Failure toFollowACLSProtocolInappropriateSurgicalSettingInternoperatingwithoutsupervisionAttendingreadilyexcusestrainee fromtaskPoorOperatingRoomSet-UpExcessiveInterruption ofCompressionsDangerousforeign bodyin operatingroomInadequateventilationduringsurgeryIncorrectScrub-InFailure tomonitor patient(despiteadequate staff)Failure to startcompressionsDr. did notfollow-up withpatient/familyEssentialspecialistabsentDr.Inaccuratelystates a VitalSign isstabilizingLeadSurgeonasking fortrainee inputDr.Emphasizespatientperspective,trustTalkingAbout thePatient LikeThey Aren'tThereBreachof SterileFieldInadequatePPE: HairCoverExcessiveDose ofElectricityUnstructuredShift Sign-OutChargedefibrillatorbeforepausingcompressionsInadequatePPE: EyeProtectionFailure toFixateET TubeOverconfidentPhysicianStethoscopeearpieces inbackwards!PrematureCessation ofResuscitationEffortsFailure toProvideOxygenDr. withneededinformationunreachableIllegalDeclarationof DeathIneffectiveCompressionsClosed LoopCommunicationAbsentFailure to startcompressionsTraineeunable tosharefear/anxietyto supervisorDr. lies tocover foranotherDr.Inefficientuse of CodeTeammembersNeedlesslyRemovingCaregiver/FamilyAssistingSurgeon Failsto ProvideCriticalInformationPoorHistoryTakingDr. explainsclinicalreasoning topatient/familyTrainee(belatedly)confessesto mistakeHandHygeineFailureSutureCutIncorrectlyAttendinginsists traineepracticewithin level oftrainingInterpersonaldynamicsdistractingfrom careDr. callscode rightaway afterstatuschangeTraineesharesfear/anxietywith co-residentInadequatePPE: MaskFailure toFollowACLSProtocolInappropriateSurgicalSettingInternoperatingwithoutsupervisionAttendingreadilyexcusestrainee fromtaskPoorOperatingRoomSet-UpExcessiveInterruption ofCompressionsDangerousforeign bodyin operatingroomInadequateventilationduringsurgeryIncorrectScrub-InFailure tomonitor patient(despiteadequate staff)Failure to startcompressionsDr. did notfollow-up withpatient/familyEssentialspecialistabsentDr.Inaccuratelystates a VitalSign isstabilizingLeadSurgeonasking fortrainee inputDr.Emphasizespatientperspective,trustTalkingAbout thePatient LikeThey Aren'tThereBreachof SterileFieldInadequatePPE: HairCoverExcessiveDose ofElectricityUnstructuredShift Sign-OutChargedefibrillatorbeforepausingcompressionsInadequatePPE: EyeProtectionFailure toFixateET TubeOverconfidentPhysicianStethoscopeearpieces inbackwards!PrematureCessation ofResuscitationEffortsFailure toProvideOxygenDr. withneededinformationunreachableIllegalDeclarationof DeathIneffectiveCompressionsClosed LoopCommunicationAbsentFailure to startcompressionsTraineeunable tosharefear/anxietyto supervisorDr. lies tocover foranotherDr.Inefficientuse of CodeTeammembersNeedlesslyRemovingCaregiver/FamilyAssistingSurgeon Failsto ProvideCriticalInformationPoorHistoryTakingDr. explainsclinicalreasoning topatient/familyTrainee(belatedly)confessesto mistakeHandHygeineFailureSutureCutIncorrectlyAttendinginsists traineepracticewithin level oftrainingInterpersonaldynamicsdistractingfrom careDr. callscode rightaway afterstatuschangeTraineesharesfear/anxietywith co-residentInadequatePPE: Mask

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