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[PolicyMedical Webinar] Policies and Procedures for Patient Safety
1. POLICIES & PROCEDURES FOR
PATIENT SAFETY
PATIENT SAFETY WEBINAR SPONSORED BY POLICYMEDICAL
2. Nicola Heslip, Director of Product Content
Management at PolicyMedical
Nicola (RN BSN LNC CPHQ CPSO) has been working in
the healthcare industry for nearly two decades and has
years of experience writing policies for hospitals, as
well as reviewing policies for regulatory compliance.
She is on the Joint Commission’s exclusive list of
consultants that assist staffing agencies and other
healthcare entities with certification and accreditation.
YOUR PRESENTER: NICOLA HESLIP
Your Webinar Host:
Daisy Jiang
Marketing Specialist
PolicyMedical
3. WEBINAR
POLICIES & PROCEDURES FOR PATIENT SAFETY
Webinar Agenda
Part I: Educating Staff on Patient Safety Measures
Part II: How To Discover Patient Safety Champions
Part III: The ROI of Patient Safety
Part IV: Where Practice Meets Policy for Fall Prevention
10. Management should be trained by HR about corrective action.
Follow a standardized model (eg. James Reason’s model)
11. Part II: How To Discover Patient Safety Champions
12. Who can be a patient
safety champion?
• Executives
• Managers
• Front line staff
• Housekeepers
13. Engaging a Patient
Safety Champion
3.Ask a manager – they know
their staff
5.Round on a unit and talk to
staff about patient safety
topics
7.Attend a leadership meeting
about recruiting patient safety
champions
9.Talk to the CMO about
recruiting physicians
14. Keeping a Patient
Safety Champion
3.Give them access to
education material (eg. core
measures)
5.Help them build
relationships (eg. with PSO/PI
team)
7.Tap into their leadership
qualities & passions
9.Give them time
Recommended reading: “Role of champions
in the implementation of patient safety
practice change” from Healthcare Quarterly
12 (sp) 2009:123-128 by Soo et al (University
of Toronto)
17. Through the “Hospital Compare” program, CMS will use VBP
to calculate Medicare reimbursements.
18. Meade, Bursell and Ketelsen: nurses who performed hourly
rounds increased patient satisfaction.
19. Wong and Cummings: found connection between leadership’s
positive behavior & decrease in adverse events
20. Weingart et al: patient incidents reflected a deficiency in
“service” (eg. waits, delays, communication breakdowns)
21. Next Steps:
Understanding the Patient Safety & Patient Satisfaction Link
4. Actively engage patients & families in patient safety initiatives
6. Have staff complete a culture of safety survey
8. Analyze the results of both employee and patient satisfaction surveys
10. Focus on nursing comments
12. Focus on communication of clinical information scores
14. Look at trends with patient complaints, employee feedback & adverse events
16. Review ratings related to the admission process
18. Look at ratings related to the discharge process
20. Look at noise ratings
22. Be proactive!
22. “I’m much more likely to judge a hospital experience on the
communication skills of the nursing staff & physicians...”
23. When staff don’t have the tools they need to find procedures,
they are dissatisfied & display negative behavior to patients.
24. Part IV: Where Practice Meets Policy for Fall Prevention
25. 1/3 of the elderly over 65 years falls each year. Falls account for
25% of all hospital admissions and 40% of all nursing homes.
26. Use an evidence based tool (eg. Morse or John Hopkins) to
assess fall risk.
27. ATTENTION: your policies should explain what fall risk tool
the hospital is using. Policies & practice should match.
29. Fall Prevention
• Validate the process with tracers and staff interviews
• Vet the documentation
• Chart review
• Visit the patient and family
• Fall reduction and performance improvement
• Have a team
• Recruit a champion
• Share the data
• PDCA
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Editor's Notes
Nicola (RN BSN LNC CPHQ CPSO) has been working in the healthcare industry for nearly two decades and has years of experience writing policies for hospitals, as well as reviewing policies for regulatory compliance. She is on the Joint Commission’s exclusive list of consultants that assist staffing agencies and other healthcare entities with certification and accreditation. In addition to consulting in healthcare policy and procedures, she is also a certified legal nurse consultant and a certified patient safety officer.