Topic 10

Patient safety and invasive
procedures

Patient Safety Curriculum Guide
1
Learning objectives
To understand
 The main causes of adverse events in surgical
and invasive procedural care
 How the u...
Knowledge requirements

 The main types of adverse events associated with
surgical and invasive procedural care

 The ve...
Performance requirements

 Follow verification processes to avoid wrong patient,
wrong side and wrong procedure errors (e...
The main types of adverse events
associated with invasive procedural and
surgical care
 Poor infection control methods
 ...
The verification
processes for
improving
surgical care




What is a guideline,
protocol or checklist

Guidelines and ch...
Practise operating room techniques that
reduce risks and errors

 Participating in team briefings and debriefings
 Appro...
Surgical mortality and morbidity meetings









Is the meeting structured?
Is there an emphasis on education an...
Summary






The value of guidelines
Health-care professionals need to understand the
reasons for the guidelines
Prot...
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Psp mpc topic-10

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Psp mpc topic-10

  1. 1. Topic 10 Patient safety and invasive procedures Patient Safety Curriculum Guide 1
  2. 2. Learning objectives To understand  The main causes of adverse events in surgical and invasive procedural care  How the use of guidelines, verification processes and teamwork can facilitate the correct patient receiving the correct treatment at the appropriate time and place Patient Safety Curriculum Guide 2
  3. 3. Knowledge requirements  The main types of adverse events associated with surgical and invasive procedural care  The verification processes for improving surgical and invasive procedures' care Patient Safety Curriculum Guide 3
  4. 4. Performance requirements  Follow verification processes to avoid wrong patient, wrong side and wrong procedure errors (e.g. a surgical checklist)  Practise techniques that reduce risks and errors (e.g. time-outs, briefings, debriefings, stating concerns)  Participate in an educational process for reviewing mortality and morbidity  Actively engage as a team member  Actively engage with the patient at all times Patient Safety Curriculum Guide 4
  5. 5. The main types of adverse events associated with invasive procedural and surgical care  Poor infection control methods  Inadequate patient management  Failure by health-care providers to communicate effectively before, during and after operative procedures Patient Safety Curriculum Guide 5
  6. 6. The verification processes for improving surgical care   What is a guideline, protocol or checklist Guidelines and checklists in surgical care Patient Safety Curriculum Guide 6
  7. 7. Practise operating room techniques that reduce risks and errors  Participating in team briefings and debriefings  Appropriately sharing information  Asking questions  Asserting oneself appropriately  Stating or sharing intentions  Teaching  Managing workload Patient Safety Curriculum Guide 7
  8. 8. Surgical mortality and morbidity meetings         Is the meeting structured? Is there an emphasis on education and understanding? Is prevention the goal of the discussion? Are these meetings considered a core activity? Is everyone involved? Are juniors, including students, encouraged to attend? How are deaths handled? Is a written summary of the discussions kept? Patient Safety Curriculum Guide 8
  9. 9. Summary     The value of guidelines Health-care professionals need to understand the reasons for the guidelines Protocols and verification steps can minimize mistakes in patient identity The use if everyday techniques can improve communication and minimize errors Patient Safety Curriculum Guide 9
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