Closed LoopCommunicationAbsentDr. lies tocover foranotherDr.NeedlesslyRemovingCaregiver/FamilySutureCutIncorrectlyInadequatePPE: MaskDr. did notfollow-up withpatient/familyFailure to startcompressionsStethoscopeearpieces inbackwards!EssentialspecialistabsentExcessiveInterruption ofCompressionsIncorrectScrub-InFailure toFixateET TubeInadequatePPE: HairCoverDr. explainsclinicalreasoning topatient/familyTalkingAbout thePatient LikeThey Aren'tThereIneffectiveCompressionsOverconfidentPhysicianIllegalDeclarationof DeathInadequateventilationduringsurgeryPoorHistoryTakingInadequatePPE: EyeProtectionDr. callscode rightaway afterstatuschangeDr. withneededinformationunreachableInappropriateSurgicalSettingUnstructuredShift Sign-OutInterpersonaldynamicsdistractingfrom careDr.Inaccuratelystates a VitalSign isstabilizingChargedefibrillatorbeforepausingcompressionsExcessiveDose ofElectricityAttendingreadilyexcusestrainee fromtaskTrainee(belatedly)confessesto mistakePoorOperatingRoomSet-UpFailure tomonitor patient(despiteadequate staff)HandHygeineFailureDr.Emphasizespatientperspective,trustFailure toFollowACLSProtocolInefficientuse of CodeTeammembersLeadSurgeonasking fortrainee inputAssistingSurgeon Failsto ProvideCriticalInformationDangerousforeign bodyin operatingroomPrematureCessation ofResuscitationEffortsBreachof SterileFieldTraineesharesfear/anxietywith co-residentFailure toProvideOxygenAttendinginsists traineepracticewithin level oftrainingFailure to startcompressionsInternoperatingwithoutsupervisionTraineeunable tosharefear/anxietyto supervisorClosed LoopCommunicationAbsentDr. lies tocover foranotherDr.NeedlesslyRemovingCaregiver/FamilySutureCutIncorrectlyInadequatePPE: MaskDr. did notfollow-up withpatient/familyFailure to startcompressionsStethoscopeearpieces inbackwards!EssentialspecialistabsentExcessiveInterruption ofCompressionsIncorrectScrub-InFailure toFixateET TubeInadequatePPE: HairCoverDr. explainsclinicalreasoning topatient/familyTalkingAbout thePatient LikeThey Aren'tThereIneffectiveCompressionsOverconfidentPhysicianIllegalDeclarationof DeathInadequateventilationduringsurgeryPoorHistoryTakingInadequatePPE: EyeProtectionDr. callscode rightaway afterstatuschangeDr. withneededinformationunreachableInappropriateSurgicalSettingUnstructuredShift Sign-OutInterpersonaldynamicsdistractingfrom careDr.Inaccuratelystates a VitalSign isstabilizingChargedefibrillatorbeforepausingcompressionsExcessiveDose ofElectricityAttendingreadilyexcusestrainee fromtaskTrainee(belatedly)confessesto mistakePoorOperatingRoomSet-UpFailure tomonitor patient(despiteadequate staff)HandHygeineFailureDr.Emphasizespatientperspective,trustFailure toFollowACLSProtocolInefficientuse of CodeTeammembersLeadSurgeonasking fortrainee inputAssistingSurgeon Failsto ProvideCriticalInformationDangerousforeign bodyin operatingroomPrematureCessation ofResuscitationEffortsBreachof SterileFieldTraineesharesfear/anxietywith co-residentFailure toProvideOxygenAttendinginsists traineepracticewithin level oftrainingFailure to startcompressionsInternoperatingwithoutsupervisionTraineeunable tosharefear/anxietyto supervisor

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