The presentation will last 25 minutes followed by a 5 minute question and answer session. The presentation will discuss establishing a safety culture at the hospital by overseeing various aspects of safety including patient safety, employee safety, radiation safety, environmental safety, and disaster management. It will review incident reports and analyze staff injuries to identify issues and promote a culture of reporting near misses. The presentation will also discuss risk management programs in hospitals and identify common safety issues like patient identification, medication safety, healthcare-associated infections, and falls. [END SUMMARY]

1. Total Duration: 30 minutes
Presentation: 25 minutes
Question & Answer session: 5 minutes
Dr. Salma Azeez

2. To provide a multi-
disciplinary forum and
framework which
identifies and manages
environment of care
issues, thus promoting a
safety environment for
our patients, visitors and
staff.

3. 1. To oversee, guide and ensure towards incidences reported.
the following aspects of 4. Appropriate storage and
safety in the hospital: safety practices with regard
 Patient safety to all Hazardous materials
including waste
 Employee safety management.
 Radiation safety
 Environment /Facility safety 5. Analyze the staff injuries
reported and other illness
 Disaster Management caused at work.
2. To promote a culture of ‘ Do
not harm’ and report any 6. Teaching and training
‘Near Misses” programs conducted for all
levels of staff for safety of
3. To review the incident report patients and personnel.
analysis & action taken

4. A Risk management
program in hospitals is
imperative because:
•To treat patients in a
safe environment.
•We are constantly
exposed to external
and internal risks.
•To reduce errors that
are costly in terms of
damage.

5. Patient Safety
SET THE SAFETY Employee
CULTURE…… Safety
Laboratory
•Non punitive Safety
•Transparent
Emergency &
• Need to know
•Speak out Disaster
• If we don't know, how Preparedness
can we correct it? Hazardous
• It can happen to anyone Materials
of us! Surgical
•Involvement of Safety
Clinicians for clinical
Facility safety
safety issues

6. “ A sustained, proactive
process of
identifying, avoiding and
rapidly resolving
errors, omissions, mishaps
and miscommunications that
could affect patients well
being at any point of time”’

7. Accuracy of patient identification.
Safety of using medications.
Risk of Health care-associated infections.
Accuracy and complete reconciliation of
medications across the continuum of care.
Risk of patient harm resulting from falls.
Surgical safety.
Health care-associated Pressure ulcers
Emergency preparedness……
and many more !
(use of: safety bands, non skid slippers, markers on
surgery sites are helpful)

8. VERBAL ORDERS: ERROR IDENTIFY PATIENTS
PREVENTION: CORRECTLY
Use at least (2) ways to identify
•Read back policy Avoid when patients while giving medicines, giving
blood or blood products, taking blood
possible.
samples or providing any other
•Enunciate slowly and distinctly. treatments or procedures. The patients
•State numbers like pilots Room No cannot be used to identify
(i.e., “one-five mg” for 15 mg). patients.
(call patient name loud & clear and wait
• Spell out difficult drug names
for patient acknowledgement as well as
Specify concentrations
match wrist identification e.g. MR no.#)
(10 Cohen MR. Medication Errors.
Causes, Prevention, and Risk
Management; 8.1-8.23.)

9.  Language should be simple and understood. A read
back or narrate can help Increase health literacy of
patients.
 Standardize the handover process and allot sufficient
time
 Relevant information should be available to every one
concerned.
 Patients should be aware of the medicines, dosages
and intervals of administration
 Patient and families should be involved in the decision
making.
(Comments: educate patient about: name of drug, dose, how-to-
take, written instructions, & known side effects. Patient and relatives
should sign consent for control drug therapies/surgeries)

10.  Implementation of strategies that make
alcohol-based hand-rubs readily available at
points of patient care.
 Access to a safe, continuous water supply at
all taps/faucets.
 Staff education on correct hand hygiene
techniques; Use of hand hygiene reminders in
the workplace.
 Measurement of hand hygiene compliance
through observational monitoring and other
techniques.

11. Patient Falls
Allergy assessment
Pressure Ulcers
 Medication
 Errors
 Adverse drug reactions
Vulnerable patients

12.  Risk assessment in different groups
of employees .
 Pre Joining formalities: Medical
fitness
 Periodic health check up policy
(„Periodicity‟ differs in different
groups of employees).
 Medical Benefits
 Post exposure prophylaxis… needs
to be streamlined.

13. •Installation of
warning
signals in appropriate areas
- Bilingual
•Monitoring ofRadiation
safety & monitoring devices.
• Radiation safety data.
•Standardize the personal
protective wearing for
paramedics.

14. •Correct patient
identification.
•Correct sample
identification.
•Reduce typographical
errors.
•Safety in blood bank
•Transfusion transmitted
reactions.
•Set protocols in case
of a spill.

15.  Know the emergencies/disasters relevant to
your institute/workplace.
 Code system
 Location of ramps, fire
extinguisher, evacuation plan etc.
 Appropriate personal protective measures to
be procured for emergencies.
 Training, training, training…
 Do mock drills

16. CODE RED FIRE
CODE BLUE ADULT CARDIOPULMONARY ARREST
PEDIATRIC CODE PEDIATRIC CARDIOPULMONARY ARREST
BLUE
CODE ORANGE HAZARDOUS MATERIAL SPILL / BIOLOGICAL
AGENT HAZARD
CODE YELLOW INFANT / CHILD MISSING
CODE GRAY SECURITY THREAT
CODE BLACK DISASTER

17. •Know the hazardous
material in relevant to
your area.
•Material safety data
sheets.
•Personal protective
equipment boxes.
•Training
•IncidentReporting in
case of spills

18. •Incomplete Consent
forms.
•Marking of site pre
operatively.
• Pre anesthetic review
•Operative notes (to be
authenticated)

19. Nursing call bells
Checking and maintenance Safety
belts in stretchers/wheel chairs
Signage – danger/warning
Regular checking of alternative
sources of supply
CORDON off renovation sites
 No lose wires/open electric circuits
Disabled friendly washrooms
Reactivation offire detection
systems in new building
Emergency lights in staircases

20. To develop a culture of
patient safety
To describe approach for
measurement and reporting
on patient safety
To find out frequent
problems that our Institute
encounters .
Identify accountabilities
To develop the solutions for
patient safety

21. Safety
Reliability
Change
Data
Culture
Leadership
Pyramid

23. THANK YOU