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Table 6 Items of patient safety culture checked during the safety walks

From: Effects of auditing patient safety in hospital care: design of a mixed-method evaluation

Topic [33],[34] Some of the 65 items
Medication safety Double check before administration of the drug (the right drugs and right doses to the right patient at the right time)
Keep medication inaccessible to unauthorized persons
Infection prevention Wash hands before and after treatment of the patient
Not wearing hand or wrist jewellery
Environment Reduce risks of patients falling
Make leaflets easily accessible to patients
Test whether alarm systems work
Protocols and procedures of care Ensure that only up-to-date instructions for the protocols and procedures of care are available
Ensure that protocols and procedures are accessible
Information security Keep medical and nursing patient record inaccessible to unauthorized persons
Keep conversations between healthcare providers confidential
Sterile medical aids Keep packaging of sterile materials closed
Sterile materials for which the expiration date has passed must always be removed
Medical devices Monitor maintenance periodically
Provide training before use
Patient identification Ensure that patients wear an identification bracelet
Ensure that demonstrable checking takes place before blood products are given
Food safety Check that the nutrition assistant ensures fluid and/or nutritional balance is complete
Ascertain the temperature of the hot meal before serving
Reserved procedures Determine that nurses have been trained and examined for risky medical procedures
Overall safety The department must be clean and tidy
  Clean desk policy must be maintained in the reception room
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