Failure toFollowACLSProtocolIllegalDeclarationof DeathExcessiveInterruption ofCompressionsFailure toFixateET TubePrematureCessation ofResuscitationEffortsDr. lies tocover foranotherDr.Dangerousforeign bodyin operatingroomInappropriateSurgicalSettingExcessiveDose ofElectricityFailure to startcompressionsHandHygeineFailureInadequatePPE: HairCoverDr. explainsclinicalreasoning topatient/familyFailure toProvideOxygenTraineeunable tosharefear/anxietyto supervisorLeadSurgeonasking fortrainee inputAttendinginsists traineepracticewithin level oftrainingFailure to startcompressionsDr. did notfollow-up withpatient/familyInefficientuse of CodeTeammembersBreachof SterileFieldInadequatePPE: MaskPoorHistoryTakingIneffectiveCompressionsFailure tomonitor patient(despiteadequate staff)Traineesharesfear/anxietywith co-residentInternoperatingwithoutsupervisionTrainee(belatedly)confessesto mistakeStethoscopeearpieces inbackwards!UnstructuredShift Sign-OutDr. callscode rightaway afterstatuschangeInterpersonaldynamicsdistractingfrom careEssentialspecialistabsentDr.Inaccuratelystates a VitalSign isstabilizingSutureCutIncorrectlyChargedefibrillatorbeforepausingcompressionsPoorOperatingRoomSet-UpClosed LoopCommunicationAbsentDr.Emphasizespatientperspective,trustOverconfidentPhysicianInadequateventilationduringsurgeryIncorrectScrub-InAssistingSurgeon Failsto ProvideCriticalInformationTalkingAbout thePatient LikeThey Aren'tThereAttendingreadilyexcusestrainee fromtaskDr. withneededinformationunreachableNeedlesslyRemovingCaregiver/FamilyInadequatePPE: EyeProtectionFailure toFollowACLSProtocolIllegalDeclarationof DeathExcessiveInterruption ofCompressionsFailure toFixateET TubePrematureCessation ofResuscitationEffortsDr. lies tocover foranotherDr.Dangerousforeign bodyin operatingroomInappropriateSurgicalSettingExcessiveDose ofElectricityFailure to startcompressionsHandHygeineFailureInadequatePPE: HairCoverDr. explainsclinicalreasoning topatient/familyFailure toProvideOxygenTraineeunable tosharefear/anxietyto supervisorLeadSurgeonasking fortrainee inputAttendinginsists traineepracticewithin level oftrainingFailure to startcompressionsDr. did notfollow-up withpatient/familyInefficientuse of CodeTeammembersBreachof SterileFieldInadequatePPE: MaskPoorHistoryTakingIneffectiveCompressionsFailure tomonitor patient(despiteadequate staff)Traineesharesfear/anxietywith co-residentInternoperatingwithoutsupervisionTrainee(belatedly)confessesto mistakeStethoscopeearpieces inbackwards!UnstructuredShift Sign-OutDr. callscode rightaway afterstatuschangeInterpersonaldynamicsdistractingfrom careEssentialspecialistabsentDr.Inaccuratelystates a VitalSign isstabilizingSutureCutIncorrectlyChargedefibrillatorbeforepausingcompressionsPoorOperatingRoomSet-UpClosed LoopCommunicationAbsentDr.Emphasizespatientperspective,trustOverconfidentPhysicianInadequateventilationduringsurgeryIncorrectScrub-InAssistingSurgeon Failsto ProvideCriticalInformationTalkingAbout thePatient LikeThey Aren'tThereAttendingreadilyexcusestrainee fromtaskDr. withneededinformationunreachableNeedlesslyRemovingCaregiver/FamilyInadequatePPE: EyeProtection

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