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
5.
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
9.
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
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
19.
20.
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
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
