Expired supplies in drawer Looking for interpreter Repeating patient questions Double documentation Searching equipment Nurse not included in huddle Poor par levels No nurse input on workflow No feedback on suggestions Rework after near miss Reaching for overhead items Searching supply room Fixing wrong labels Improvement ideas ignored Re- entering admission data Overstocked IV tubing Unused forms Too many medication concentrations Nurse not in staffing decisions Leaving unit frequently Correcting charting errors Paper backups "just in case" Manual tracking Extra approval steps Duplicate safety checks Expired supplies in drawer Looking for interpreter Repeating patient questions Double documentation Searching equipment Nurse not included in huddle Poor par levels No nurse input on workflow No feedback on suggestions Rework after near miss Reaching for overhead items Searching supply room Fixing wrong labels Improvement ideas ignored Re- entering admission data Overstocked IV tubing Unused forms Too many medication concentrations Nurse not in staffing decisions Leaving unit frequently Correcting charting errors Paper backups "just in case" Manual tracking Extra approval steps Duplicate safety checks
(Print)
U-Expired supplies in drawer
S-Looking for interpreter
R-Repeating patient questions
E-Double documentation
S-Searching equipment
N-Nurse not included in huddle
U-Poor par levels
N-No nurse input on workflow
N-No feedback on suggestions
R-Rework after near miss
S-Reaching for overhead items
S-Searching supply room
R-Fixing wrong labels
N-Improvement ideas ignored
R-Re-entering admission data
U-Overstocked IV tubing
U-Unused forms
U-Too many medication concentrations
N-Nurse not in staffing decisions
S-Leaving unit frequently
R-Correcting charting errors
E-Paper backups "just in case"
E-Manual tracking
E-Extra approval steps
E-Duplicate safety checks
