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Health literacy and patient safety


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Health literacy and patient safety

  1. 1. Health Literacy & Patient SafetyDr Nikhil D DatarMD DNB FCPS FICOG LLB DGO DHA•Consultant Gynaecologist: Nanawati Hospital & Hinduja HealthcareSurgical•Director Datar Nursing Home ( Malad) & Yashada Maternity &Surgical Home( Goregaon)•Founder President : Patient Safety Alliance.
  2. 2. Are YOU at risk? AS A PATIENT: Safe, transparent, evidence based, “patient centric” medical care AS A DOCTOR: Perceived negligence is responsible for 85% of medico- legal cases.2
  3. 3. True story• Patient NOT disclosing that she has undergone a major surgery in the past
  4. 4. Victims of medical accidents
  5. 5. WHO• “Unintended medical harm” 8th common cause of deaths• 50% deaths are preventable• Patients are the most important stake holders
  6. 6. Is Health care “patient centric?”• Doctors adopt highly paternalistic attitude, see informed consent as waste of valuable and scarce time. (Sanwal etal J R Soc Med 1996,89 196-98)• 40% patients could not understand basic instructions such as take tablet on empty stomach, 60% could not understand standards consent document. (Williams etal JAMA. 1995;274:1677-1682)6
  7. 7. Those with limited health literacy are more likely to:• Skip preventive measures• Require hospital admissions• Use services designed to treat complications than services used to prevent complications• Feel shameful & vulnerable• Spend more money• Feel unsatisfied( m)
  8. 8. The “Gap”8
  9. 9. Bridging the gap Case Studies:• Patient Safety Alliance• “Be alert… Be safe” workshops by PSA• PSA tools• Project “Digital Consents”
  10. 10. Patient Safety Alliance• Empowering patients• Supporting healthcare professionals to reduce medical harm.Education & activism in Health policy and law
  11. 11. “Be Alert… Be Safe” workshop• Interactive 2 hour workshop• Topics: – Why errors occur? – Effective consultation with the doctor – How to prevent medication errors – Infection control: role of patients – Internet for authentic health information – Legal recourse against HCP
  12. 12. PSA Tools• Effective consultation• History that helps• Medication card• Check list for hospital admission
  13. 13. Case study : Digital Consents• Multi lingual, audio visual, interactive patient information and consenting tool using IT
  14. 14. Process mapping DAY 1 : 730 – 750 PM DAY 2 : 930 AM14 DAY 2 : 10 30 AM BETWEEN 930 – 1030 AM
  15. 15. Addressing the gap • What information is sufficient? • How much to disclose? • How to do so without frightening the patient? • How to document the communication • How to get over the language barrier? • How to give this kind of time? • How to improve patient recall? • How to improve patient experience?15
  16. 16. Benefits of Digital consents• Brings transparency and fairness• Shared decisions and shared risks• Ensures that sufficient information is given every time• More effective, less time consuming• Protects medico-legally
  17. 17. सर्वे सर्ुखिखिनः सर्न्तुख , सर्वे सर्न्तुख िनरामयः • Do join us at