InadequatePPE: MaskFailure toFixateET TubeBreachof SterileFieldInterpersonaldynamicsdistractingfrom careFailure to startcompressionsDr. withneededinformationunreachableIllegalDeclarationof DeathHandHygeineFailureFailure tomonitor patient(despiteadequate staff)Trainee(belatedly)confessesto mistakeClosed LoopCommunicationAbsentInadequatePPE: EyeProtectionIncorrectScrub-InAssistingSurgeon Failsto ProvideCriticalInformationPoorHistoryTakingInefficientuse of CodeTeammembersAttendingreadilyexcusestrainee fromtaskInadequateventilationduringsurgeryInappropriateSurgicalSettingLeadSurgeonasking fortrainee inputChargedefibrillatorbeforepausingcompressionsAttendinginsists traineepracticewithin level oftrainingIneffectiveCompressionsUnstructuredShift Sign-OutTraineeunable tosharefear/anxietyto supervisorPrematureCessation ofResuscitationEffortsDr. explainsclinicalreasoning topatient/familyDr.Inaccuratelystates a VitalSign isstabilizingDr. lies tocover foranotherDr.EssentialspecialistabsentStethoscopeearpieces inbackwards!Failure toProvideOxygenInadequatePPE: HairCoverTraineesharesfear/anxietywith co-residentSutureCutIncorrectlyDr. did notfollow-up withpatient/familyDangerousforeign bodyin operatingroomDr. callscode rightaway afterstatuschangeOverconfidentPhysicianInternoperatingwithoutsupervisionExcessiveInterruption ofCompressionsFailure to startcompressionsNeedlesslyRemovingCaregiver/FamilyDr.Emphasizespatientperspective,trustPoorOperatingRoomSet-UpFailure toFollowACLSProtocolTalkingAbout thePatient LikeThey Aren'tThereExcessiveDose ofElectricityInadequatePPE: MaskFailure toFixateET TubeBreachof SterileFieldInterpersonaldynamicsdistractingfrom careFailure to startcompressionsDr. withneededinformationunreachableIllegalDeclarationof DeathHandHygeineFailureFailure tomonitor patient(despiteadequate staff)Trainee(belatedly)confessesto mistakeClosed LoopCommunicationAbsentInadequatePPE: EyeProtectionIncorrectScrub-InAssistingSurgeon Failsto ProvideCriticalInformationPoorHistoryTakingInefficientuse of CodeTeammembersAttendingreadilyexcusestrainee fromtaskInadequateventilationduringsurgeryInappropriateSurgicalSettingLeadSurgeonasking fortrainee inputChargedefibrillatorbeforepausingcompressionsAttendinginsists traineepracticewithin level oftrainingIneffectiveCompressionsUnstructuredShift Sign-OutTraineeunable tosharefear/anxietyto supervisorPrematureCessation ofResuscitationEffortsDr. explainsclinicalreasoning topatient/familyDr.Inaccuratelystates a VitalSign isstabilizingDr. lies tocover foranotherDr.EssentialspecialistabsentStethoscopeearpieces inbackwards!Failure toProvideOxygenInadequatePPE: HairCoverTraineesharesfear/anxietywith co-residentSutureCutIncorrectlyDr. did notfollow-up withpatient/familyDangerousforeign bodyin operatingroomDr. callscode rightaway afterstatuschangeOverconfidentPhysicianInternoperatingwithoutsupervisionExcessiveInterruption ofCompressionsFailure to startcompressionsNeedlesslyRemovingCaregiver/FamilyDr.Emphasizespatientperspective,trustPoorOperatingRoomSet-UpFailure toFollowACLSProtocolTalkingAbout thePatient LikeThey Aren'tThereExcessiveDose ofElectricity

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