Patient safety guidelines for surgery.pptx
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The document discusses patient safety and errors in healthcare. It notes that most near misses or adverse events are due to systemic factors rather than individual errors. Understanding why errors occur allows lessons to be learned and future injuries prevented. Reporting all near misses and adverse events helps facilitate constant learning from mistakes. Various international and national initiatives aim to improve patient safety, though developing countries face additional challenges due to resource limitations.
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patient safety.pptx
Patient Safety
Presenter : Dr. Dipendra Bhusal
Moderator: Dr. Sunil Jwarchan
Department of General Surgery
Pokhara Academy of Health Sciences
Introduction
• Increased life expectancy >25years in
over last semicentennial.
The Nature Journal
Law of supply and demand applied to health
services.
• 2 big challenges in proving
safe and effective service,
• greater demand and larger options ,
• increasing complexity in healthcare
• "First, do no harm" is a fundamental healthcare principle prioritizing
patient safety.
• Global evidence indicates a significant burden of avoidable patient
harm across healthcare systems.
• Avoidable patient harm has major implications, including human,
moral, and ethical consequences.
• The prevalence of harm challenges established healthcare principles
and ethics.
• Financial implications accompany the human toll, affecting healthcare
systems globally.
• Defined as “the absence of preventable harm to a patient and
reduction of risk of unnecessary harm associated with health care to
an acceptable minimum”
• to prevent harm to patients,
caused by the process of
health care itself.
Origin of patient safety concept
• HIPPOCRATIC OATH
I will prescribe regimens for the good of my patients according to my
ability and my judgment and ‘never do harm’ to anyone
Improving patient safety means reducing patient harm
CURRENT ENVIRONMENT
• Errors and system failures repeated
• Action on known risk is very slow
• Detection systems in their infancy
• Many events not reported
• Understanding of causes limited
• Blame culture alive and well
• Defensiveness and secrecy
Prevalence of adverse health care event
• WHO estimates that, even in advanced hospital settings, one in ten
patients receiving healthcare will suffer preventable harm
• The report “To Err is Human: building a safer health system” by IOM
of the national academy of health system drew widespread attention
to the alarming statistics that there were between 44000 and 98000
preventable deaths , 7000 related to medication error only.
• If medical error was a disease then it would be 3rd leading cause of
death in USA after heart issues and cancer
Why ERROR?
• Usually not willful negligence, but systemic flaws,
-inadequate communication and wide spread process variation and
patient ignorance.
Patient safety incidents
• An Adverse event: An incident which results in harm to the patient.
• A near miss: An incident that could have resulted in unwanted
consequences but did not either by chance or through a timely
intervention preventing the event from reaching the patient.
• A no harm event: An incident that occurs and reaches the patient but
results in no injury to the patient. Harm is avoided by chance or due
to mitigating circumstances
Common causes of adverse health events
• Preventable Events
• Of these, inadequate communication ranks highest in frequency
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The document discusses patient safety in healthcare. It provides definitions of patient safety and discusses some key facts:
- An estimated 134 million adverse events worldwide result in 2.6 million deaths annually, especially in low- and middle-income countries. Medical errors are among the most common adverse events.
- Investments in patient safety can improve outcomes and save costs by preventing unnecessary harm and treatment expenditures.
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Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...Canadian Patient Safety Institute
Objectives:
1.Introduce the Measuring and Monitoring of Safety Framework to a Canadian healthcare audience
2.Describe how the framework would work in CanadaNew Microsoft PowerPoint Presentation.pptx
This document discusses patient safety and clinical risk management. It defines patient safety as preventing harms, errors, and risks during healthcare provision. It also defines clinical risk management as improving quality and safety by identifying risks to patients. The document outlines principles of patient safety like proper patient identification. It also discusses common safety issues like medication errors and healthcare-associated infections. It describes technologies like barcoding and electronic health records that can enhance safety. Finally, it discusses the risk management process of identifying, assessing, and controlling risks in healthcare.
Patient safety
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
patient safety.pptx
Patient Safety
Presenter : Dr. Dipendra Bhusal
Moderator: Dr. Sunil Jwarchan
Department of General Surgery
Pokhara Academy of Health Sciences
Introduction
• Increased life expectancy >25years in
over last semicentennial.
The Nature Journal
Law of supply and demand applied to health
services.
• 2 big challenges in proving
safe and effective service,
• greater demand and larger options ,
• increasing complexity in healthcare
• "First, do no harm" is a fundamental healthcare principle prioritizing
patient safety.
• Global evidence indicates a significant burden of avoidable patient
harm across healthcare systems.
• Avoidable patient harm has major implications, including human,
moral, and ethical consequences.
• The prevalence of harm challenges established healthcare principles
and ethics.
• Financial implications accompany the human toll, affecting healthcare
systems globally.
• Defined as “the absence of preventable harm to a patient and
reduction of risk of unnecessary harm associated with health care to
an acceptable minimum”
• to prevent harm to patients,
caused by the process of
health care itself.
Origin of patient safety concept
• HIPPOCRATIC OATH
I will prescribe regimens for the good of my patients according to my
ability and my judgment and ‘never do harm’ to anyone
Improving patient safety means reducing patient harm
CURRENT ENVIRONMENT
• Errors and system failures repeated
• Action on known risk is very slow
• Detection systems in their infancy
• Many events not reported
• Understanding of causes limited
• Blame culture alive and well
• Defensiveness and secrecy
Prevalence of adverse health care event
• WHO estimates that, even in advanced hospital settings, one in ten
patients receiving healthcare will suffer preventable harm
• The report “To Err is Human: building a safer health system” by IOM
of the national academy of health system drew widespread attention
to the alarming statistics that there were between 44000 and 98000
preventable deaths , 7000 related to medication error only.
• If medical error was a disease then it would be 3rd leading cause of
death in USA after heart issues and cancer
Why ERROR?
• Usually not willful negligence, but systemic flaws,
-inadequate communication and wide spread process variation and
patient ignorance.
Patient safety incidents
• An Adverse event: An incident which results in harm to the patient.
• A near miss: An incident that could have resulted in unwanted
consequences but did not either by chance or through a timely
intervention preventing the event from reaching the patient.
• A no harm event: An incident that occurs and reaches the patient but
results in no injury to the patient. Harm is avoided by chance or due
to mitigating circumstances
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• Preventable Events
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patient safety and staff Management system ppt.pptx
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptx
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
CU Errors, clinical governance and patient safety
The document provides an overview of clinical governance, patient safety, and error prevention. It defines key terms like errors, incidents, and near-misses. It describes the National Patient Safety Agency's role in collecting incident reports to identify risks and improve safety. The document also discusses how most incidents are due to failures in systems and processes rather than individuals, and how a culture of learning from incidents can help prevent future harm.
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This document discusses various aspects of patient safety, including definitions, challenges, common errors, and strategies to improve safety. It defines patient safety as efforts to reduce unsafe acts in healthcare and describes how both active errors and latent system failures can lead to accidents. The document outlines factors that contribute to errors, such as complexity, limited knowledge, and human factors. It also discusses approaches to improving safety through a culture of safety, disclosure of errors, human factors engineering, and use of checklists and protocols.
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This document outlines patient safety in healthcare facilities. It defines key terms like patient safety, psychological safety, and safety culture. It discusses the roles of the patient safety committee and the components of a patient safety plan. Specific patient safety issues in the intensive care unit are examined, like collaboration among ICU staff and common errors. International patient safety goals are provided, such as accurately identifying patients and reducing healthcare-associated infections. Root cause analysis is introduced as a way to investigate incidents and prevent future errors.
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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]
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This document discusses quality assurance and patient safety in healthcare delivery. It emphasizes that quality assurance through strategies like accreditation, certification and licensure is important to ensure safety for patients and is a core component of delivering high quality healthcare. Ensuring patient safety requires assessing factors like medical errors, developing a culture of safety and continuous quality improvement. Adopting patient safety programs and strategies like TeamSTEPPS can help healthcare systems focus on preventing errors and learning from any that occur to provide safer care.
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Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
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This document outlines a fall prevention program for a hospital. It defines what constitutes a fall, notes that falls are common among elderly and confused patients and can result in serious injury. It stresses the importance of identifying patients at risk of falls through assessment tools like the Morse Fall Scale and implementing prevention strategies like hourly rounding, ensuring call lights and other items are within reach, and using devices to prevent falls for high-risk patients. The overall goal is to prevent falls and injuries to increase patient safety and reduce healthcare costs from fall-related injuries.
Patient safety
Patient safety is an important part of healthcare. It aims to prevent harm caused by accidents, errors, and complications during treatment. Some key aspects of ensuring patient safety include accurate patient identification, effective communication of medical information, safe medication practices, reducing risks of infections, conducting risk assessments, following safety protocols for radiation and surgery, and maintaining a safe clinic environment. Organizations are working to promote a culture of safety and establish systems to safeguard patients.
Patient safety and error reduction approaches
This document discusses approaches to reducing medical errors and improving patient safety. It begins by defining patient safety and outlining the prevalence of medical errors. It then provides an example of a wrong patient surgery that occurred due to lack of patient identification and unfollowed protocols. The document advocates for a systems approach to error reduction rather than individual discipline. It promotes techniques from human factor engineering like failure mode and effects analysis. Overall, the document argues that senior leadership must support efforts to standardize tasks, reduce handoffs, track performance, and redesign systems to more reliably prevent harm to patients.
Health care processes are increasingly being implicated in causing harm.docx
Medical errors are increasingly implicated in harming patients and represent a serious public health problem. However, there is no consistent definition of what constitutes a medical error. Different types of errors include knowledge-based mistakes, rule-based failures, action-based slips, and memory lapses. Common sources of error include medications, surgery, diagnoses, and infections in healthcare settings. Saudi Arabia is working to reduce errors through staff training, electronic monitoring systems, and standardized procedures.
infection prevention.pptx
Patient safety is a fundamental principle of healthcare. Adverse events may result from problems in practice, products, procedures or systems. Improving patient safety demands a complex, system-wide effort involving performance improvement, risk management, infection control, safe clinical practices, and a safe environment of care. Unsafe injections expose millions of people to infections worldwide each year. Ensuring single-use injection devices and safety boxes are available in every healthcare facility can prevent reuse and unsafe waste disposal.
Babithas Notes on unit-5 Health/Nursing Informatics Technology
The document discusses patient safety in healthcare. It provides definitions of patient safety and discusses some key facts:
- An estimated 134 million adverse events worldwide result in 2.6 million deaths annually, especially in low- and middle-income countries. Medical errors are among the most common adverse events.
- Investments in patient safety can improve outcomes and save costs by preventing unnecessary harm and treatment expenditures.
- Common adverse events include medication errors, healthcare-associated infections, surgical complications, diagnostic errors, and radiation errors.
- Patient safety is enhanced through risk management, which identifies risks, analyzes their causes and impacts, evaluates their severity, and develops treatment plans to control, transfer, or avoid risks.
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patient safety and staff Management system ppt.pptx
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patient safety and staff Management system ppt.pptx
patient safety and staff Management system ppt.pptx
Health care processes are increasingly being implicated in causing harm.docx
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Babithas Notes on unit-5 Health/Nursing Informatics Technology
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一比一原版(UoL毕业证)伦敦大学毕业证如何办理
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6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。
专业服务请勿犹豫联系我！本公司是留学创业和海归创业者们的桥梁。一次办理终生受用一步到位高效服务。详情请在线咨询办理,欢迎有诚意办理的客户咨询!洽谈。
招聘代理：本公司诚聘英国加拿大澳洲新西兰美国法国德国新加坡各地代理人员如果你有业余时间有兴趣就请联系我们咨询顾问：+微信:95270640山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交元时父亲犹豫了山娃也说爸算了吧咱学校一学期才交元呢买图画书回家咱自己练父亲摸着山娃的小平头擤了擤鼻子很感动很无奈窄
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本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
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三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
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3:国家专业人才认证中心颁发入库证书
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5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
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一比一原版塔夫斯大学毕业证Tufts成绩单一模一样
原件一模一样【微信：6496090】【塔夫斯大学毕业证Tufts学位证成绩单】【微信：6496090】（留信学历认证永久存档查询）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
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三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份【微信：6496090】
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
→ 【关于价格问题（保证一手价格）
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：可来公司面谈，可签订合同，会陪同客户一起到教育部认证窗口递交认证材料，客户在教育部官方认证查询网站查询到认证通过结果后付款，不成功不收费！
办理塔夫斯大学毕业证Tufts学位证【微信：6496090 】外观非常精致，由特殊纸质材料制成，上面印有校徽、校名、毕业生姓名、专业等信息。
办理塔夫斯大学毕业证Tufts学位证【微信：6496090 】格式相对统一，各专业都有相应的模板。通常包括以下部分：
校徽：象征着学校的荣誉和传承。
校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理塔夫斯大学毕业证Tufts学位证【微信：6496090 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理塔夫斯大学毕业证Tufts学位证【微信：6496090 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
一比一原版(McGill毕业证书)麦吉尔大学毕业证如何办理
学校原件一模一样【微信：6496090 】【(McGill毕业证书)麦吉尔大学毕业证成绩单】【微信：6496090 】学位证，留信认证（真实可查，永久存档）原件一模一样纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微6496090
【主营项目】
一.毕业证【q微6496090】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微6496090】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
办理(McGill毕业证书)麦吉尔大学毕业证【微信：6496090 】外观非常简单，由纸质材料制成，上面印有校徽、校名、毕业生姓名、专业等信息。
办理(McGill毕业证书)麦吉尔大学毕业证【微信：6496090 】格式相对统一，各专业都有相应的模板。通常包括以下部分：
校徽：象征着学校的荣誉和传承。
校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理(McGill毕业证书)麦吉尔大学毕业证【微信：6496090 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理(McGill毕业证书)麦吉尔大学毕业证【微信：6496090 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
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Patient safety guidelines for surgery.pptx
- 2. Understanding patient safety ■ Errors can be viewed from a person- centred or system approach ■ The majority of near misses or adverse events are due to system factors ■ Understanding why these errors occur and applying the lessons learnt will prevent future injuries to patients
- 3. ■ It is important to report all near misses or adverse events so that we can constantly learn from mistakes ■ Error models can help us understand the factors that cause near misses and adverse events and also direct us to where our defences against harm need to be improved
- 4. Strategies for patient safety ■ The WHO has established a number of international initiatives for patient safety ■ Various national approaches are being undertaken by countries in the developed world
- 5. ■ In developing countries patient safety issues are more acute due to a lack of resource, and face different challenges
- 6. ■ Hospitals or institutions that will offer the greatest patient safety systems in the future will include those that foster team working, maximise the use of information technology and are prepared to realign their systems and processes
- 7. Patient safety at the coalface requires ■ Communicating well with patients and their carers ■ Professionalism, as another essential component of patient safety
- 8. ■ Clinical risk management and patient advocacy and their roles in adverse events and patient complaints ■ Team working and information flow as well as managing the work environment ■ Recognising the pitfalls to safe prescribing
- 9. Surgeons can be committed during the care of their patients and include: • diagnostic and management errors; • resuscitation errors; • prophylaxis errors;
- 10. • prescription/parenteral administration errors; • situation awareness, identification and teamwork errors; • technical and operative errors.
- 11. Well recognised and potential errors include • the wrong patient in the operating room; • surgery performed on the wrong side or site; • the wrong procedure performed;
- 12. • failure to communicate changes in the patient’s condition; • disagreements about proceeding; • retained instruments or swabs
- 13. All these events are catastrophic for the patient and almost invariably occur through a lack of communication.
- 14. Any questions Thanks