysicianInadequatePPE: EyeProtectionFailure to startcompressionsExcessiveInterruption ofCompressionsIneffectiveCompressionsDr.Emphasizespatientperspective,trustFailure to startcompressionsInternoperatingwithoutsupervisionPoorOperatingRoomSet-UpDr. withneededinformationunreachableIncorrectScrub-InClosed LoopCommunicationAbsentInadequatePPE: HairCoverInadequatePPE: MaskFailure toFixateET TubeAttendinginsists traineepracticewithin level oftrainingTalkingAbout thePatient LikeThey Aren'tThereTrainee(belatedly)confessesto mistakeIllegalDeclarationof DeathAttendingreadilyexcusestrainee fromtaskSutureCutIncorrectlyTraineeunable tosharefear/anxietyto supervisorPrematureCessation ofResuscitationEffortsDangerousforeign bodyin operatingroomNeedlesslyRemovingCaregiver/FamilyEssentialspecialistabsentDr. did notfollow-up withpatient/familyStethoscopeearpieces inbackwards!HandHygeineFailureDr. explainsclinicalreasoning topatient/familyInappropriateSurgicalSettingDr. callscode rightaway afterstatuschange

Patient Safety Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Inefficient use of Code Team members
  2. Breach of Sterile Field
  3. Assisting Surgeon Fails to Provide Critical Information
  4. Unstructured Shift Sign-Out
  5. Lead Surgeon asking for trainee input
  6. Dr. lies to cover for another Dr.
  7. Trainee shares fear/anxiety with co-resident
  8. Failure to Follow ACLS Protocol
  9. Excessive Dose of Electricity
  10. Failure to Provide Oxygen
  11. Failure to monitor patient (despite adequate staff)
  12. Inadequate ventilation during surgery
  13. Dr. Inaccurately states a Vital Sign is stabilizing
  14. Interpersonal dynamics distracting from care
  15. Charge defibrillator before pausing compressions
  16. Poor History Taking
  17. Overconfident Physician
  18. Inadequate PPE: Eye Protection
  19. Failure to start compressions
  20. Excessive Interruption of Compressions
  21. Ineffective Compressions
  22. Dr. Emphasizes patient perspective, trust
  23. Failure to start compressions
  24. Intern operating without supervision
  25. Poor Operating Room Set-Up
  26. Dr. with needed information unreachable
  27. Incorrect Scrub-In
  28. Closed Loop Communication Absent
  29. Inadequate PPE: Hair Cover
  30. Inadequate PPE: Mask
  31. Failure to Fixate ET Tube
  32. Attending insists trainee practice within level of training
  33. Talking About the Patient Like They Aren't There
  34. Trainee (belatedly) confesses to mistake
  35. Illegal Declaration of Death
  36. Attending readily excuses trainee from task
  37. Suture Cut Incorrectly
  38. Trainee unable to share fear/anxiety to supervisor
  39. Premature Cessation of Resuscitation Efforts
  40. Dangerous foreign body in operating room
  41. Needlessly Removing Caregiver/ Family
  42. Essential specialist absent
  43. Dr. did not follow-up with patient/family
  44. Stethoscope earpieces in backwards!
  45. Hand Hygeine Failure
  46. Dr. explains clinical reasoning to patient/family
  47. Inappropriate Surgical Setting
  48. Dr. calls code right away after status change