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Dalia El-Shafei
Dalia El-Shafei

Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe. It is generally agreed upon that the definition of patient safety is… "DO NO HARM"

Healthcare
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PATIENT SAFETY
Describe the importance of the patient safety. Define patient safety. Identify IPSG (international patient safety goals) in healthcare provision. Recognize approaches for error control, Describe the components of Safety culture. ILOs
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
IMPACT
What We Know One in nine adults contract infection in hospital. One in nine patients receive wrong medication or wrong dose.
MORE DEATHS AFTER EXPERIENCING ADVERSE EVENTS IN HOSPITAL THAN DEATHS FROM BREAST CANCER, MOTOR VEHICLE ACCIDENTS AND HIV COMBINED. Breast cancer MVAs HIV Adverse events in hospital
Is there any possibility of error?
Who are we going to blame?
Do you have comment?
What is the difference?
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
PATIENT SAFETY DEFINITION • Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe. • It is generally agreed upon that the definition of patient safety is…
WHAT IS BEING DONE TO MAKE HEALTHCARE ORGANIZATIONS SAFE FOR PATIENTS? Joint Commission on Accreditation for Healthcare Organizations (JCAHO) 1st established patient safety goals in 2002. Each year those goals are re- evaluated & revisions are published. When healthcare organizations are accredited, they are given report cards and graded on their compliance with meeting the goals.
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
EGYPTIAN STANDARDS 7) Prevention of patient's risk for developing pressure ulcers 8) Prevention of catheter & tubing mis-connections
IDENTIFICATION Identify Patients Correctly • Use at least two (2) ways to identify a patient. IPSG1
COMMUNICATION Implement a process for taking verbal (VO) or telephone (TO) orders. IPSG2
Standardize a list of (Prohibited) abbreviations, acronyms, and symbols that are not to be used throughout the organization. MSO4 U mcg
Improve the Effectiveness of Communication Among Caregivers Improve critical test results & values, timeliness of reporting, & timeliness of receipt. Measure, assess and, if appropriate, take action. Use checklists & standardized formats. When receiving the patient, check to see that all orders are implemented. Use the Patient Transfer forms and established criteria.
Standardize “hands-off” communications (on/off duty reports, transfers, shift changes)
Improve the safety of high-alert medications IPSG3
Ensure correct-site, correct-procedure and correct-patient surgery IPSG4
Reduce the health care associated infections (HAI) IPSG5
Reduce the risk of patient harm resulting from Falls • Assess & periodically re-assess each patient’s risk for falling IPSG6
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
No error No adverse effect Optimal outcome Safety = Control of errors?
Why rather than Who How things go wrong Blame someone •Person approach Chain of events •System approach
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (6) Egyptian (2) Approaches Control of errors Safety culture 4 components
Shared, learned beliefs and behaviors that reflect an organization’s preparation to learn from errors Safety culture
Components (foundations) of safety Reporting • People in direct contact with risks & hazards freely report their errors & near-misses. Just • An atmosphere of trust in which front line operators are not punished for actions, omission or decisions they take which are commensurate with their experience & training but where gross negligence, willful violations & destructive acts are not tolerated”. Flexible • Permit front line workers to share information, manage changing work conditions, and to adapt & learns from experience. Learning • A learning culture correctly interprets information from its safety systems & has the will to implement change.
WHAT IS Sense the error. S Act to prevent it. A Follow safety guidelines. F Enquire into accidents/deaths. E Take appropriate remedial measure. T Your responsibility Y
Activity 1
Activity 2
Importance Impact Magnitude of the problem Definition Joint Commission on Accreditation for Healthcare Organizations (JCAHO) Goals International (7) Egyptian (2) Approaches Control of errors Safety culture 4 components
Patient safety.pptx

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