Annual ed risk and safety2 2010


Published on


  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Annual ed risk and safety2 2010

  1. 1. Risk and Patient Safety 2009
  2. 2. Our goal: a safe environment <ul><li>The primary goal of risk and patient </li></ul><ul><li>safety is to improve the quality of </li></ul><ul><li>care and safeguard the environment </li></ul><ul><li>through the identification and elimination </li></ul><ul><li>of potential risks </li></ul>
  3. 3. Who Has This Responsibility? <ul><li>University Hospital staff members </li></ul><ul><li>Licensed independent practitioners (LIPs) </li></ul><ul><li>Students </li></ul><ul><li>Volunteers </li></ul>
  4. 4. Quality Safety Risks Include: <ul><li>- Surgical procedures - Medication administration </li></ul><ul><li>- Diagnostic procedures - Medical treatment </li></ul><ul><li>- Invasive procedures - Medical research </li></ul><ul><li>- Functional equipment or devices </li></ul>
  5. 5. Minimizing Quality Safety Risks <ul><li>Appropriate and complete consent form </li></ul><ul><li>Time-out prior to procedure </li></ul><ul><li>Concise physician order; if in doubt, question it </li></ul><ul><li>The 5 Rs </li></ul><ul><li>Verification of research protocols study </li></ul><ul><li>Correct patient identifiers </li></ul><ul><li>Monitor patients closely after sedation </li></ul><ul><li>Equipment/device monitoring by Biomed routinely </li></ul><ul><li>Tag and remove defective equipment/device </li></ul>
  6. 6. Reporting of Quality Safety Issues <ul><li>Report unexpected outcomes to your direct chain of command </li></ul><ul><li>Nights and weekends – report to the house supervisor immediately </li></ul><ul><li>Complete an event report on-line </li></ul><ul><li>Contact risk management where appropriate </li></ul><ul><li>Report safety concerns expressed by patients/families </li></ul>
  7. 7. Security Risks Include: <ul><li>Protection of patients </li></ul><ul><li>Protection of staff, LIPs, students and volunteers </li></ul>
  8. 8. Minimizing Security Risks <ul><li>Know your patients’ whereabouts at all times </li></ul><ul><li>Utilize the buddy system if patient situation warrants </li></ul><ul><li>Be mindful of non-employee individuals who present to your unit or department. Question who they are! </li></ul><ul><li>Wear your University ID badge while on campus </li></ul><ul><li>Stay in well lit areas </li></ul><ul><li>Control access into the university hospitals’ facilities </li></ul><ul><li>Request security escort when leaving a building after hours </li></ul>
  9. 9. <ul><li>Staff have the right to: </li></ul><ul><ul><li>Safe, violence-free work environment </li></ul></ul><ul><ul><li>Formal grievance process </li></ul></ul><ul><ul><li>Non-discrimination </li></ul></ul><ul><ul><li>Request to be reassigned for reasons of personal conscience (see the supervisor) </li></ul></ul><ul><ul><li>Zero tolerance for harassment in any form </li></ul></ul>
  10. 10. Reporting of Security Issues <ul><li>Call UT Police if you can not locate your patient (ext 311) </li></ul><ul><li>Call the UT Police for a potential volatile or threatening situation before it escalates (ext 911) </li></ul><ul><li>Report suspicious activity to your direct report </li></ul><ul><li>Activate the appropriate safety code, if warranted </li></ul>
  11. 11. Environmental Safety Risk Includes: <ul><li>Clear pathways </li></ul><ul><li>Floor maintenance issues </li></ul><ul><li>Barriers to patient access areas </li></ul><ul><li>Chemical spills </li></ul>
  12. 12. Minimizing Environmental Risks <ul><li>Keep common walkways free of clutter and non-essentials items </li></ul><ul><li>Minimize cords or wires in traffic areas </li></ul><ul><li>Post wet-surface signs </li></ul><ul><li>Question free standing, non-identified liquids </li></ul><ul><li>Common sense is part of your critical thinking skills required to maintain a safe environment </li></ul>
  13. 13. Reporting of Environmental Safety Issues <ul><li>Report hallway clutter or barriers to charge nurse or department manager </li></ul><ul><ul><li>Charge nurse or department manager will contact appropriate facility department for resolution </li></ul></ul><ul><li>If there is a chemical spill and you do not know the substance, or for any substance, if you need assistance, call Code Orange to X3333. </li></ul>
  14. 14. Conclusion <ul><li>Each and every one of us has the </li></ul><ul><li>responsibility to identify these factors and </li></ul><ul><li>correct or minimize these risks….and take </li></ul><ul><li>ownership of the issue </li></ul>