Intro to pt safety
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This document provides an overview of a patient safety initiative. It discusses that patient safety involves preventing harm to patients and involves all hospital employees, departments, and operations 24/7. A model of patient safety involves preparing workers, recipients of care, systems for therapeutic interventions, and methods for continuous improvement. National safety goals aim to improve accuracy of patient identification, communication among caregivers, medication safety, reduce infections, and reconcile medications. The hospital's initiative focuses on infection control, communication, patient identification, medication safety, lab results, blood transfusions, falls, and incident reporting. The reasons for the initiative are to reduce errors, improve safety, meet accreditation requirements, and protect from litigation.
Intro to pt safety
- 1. PATIENT SAFETY INITIATIVE OVERVIEW DR LEE OI WAH MD(UKM), CMIA
- 2. Patient Safety Definition • Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe. • It is generally agreed upon that the definition of patient safety is…
- 3. What is Patient Safety? The absence of the potential for patient harm Involves all Employees/Contract workers, All job descriptions Involves all Departments Time frame: 24/7
- 4. A model of patient safety 1. Those who work in health care. 2. Those who receive health care or have a stake in its availability. 3. The infrastructure of systems for therapeutic interventions (health-care delivery processes). 4. The methods for feedback and continuous improvement.
- 5. Methods: CQI on info, hardware, plant, policy Systems for therapeutic action designed to Recipients of care preempt/rescue from failure Preparation on: illness understanding, Workers: teams accessing care trained to preempt / systems, rescue from / advocacy manage failure Methods: CQI on: competence communication, A patient safety model of health care Emmanuel et al 2008 teamwork
- 6. Avoidable confusion is everywhere…
- 7. Health care is increasingly complex Gaba
- 8. Traps in health care? • look-alike and sound-alike pharmaceuticals • equipment design ○ e.g. infusion pumps
- 9. Removing error traps • a primary function of an incident reporting system is to identify recurring problem areas - known as “error traps” (Reason) • identifying and removing these traps is one of the main functions of error management Error traps
- 10. What is being done to make healthcare organizations safe for patients? • Joint Commission on Accreditation for Healthcare Organizations (JCAHO) first established patient safety goals in 2002. • Each year those goals are re-evaluated and revisions are published. • When healthcare organizations are accredited, they are given report cards and graded on their compliance with meeting the goals.
- 11. National Safety Goals • Improve the accuracy of patient identification. • Improve the effectiveness of communication among caregivers. • Improve the safety of using medications.
- 12. National Safety Goals • Reduce the risk of healthcare associated infections. • Accurately and completely reconcile medications across the continuum of care. • Reduce the risk of patient harm resulting from falls.
- 13. PATIENT SAFETY INITIATIVE OF HOSPITAL CHANGKAT MELINTANG
- 14. Clean care is safer care Communication policy Patient identification Medication safety Notification of critical lab results Safe blood transfusion Patient fall Incident reporting and management
- 15. Medical Officers Paramedics Pharmacists PPKs Allied health professionals HSS WHO SHOULD KNOW?
- 16. Reduce medical error Improve patient safety Requirement for Accreditation Protect from litigation Patient’s right WHY???
- 17. What else is being done to promote patient safety? • Committees to investigate all aspects of patient safety. • Employee training on proper lifting and transfer techniques which benefit both employees and patients.
- 18. What else is being done to promote patient safety? • Policies for safe disposal of contaminated articles and sharps – Syringes – Needles – Blades
- 19. What else is being done to promote patient safety? • Frequent Fire and Disaster drills • Inspection and maintenance of all equipment… – Hospital beds – Patient Lifting equipment – Gas containers – Infusion pumps – Monitoring equipment
- 20. What can employees do to promote patient safety? • Report any potentially dangerous patient situation to your supervisor. • Know about and participate in performance improvement processes in your department or unit. • Take your annual mandatory training seriously; it will help you to identify safety issues.
- 21. What can employees do to promote patient safety? • Don’t take “shortcuts”. • Use check lists. • Ask co-workers to complete double checks.
- 22. Conclusion Be an advocate for our patients. Patient safety is