The document discusses patient safety in healthcare. It defines patient safety as the prevention of errors and adverse effects associated with healthcare delivery. It notes that the current environment involves errors and system failures due to limitations in understanding causes. Common types of errors include medication errors, near misses, adverse drug events, and sentinel events. The document outlines goals and practices to improve patient safety, such as proper patient identification, effective communication, and reducing healthcare-associated infections. It emphasizes the importance of policies, staff training, transparency, and review to enhance patient safety.

1. PATIENT SAFETY

2. What is Patient Safety?
 Prevention of errors and adverse
effects to patients associated with
healthcare
- WHO
 Absence of preventable harm to a
patient during the process of health
care

3. Why Safety?
 Hospital provide services to sick
people round the clock
 People have access to get advice &
treatment
 Moral duty

4. Current Environment
 Errors
 System failure
 Limitation to understanding of causes

5. Why Error?
 System flaws
 Inadequate communication
 Patient ignorance

6. Types of Errors
 Medication error:
Any preventable event that may cause/lead to
inappropriate medication use or patient harm
while the medication is in the control of
healthcare professional, patient
 Near miss:
An unplanned event that did not result in any
injury, illness or damage - but had the
potential to do so

7.  Adverse Drug Event:
Adverse event- Any untoward medical
occurrence that may present during treatment
with a pharmaceutical product but which does
not necessarily have a causal relationship
with its treatment
Adverse drug reaction- Response to drug
which is noxious, unintended and which
occurs at normal doses

8.  Sentinel event:
Unexpected incident, related to system
or process deficiencies, which leads to
death or major loss of function for a
recipient of healthcare services

9. Patient safety goals
 Identify patients correctly
 Improve the effective communication
 Improve the safety of high alert
medications
 Ensure correct site, correct procedure,
correct patient surgery
 Reduce the risk of health care
associated infections
 Reduce the risk of patient harm resulting
from falls

10. Five rights
Right
drug
Right
patient
Right
dose
Right
route
Right
time

11. Types of safety
PATIENT
SAFETY
MEDICAL SAFETY
BLOOD SAFETY
SURGICAL
SAFETY
ENVIRONMENTAL
SAFETY
LABORATOR
Y SAFETY
ELECTRICAL
SAFETY
EQUIPMENT
SAFETY
SANITATION
INFECTION
CONTROL
BMW
DISPOSAL

12. Practice of patient safety (WHO)
 Be aware of LASA medications
 Proper patient identification
 Explain in detail patient hand overs
 Performance of correct procedure at
correct body site/part
 Improve hand hygiene
 Good house keeping and proper BMW
disposal

13. Improving patient safety by-
 Constitute patient safety committee
 Develop clear policies and protocols
for patient safety
 Orient hospital staff on patient safety
 Encourage transparency
 Investigate each accident/incident
reported and take remedial measure
 Review, monitor and evaluate