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(
‫التوفيق‬ ‫هللا‬ ‫نسأل‬ ‫للجميع‬ ‫هدية‬ ‫المحاضرات‬ ‫هذه‬
)
Patient Safety and Risk
management in healthcare
Dr EZIZ ALFAHD
afkaabba@gmail.com
OBJECTIVES OF THIS TOPIC ARE
 1-To prepare our future physicians for safe practice
in the workplace
 2-To inform our future physicians about the key of
patient safety as PPE,IPSG, Emergency codes
 3-To provide our future physicians Basic information
about medical error related to patient safety
 4- To provide our future physicians about Basic
information about medications and Drugs Errors
related to patient safety
OBJECTIVES
 5- To explain the Basic information about
International patient safety goals ( IPSG ) as
Hygiene, and sterilization
 6- To Explain practically what we mean about
Personal Protective Equipment's (PPE), Periodic
Preventive Maintenance (PPM) and MSDS .
 7- To introduce infectious control information as
Hygiene, and sterilization related to patient safety.
 8 -To train the student practically about the Basic of
Evacuation, RACE/PASS
Some important issues
 MSDS Material Safety Data Sheet
 PPE Personal Protective Equipment
 OVR Occurrence Variance Report
 FMS Facility Management and Safety
 IPSG International patient safety goals
 PPM Periodic Preventive Maintenance
international Patient Safety Goals
 Goal 1
Improve the accuracy of [patient] identification.
 Goal 2
Improve the effectiveness of communication
among caregivers.
 Goal 3
Improve the safety of using medications.
International Patient Safety Goals
 Goal 4
Ensure the correct -site, procedure and
correct patient surgery .
 Goal 5
Improve the effectiveness of clinical alarm
systems and Reduce the risk of patient harm
resulting from falls
International Patient Safety Goals
 Goal 6
Reduce the risk of health care- associated
infections.
A. Meeting Hand Hygiene Guidelines
B. Sentinel Events Resulting from Infection
C. Not Applicable to Ambulatory Health Care
D. Preventing Central-Line Associated Blood Stream
Infections.Preventing Surgical Site Infections
Personal Protective Equipment
Definition (PPE)
“specialized clothing or equipment
worn by an employee for protection
against infectious materials”
(OSHA)
PPE Use in Healthcare Settings
Personal
Protective Equipment
Healthcare Workers
© Business & Legal Reports, Inc. 0609
Common Healthcare
Hazards Requiring PPE
• Skin penetration by
sharps
• Chemicals
• Antineoplastic and
other potentially
harmful drugs
• Blood and other
potentially infected
materials
• TB or other airborne
bacteria
© Business & Legal Reports, Inc. 0609
Common Healthcare
Hazards Requiring PPE (cont.)
• Mechanical hazards
• Heat
• X rays
• Light radiation (e.g., lasers or UV)
• Any other identified hazard
Personal Protective Equipment
• Introduction
• Eye & Face Protection
• Head Protection
• Hand Protection
• Foot Protection
• Body Protection
© Business & Legal Reports, Inc. 0609
Eye and Face Protection
• Shatterproof safety
glasses
• Goggles
• Filtered lenses
• Face shields
• Eye protection with
prescription glasses
© Business & Legal Reports, Inc. 0609
Skin Protection
• Gloves
• Disposable
• Cotton
• Leather
• Rubber, neoprene,
or vinyl
• Heat resistant
• Protective clothing
© Business & Legal Reports, Inc. 0609
Respiratory Protection
• Masks
• Respirators
• Respirator fit testing
and training
Hand Hygiene
• Perform hand hygiene immediately after
removing PPE.
– If hands become visibly contaminated during PPE
removal, wash hands before continuing to remove
PPE
• Wash hands with soap and water or use
an alcohol-based hand rub
PPE Use in Healthcare Settings
Executive Summary
 RED - Fire
 BLUE – Cardiac / Respiratory Arrest
 PINK – Infant / Child Abduction
 BLACK - Bomb
 ORANGE - Hazmat / Bioterrorism
 GREY - Violence/Security Alert
 YELLOW - Lockdown
 GREEN - Mass Casualty / Disaster
 BROWN - Severe Weather
•A working group of healthcare security and safety professionals
selected and recommended code identifiers for use in Florida
hospitals and other healthcare organizations.
What is medical error
Error is defined as "the failure of a planned action to be
completed as intended, or use of a wrong plan to
achieve an aim”
Institute of medicine. To Err is Human: Building a safer Health system 2000
Also medical Error are usually considered to be
“preventable Adverse medical events”
Brennan. T, Leape
PILLARS OF LIABILITY
HARM
TRESPASS
‫االهمال‬ ‫او‬ ‫التعدي‬
CAUSATION
Topic
Introduction to
medication safety
WHO: World alliance for patient safety taxonomy
Definitions
• side-effect: a known effect, other than that primarily
intended, relating to the pharmacological properties of a
medication
– e.g. opiate analgesia often causes nausea
• adverse reaction: unexpected harm arising from a
justified action where the correct process was followed
for the context in which the event occurred
– e.g. an unexpected allergic reaction in a patient taking a
medication for the first time
• error: failure to carry out a planned action as intended
or application of an incorrect plan
Look-a-like and sound-a-like
medications
• Celebrex (an anti-inflammatory)
• Cerebryx (an anticonvulsant)
• Celexa (an antidepressant)
The 5 Rs
• right drug
• right route
• right time
• right dose
• right patient
Thank You

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Patient Safety -2023.ppt

  • 1. ( ‫التوفيق‬ ‫هللا‬ ‫نسأل‬ ‫للجميع‬ ‫هدية‬ ‫المحاضرات‬ ‫هذه‬ ) Patient Safety and Risk management in healthcare Dr EZIZ ALFAHD afkaabba@gmail.com
  • 2. OBJECTIVES OF THIS TOPIC ARE  1-To prepare our future physicians for safe practice in the workplace  2-To inform our future physicians about the key of patient safety as PPE,IPSG, Emergency codes  3-To provide our future physicians Basic information about medical error related to patient safety  4- To provide our future physicians about Basic information about medications and Drugs Errors related to patient safety
  • 3. OBJECTIVES  5- To explain the Basic information about International patient safety goals ( IPSG ) as Hygiene, and sterilization  6- To Explain practically what we mean about Personal Protective Equipment's (PPE), Periodic Preventive Maintenance (PPM) and MSDS .  7- To introduce infectious control information as Hygiene, and sterilization related to patient safety.  8 -To train the student practically about the Basic of Evacuation, RACE/PASS
  • 4. Some important issues  MSDS Material Safety Data Sheet  PPE Personal Protective Equipment  OVR Occurrence Variance Report  FMS Facility Management and Safety  IPSG International patient safety goals  PPM Periodic Preventive Maintenance
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  • 6. international Patient Safety Goals  Goal 1 Improve the accuracy of [patient] identification.  Goal 2 Improve the effectiveness of communication among caregivers.  Goal 3 Improve the safety of using medications.
  • 7. International Patient Safety Goals  Goal 4 Ensure the correct -site, procedure and correct patient surgery .  Goal 5 Improve the effectiveness of clinical alarm systems and Reduce the risk of patient harm resulting from falls
  • 8. International Patient Safety Goals  Goal 6 Reduce the risk of health care- associated infections. A. Meeting Hand Hygiene Guidelines B. Sentinel Events Resulting from Infection C. Not Applicable to Ambulatory Health Care D. Preventing Central-Line Associated Blood Stream Infections.Preventing Surgical Site Infections
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  • 10. Personal Protective Equipment Definition (PPE) “specialized clothing or equipment worn by an employee for protection against infectious materials” (OSHA) PPE Use in Healthcare Settings
  • 12. © Business & Legal Reports, Inc. 0609 Common Healthcare Hazards Requiring PPE • Skin penetration by sharps • Chemicals • Antineoplastic and other potentially harmful drugs • Blood and other potentially infected materials • TB or other airborne bacteria
  • 13. © Business & Legal Reports, Inc. 0609 Common Healthcare Hazards Requiring PPE (cont.) • Mechanical hazards • Heat • X rays • Light radiation (e.g., lasers or UV) • Any other identified hazard
  • 14. Personal Protective Equipment • Introduction • Eye & Face Protection • Head Protection • Hand Protection • Foot Protection • Body Protection
  • 15. © Business & Legal Reports, Inc. 0609 Eye and Face Protection • Shatterproof safety glasses • Goggles • Filtered lenses • Face shields • Eye protection with prescription glasses
  • 16. © Business & Legal Reports, Inc. 0609 Skin Protection • Gloves • Disposable • Cotton • Leather • Rubber, neoprene, or vinyl • Heat resistant • Protective clothing
  • 17. © Business & Legal Reports, Inc. 0609 Respiratory Protection • Masks • Respirators • Respirator fit testing and training
  • 18. Hand Hygiene • Perform hand hygiene immediately after removing PPE. – If hands become visibly contaminated during PPE removal, wash hands before continuing to remove PPE • Wash hands with soap and water or use an alcohol-based hand rub PPE Use in Healthcare Settings
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  • 21. Executive Summary  RED - Fire  BLUE – Cardiac / Respiratory Arrest  PINK – Infant / Child Abduction  BLACK - Bomb  ORANGE - Hazmat / Bioterrorism  GREY - Violence/Security Alert  YELLOW - Lockdown  GREEN - Mass Casualty / Disaster  BROWN - Severe Weather •A working group of healthcare security and safety professionals selected and recommended code identifiers for use in Florida hospitals and other healthcare organizations.
  • 22. What is medical error Error is defined as "the failure of a planned action to be completed as intended, or use of a wrong plan to achieve an aim” Institute of medicine. To Err is Human: Building a safer Health system 2000 Also medical Error are usually considered to be “preventable Adverse medical events” Brennan. T, Leape
  • 23. PILLARS OF LIABILITY HARM TRESPASS ‫االهمال‬ ‫او‬ ‫التعدي‬ CAUSATION
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  • 27. WHO: World alliance for patient safety taxonomy Definitions • side-effect: a known effect, other than that primarily intended, relating to the pharmacological properties of a medication – e.g. opiate analgesia often causes nausea • adverse reaction: unexpected harm arising from a justified action where the correct process was followed for the context in which the event occurred – e.g. an unexpected allergic reaction in a patient taking a medication for the first time • error: failure to carry out a planned action as intended or application of an incorrect plan
  • 28. Look-a-like and sound-a-like medications • Celebrex (an anti-inflammatory) • Cerebryx (an anticonvulsant) • Celexa (an antidepressant)
  • 29. The 5 Rs • right drug • right route • right time • right dose • right patient