INNOVATIONS AND DEVELOPMENT IN PATIENT SAFETY . Quality has been defined by the federal Agency for Healthcare Research and Quality (AHRQ) as “doing the right thing at the right time for the right person and having the best possible result.” Patient safety is simply defined by the World Health Organization. Safe: Avoid injuries to patients from the care that is intended to help them. Effective: Match care to science; avoid overuse of ineffective care and underuse of effective care. Patient-Centered: Honor the individual and respect choice. Timely: Reduce waiting for both patients and those who give care.

1. INNOVATIONS AND
DEVELOPMENT IN PATIENT
SAFETY

2. Covers all elements affecting clinical and support services
Identifies opportunities for improvement
Role of committee and PSO in Health care industries
Patient safety culture
Proactive Risk analysis using tools
Clinical Risk Assessment
Quality Indicators
Clinical Audits & budgets
Validation tools
Patient safety measures

3. PARAMETERS OF PATIENT SAFETY CULTURES
PATIENT
SAFETY
CULTURE
Commitment for
continual
improvement
Safety
Error Identification
Incident
documentation
Rechecking of events
Learning on change
mgmt
Communication on
safety
Personal Mgmt and
Safety related issues
Staff education and
training
Team working

4. PROACTIVE RISK ANALYSIS USING TOOLS
PROACTIVE RISK ANALYSIS
FMEA
PREMS & PROMS
AHRQ checklist
MaPSaF
IPSG Goals & patient safety
solutions
Other tools
DVT CAPRINI Tool
MNA nutritional tool
Braden Scale
FRAT chart
SPIKES
Surgical Safety Checklist

5. FMEA

6. PATIENT RELATED MEASURES (PRM)
PROMs
(PATIENT REPORTED OUTCOME MEASURES)
Patient perspective on how illness of care
impacts on their wellbeing
MEASURES PATIENT
WELLBEING
PREMs
(PATIENT REPORTED EXPERIENCE MEASURE)
Patient perception of their experience with the
health care system
CLINICAL OUTCOMES:
A change in the health status of an individual
attributable to a planned intervention

7. Patient safety solutions
• Look-alike, Sound-alike Medication Name
1
• Patient Identification
2
• Communication During Patient Handover
3
• Performance Of Correct Procedure At
Correct Body
4
• Control Of Concentrated Electrolyte
Solutions
5
• Assuring Medication Accuracy at
Transitions in Care
6
• Avoiding Catheter and Tubing Mis-
Connections
7
• Single Use of Injection Devices
8
• Improved Hand Hygiene to Prevent Health
Care-Associated Infections
9

8. INTERNATIONAL PATIENT SAFETY GOALS

9. Manchester Patient Safety Framework
(MaPSaF)

10. Agency for Healthcare Research and
Quality's (AHRQ)