Patient safety .by dr.gyanaranjan

2,203 views

Published on

A conceptual presentation of a abstract published in Health line- The journal of Indian association of preventive and social medicine ,Gujurat chapter,vol-3,March-2012 and also presented at PRISIM-2012, National conference on Hospital management-2012,Organised by ARVIND eye hospital,Madurai. THIS PRESENTATION MAINLY FOCUS ON HOW TO CREATE A CULTURE OF PATIENT SAFETY IN INDIA'S PUBLIC HEALTH CARE INSTITUTIONS BASED ON A NON INTER VENATION EXPLOITATIVE STUDY DESIGN.

  • Be the first to comment

Patient safety .by dr.gyanaranjan

  1. 1. Patient Safety In Public Health Care Institutions A Conceptual Postmortem & Critical Analysis Clean Care is Safer Care By. Dr.Gyanaranjan Pradhan(PGDHM*) drgyanaranjan@gmail.com Dr. S.Yasobant (MPH *) dryasobant@gmail.com * Pursuing
  2. 2. Content To Be CoveredPatient Safety In Public Health Care institutions Objectives of presentation. What is patient safety? Public Heath Care Institutions in India. Patient Safety and India. drgyanaranajan@gmail.com dryasobant@gmail.com
  3. 3. Content to be coveredPatient Safety In Public Health Care institutions  Conceptual Postmortem of the issue :Factors Responsible.  Result of Postmortem: Explore Various Dimensions Of Patient safety.  Critical analysis :Frame Work To Increase Patient Safety  Conclusion. drgyanaranajan@gmail.com dryasobant@gmail.com
  4. 4. Objectives of presentationPatient Safety In Public Health Care institutions To know how unsafe our patients are. Explore the hidden factors of patient safety along with most common factors How to create a culture of patient safety Managerial suggestions to overcome drgyanaranajan@gmail.com dryasobant@gmail.com
  5. 5. How much unsafe our patients are? Doctors Are More Dangerous than Guns In USA…..Patient Safety In Public Health Care Institutions  Number of doctor:  Number of gun owners: 70,0000 80,000,000  Accidental death due to gun  Accidental death caused :1500 by doctors per year: 120,000  Hence Accident Per Year  Hence Accident Per Per Gun:0.001875* Year/Doctor:17.14 * *Curtsey USA dept. Of Family Welfare. *Curtsey FBI Conclusion: Doctors are 9000 times dangerous than Gun
  6. 6. How much unsafe our patients are? Health Care Industry is one of the Risk Industry….Patient Safety In Public Health Care institutions Fatal Iatrogenic Blood transfusion adverse event Cardiac Surgery Charted flight Himalaya Medical Risk mountaineering Total Commercial large jet aviation Micro light aircraft Road Safety Railways Chemical Industry Nuclear Industry Very un safe ..... Risk ….. Ultra safe
  7. 7. What is patient safety? Do no harm 1st corner stone of medicine…Patient Safety In Public Health Care institutions  The prevention of errors and consequence adverse effects to patients associated with health care . (WHO)  Health care error : At various level ;At various aspects From managerial………...To Clinical Human Cause…………….To Instrumental Policy Failure ……………...To System failure drgyanaranajan@gmail.com dryasobant@gmail.com
  8. 8. What is patient safety: Various dimensions Freedom from accidental injury……Patient Safety In Public Health Care institutions Medicine error Surgical error Treatment Physical enviourment Transfusion (blood accidents & fluid) HAI Diagnostic Health care error Communication Equipment
  9. 9. Three tier health Delivery model in India A great challenge for patient safetyPatient Safety In Public Health Care institutions  242 Medical colleges  205 Dental colleges  3,346 CHC  4,400 DHC  23,236 PHC  1,46,026 Sub centre Ref.k.Park20th ed.
  10. 10. India‘s health care paradox For why patient safety is a ”?”Patient Safety In Public Health Care institutions
  11. 11. Patient Safety and India: legal aspects Health to all or safe care to all?Patient Safety In Public Health Care institutions  No direct legal frame work: Constitution not provide special right to patients.  Sec-304 0f Indian penal code 1860: Space to complain against physician for negligence.  IMC professional etiquette and ethics regulation : Address the issue  Consumer act :Use some time
  12. 12. Patient Safety and India : Current scenario Time to think and progressPatient Safety In Public Health Care institutions  At corporate /private hospitals: Quite promising but still need more attention to create patient safety as a culture  Our focus public health care institutions: Not only disappointing but also a headache for all stake holders  Over burden the system: By increase visit to hospitals, burden of disease, out pocket and public spending , longer bed occupancy& queue in OPD.  Reduce faith on public health care system and growth of parallel market.  Vision gradually turned in to rhetoric or a utopian appeal-because something lack to Vision Reality
  13. 13. Back ground of study : Just give a overview Thanks to all who cooperate usPatient Safety In Public Health Care institutions Non-interventional-explorative study design Total number of public health care institutions cover:1.Sub-cetre and Anganwadi: 62.PHC:63.CHC:44:DH:3drgyanaranajan@gmail.com & dryasobant@gmail.com
  14. 14. Postmortem of Patient safety Funny but a necessaryPatient Safety In Public Health Care institutions Public health care Institutions Overburden Collapsed Patient safety venerable Death of patient safety in these organizations
  15. 15. Why postmortem: Explore the cause Not a natural deathPatient Safety In Public Health Care institutions The death is suspected due to  Individual causes :Health care professionals and other supportive enviourment  System causes : The health care delivery system and work process So there is need to find the exact cause By Conceptual postmortem
  16. 16. The Procedure of postmortem should not be biased– Patient Safety In Public Health Care institutions Open eye observation: Silent data collection Interactingwith various stake holders of system Secondary data Sources drgyanaranajan@gmail.com & dryasobant@gmail.com
  17. 17. Findings of Postmortem You may not belief but truePatient Safety In Public Health Care institutions Number of issues :Represents interlinking factors Various dimensions of factors: Multi facet interaction Most common highlighted causes : Mask the root causes, So difficult to Addressed  Already well focused :But seems to be a nightmare. drgyanaranajan@gmail.com dryasobant@gmail.com
  18. 18. Current Scenario :We all know Valuable clues towards solutionPatient Safety In Public Health Care institutions
  19. 19. Critical analysis of Findings Not criticism but findingPatient Safety In Public Health Care institutions Issue-1:Human Resource: It’s dimensions Beehavioural Lack Inadequacy and change and Competency Inequitable poor attitude related to distribution towards patient patient safety safety Required some special strategy to address
  20. 20. Critical analysis of Findings Only findings are not enoughPatient Safety In Public Health Care institutions Issue-2.Work Culture: Various dimensions Lack of team Un-supportive work Not people Work Centered & enviourment work culture Leadership Required some special strategy to address
  21. 21. Frame work to increase patient safety some hopeful suggestionPatient Safety In Public Health Care institutions Create a culture of patient safety in public healthcare institutions: focus on system issues and individual issues. De-centralization of organizational structure and streamline the management process. The administrative power shifted from medicos to medicos specialized in healthcare management. Allotment of resources and its proper distribution
  22. 22. Conclusion Not possible to conclude still we are not achieve the GoalPatient Safety In Public Health Care institutions From Too Much Zeal For The New And Contempt For The Old; From Putting Knowledge Before Wisdom Science Before Art Cleverness Before Commonsense From Treating Patient As a Case And For Making Cure of Disease More Grievous Than The Endurance Thereof ; Good lord Deliver Us By: Robert hutichison
  23. 23. Thanks to all Join Hands Creating a culture of patient safetyPatient Safety In Public Health Care institutions Special Thanks To Prisim-2012 & You!!!! drgyanaranjan@gmail.com & dryasobant@gmail.com

×