Total Duration: 30 minutesPresentation: 25 minutesQuestion & Answer session: 5 minutes Dr. Salma Azeez
To provide a multi-disciplinary forum andframework whichidentifies and managesenvironment of careissues, thus promoting asafety environment forour patients, visitors andstaff.
1. To oversee, guide and ensure towards incidences reported. the following aspects of 4. Appropriate storage and safety in the hospital: safety practices with regard Patient safety to all Hazardous materials including waste Employee safety management. Radiation safety Environment /Facility safety 5. Analyze the staff injuries reported and other illness Disaster Management caused at work.2. To promote a culture of ‘ Do not harm’ and report any 6. Teaching and training ‘Near Misses” programs conducted for all levels of staff for safety of3. To review the incident report patients and personnel. analysis & action taken
A Risk managementprogram in hospitals isimperative because:•To treat patients in asafe environment.•We are constantlyexposed to externaland internal risks.•To reduce errors thatare costly in terms ofdamage.
Patient Safety SET THE SAFETY EmployeeCULTURE…… Safety Laboratory•Non punitive Safety•Transparent Emergency &• Need to know•Speak out Disaster • If we dont know, how Preparedness can we correct it? Hazardous• It can happen to anyone Materials of us! Surgical •Involvement of Safety Clinicians for clinical Facility safety safety issues
“ A sustained, proactive process of identifying, avoiding and rapidly resolving errors, omissions, mishapsand miscommunications that could affect patients well being at any point of time”’
Accuracy of patient identification.Safety of using medications.Risk of Health care-associated infections.Accuracy and complete reconciliation ofmedications across the continuum of care.Risk of patient harm resulting from falls.Surgical safety.Health care-associated Pressure ulcersEmergency preparedness……and many more !(use of: safety bands, non skid slippers, markers onsurgery sites are helpful)
VERBAL ORDERS: ERROR IDENTIFY PATIENTSPREVENTION: CORRECTLY Use at least (2) ways to identify•Read back policy Avoid when patients while giving medicines, giving blood or blood products, taking bloodpossible. samples or providing any other•Enunciate slowly and distinctly. treatments or procedures. The patients•State numbers like pilots Room No cannot be used to identify(i.e., “one-five mg” for 15 mg). patients. (call patient name loud & clear and wait• Spell out difficult drug names for patient acknowledgement as well asSpecify concentrations match wrist identification e.g. MR no.#)(10 Cohen MR. Medication Errors.Causes, Prevention, and RiskManagement; 8.1-8.23.)
Language should be simple and understood. A read back or narrate can help Increase health literacy of patients. Standardize the handover process and allot sufficient time Relevant information should be available to every one concerned. Patients should be aware of the medicines, dosages and intervals of administration Patient and families should be involved in the decision making.(Comments: educate patient about: name of drug, dose, how-to- take, written instructions, & known side effects. Patient and relatives should sign consent for control drug therapies/surgeries)
Implementation of strategies that make alcohol-based hand-rubs readily available at points of patient care. Access to a safe, continuous water supply at all taps/faucets. Staff education on correct hand hygiene techniques; Use of hand hygiene reminders in the workplace. Measurement of hand hygiene compliance through observational monitoring and other techniques.
Risk assessment in different groups of employees . Pre Joining formalities: Medical fitness Periodic health check up policy („Periodicity‟ differs in different groups of employees). Medical Benefits Post exposure prophylaxis… needs to be streamlined.
•Installation of warningsignals in appropriate areas- Bilingual•Monitoring ofRadiationsafety & monitoring devices.• Radiation safety data.•Standardize the personalprotective wearing forparamedics.
•Correct patientidentification.•Correct sampleidentification.•Reduce typographicalerrors.•Safety in blood bank•Transfusion transmittedreactions.•Set protocols in caseof a spill.
Know the emergencies/disasters relevant to your institute/workplace. Code system Location of ramps, fire extinguisher, evacuation plan etc. Appropriate personal protective measures to be procured for emergencies. Training, training, training… Do mock drills
CODE RED FIRECODE BLUE ADULT CARDIOPULMONARY ARRESTPEDIATRIC CODE PEDIATRIC CARDIOPULMONARY ARRESTBLUECODE ORANGE HAZARDOUS MATERIAL SPILL / BIOLOGICAL AGENT HAZARDCODE YELLOW INFANT / CHILD MISSINGCODE GRAY SECURITY THREATCODE BLACK DISASTER
•Know the hazardousmaterial in relevant toyour area.•Material safety datasheets.•Personal protectiveequipment boxes.•Training•IncidentReporting incase of spills
•Incomplete Consentforms.•Marking of site preoperatively.• Pre anesthetic review•Operative notes (to beauthenticated)
Nursing call bells Checking and maintenance Safety belts in stretchers/wheel chairs Signage – danger/warning Regular checking of alternative sources of supply CORDON off renovation sites No lose wires/open electric circuits Disabled friendly washrooms Reactivation offire detection systems in new building Emergency lights in staircases
To develop a culture ofpatient safetyTo describe approach formeasurement and reportingon patient safetyTo find out frequentproblems that our Instituteencounters .Identify accountabilitiesTo develop the solutions forpatient safety
Safety Reliability Change Data CultureLeadership Pyramid