This document outlines objectives and topics related to patient safety and risk management in healthcare. The objectives are to prepare future physicians for safe practice, inform them about key safety concepts like personal protective equipment and emergency codes, and provide basic information on medical errors, medications/drugs errors, and international patient safety goals. Key issues covered include material safety data sheets, personal protective equipment, and periodic preventive maintenance. Specific safety goals and concepts like hand hygiene, central line infections, and surgical site infections are also discussed.

1. (
‫التوفيق‬ ‫هللا‬ ‫نسأل‬ ‫للجميع‬ ‫هدية‬ ‫المحاضرات‬ ‫هذه‬
)
Patient Safety and Risk
management in healthcare
Dr EZIZ ALFAHD
afkaabba@gmail.com

2. OBJECTIVES OF THIS TOPIC ARE
 1-To prepare our future physicians for safe practice
in the workplace
 2-To inform our future physicians about the key of
patient safety as PPE,IPSG, Emergency codes
 3-To provide our future physicians Basic information
about medical error related to patient safety
 4- To provide our future physicians about Basic
information about medications and Drugs Errors
related to patient safety

3. OBJECTIVES
 5- To explain the Basic information about
International patient safety goals ( IPSG ) as
Hygiene, and sterilization
 6- To Explain practically what we mean about
Personal Protective Equipment's (PPE), Periodic
Preventive Maintenance (PPM) and MSDS .
 7- To introduce infectious control information as
Hygiene, and sterilization related to patient safety.
 8 -To train the student practically about the Basic of
Evacuation, RACE/PASS

4. Some important issues
 MSDS Material Safety Data Sheet
 PPE Personal Protective Equipment
 OVR Occurrence Variance Report
 FMS Facility Management and Safety
 IPSG International patient safety goals
 PPM Periodic Preventive Maintenance

6. international Patient Safety Goals
 Goal 1
Improve the accuracy of [patient] identification.
 Goal 2
Improve the effectiveness of communication
among caregivers.
 Goal 3
Improve the safety of using medications.

7. International Patient Safety Goals
 Goal 4
Ensure the correct -site, procedure and
correct patient surgery .
 Goal 5
Improve the effectiveness of clinical alarm
systems and Reduce the risk of patient harm
resulting from falls

8. International Patient Safety Goals
 Goal 6
Reduce the risk of health care- associated
infections.
A. Meeting Hand Hygiene Guidelines
B. Sentinel Events Resulting from Infection
C. Not Applicable to Ambulatory Health Care
D. Preventing Central-Line Associated Blood Stream
Infections.Preventing Surgical Site Infections

10. Personal Protective Equipment
Definition (PPE)
“specialized clothing or equipment
worn by an employee for protection
against infectious materials”
(OSHA)
PPE Use in Healthcare Settings

11. Personal
Protective Equipment
Healthcare Workers

12. © Business & Legal Reports, Inc. 0609
Common Healthcare
Hazards Requiring PPE
• Skin penetration by
sharps
• Chemicals
• Antineoplastic and
other potentially
harmful drugs
• Blood and other
potentially infected
materials
• TB or other airborne
bacteria

13. © Business & Legal Reports, Inc. 0609
Common Healthcare
Hazards Requiring PPE (cont.)
• Mechanical hazards
• Heat
• X rays
• Light radiation (e.g., lasers or UV)
• Any other identified hazard

14. Personal Protective Equipment
• Introduction
• Eye & Face Protection
• Head Protection
• Hand Protection
• Foot Protection
• Body Protection

15. © Business & Legal Reports, Inc. 0609
Eye and Face Protection
• Shatterproof safety
glasses
• Goggles
• Filtered lenses
• Face shields
• Eye protection with
prescription glasses

16. © Business & Legal Reports, Inc. 0609
Skin Protection
• Gloves
• Disposable
• Cotton
• Leather
• Rubber, neoprene,
or vinyl
• Heat resistant
• Protective clothing

17. © Business & Legal Reports, Inc. 0609
Respiratory Protection
• Masks
• Respirators
• Respirator fit testing
and training

18. Hand Hygiene
• Perform hand hygiene immediately after
removing PPE.
– If hands become visibly contaminated during PPE
removal, wash hands before continuing to remove
PPE
• Wash hands with soap and water or use
an alcohol-based hand rub
PPE Use in Healthcare Settings

21. Executive Summary
 RED - Fire
 BLUE – Cardiac / Respiratory Arrest
 PINK – Infant / Child Abduction
 BLACK - Bomb
 ORANGE - Hazmat / Bioterrorism
 GREY - Violence/Security Alert
 YELLOW - Lockdown
 GREEN - Mass Casualty / Disaster
 BROWN - Severe Weather
•A working group of healthcare security and safety professionals
selected and recommended code identifiers for use in Florida
hospitals and other healthcare organizations.

22. What is medical error
Error is defined as "the failure of a planned action to be
completed as intended, or use of a wrong plan to
achieve an aim”
Institute of medicine. To Err is Human: Building a safer Health system 2000
Also medical Error are usually considered to be
“preventable Adverse medical events”
Brennan. T, Leape

23. PILLARS OF LIABILITY
HARM
TRESPASS
‫االهمال‬ ‫او‬ ‫التعدي‬
CAUSATION

26. Topic
Introduction to
medication safety

27. WHO: World alliance for patient safety taxonomy
Definitions
• side-effect: a known effect, other than that primarily
intended, relating to the pharmacological properties of a
medication
– e.g. opiate analgesia often causes nausea
• adverse reaction: unexpected harm arising from a
justified action where the correct process was followed
for the context in which the event occurred
– e.g. an unexpected allergic reaction in a patient taking a
medication for the first time
• error: failure to carry out a planned action as intended
or application of an incorrect plan

28. Look-a-like and sound-a-like
medications
• Celebrex (an anti-inflammatory)
• Cerebryx (an anticonvulsant)
• Celexa (an antidepressant)

29. The 5 Rs
• right drug
• right route
• right time
• right dose
• right patient

30. Thank You