The document discusses patient safety in healthcare. It defines patient safety and identifies common medical errors. The goals are to establish a culture of safety, minimize errors, and implement standardized practices and reporting. A patient safety committee coordinates these efforts by managing risk, establishing reporting procedures, and collecting/analyzing safety data to identify root causes and implement corrective actions. The leadership role is to create an environment that recognizes safety importance and implements a patient safety program.

2. OBJECTIVES
• Define patient safety.
• Understand the development
of patient safety structure.
• Identify culture of safety.
• List the 6 international goals.
• Understand leadership
focus.
• Understand Psychological
safety.
• List the library connection.

3. Medical errors have become a leading causes of
death, killing more people each year than AIDS or
Airplane crashes.
These medical errors can be classified into
five categories:
1-Poor communication.
2-Poor decision making.
3-Poor patient monitoring.
4-Poor patient identification.
5-Poor patient tracking.

4. Meeting the Joint
Commission on
accreditation of
healthcare Organization
(JCAHO) patient safety
goals is the current trend
in enhancing patient
safety.

5. Goal (1) identify patients correctly.
Goal (2) improve effective Communication.
Goal (3) improve the safety of high-alert
medications.
Goal (4) ensure correct-site, correct-procedure,
correct-patient surgery.
Goal (5) reduce the risk of health care–
associated infections.
Goal (6) reduce the risk of patient harm
resulting from falls.

6. .Freedom from accidental
injury ,ensuring the
establishment of
operational systems and
processes that minimize the
likelihood of errors so they
won’t occur:

7. A SAFETY CULTURE
WORKSHOP

8. Is an atmosphere of mutual trust in
which all staff?
Members can talk freely about
safety problems and how to
solve them ---without fear of
blame or punishment.

9. 1- Develop a patient safety committee.
2-Integrate the patient safety-related
efforts within a coordinating council.
3-Assign one person to coordinate
patient safety various areas.
4-Expand the scope of current
committee responsibilities and
accountability to include patient safety.

10. 1- Not knowing the plan.
2-Communication issues.
3-Surprises.
4-Missing information.
5-Lack of resources.
6-Failure to plan, recognize and
rescue others?

11. 1-Support teamwork and respect others.
2-Educate staff.
3-Engage physicians.
4-Share lessons learned.
5-Encourage use of communicating.
6-Assign 1 (one) or 2 (two) clinical staff members.
7-Take a proactive approach to error.
8-Study and learn from near misses.
9-Search for information about how to do things safely.
10-Provide team training to a culture of safety.
11-Encourage patient and family involvement in the care
process.
12-Share information about safety with others.

12. Psychological safety is a belief that
one will not be punished or
humiliated for speaking up with
ideas, questions, concerns, or
mistakes.
A shared sense of psychological
safety is a critical input to an
effective learning system.

13. A patient safety committee is a
multidisciplinary team that takes
a proactive approach to patient
safety; It provides coordination
and oversight to advance an
organizations safety program
and implement safety-related
policies and procedures.

14. The patient safety committee
coordinate the following:
1-The risk management.
2-The environmental safety.
3-The infection control.
4- &the quality improvement.

15. The patient safety committee manage
risk in the organization by performing
the safety care processes.

16. 1-Should standardize the
definitions and categorize
medical errors.
2-Establish or enhance an error,
near miss reporting mechanism.
3-Identify data collection plan,
reporting structure, as well as
performing scheduling.

17. Patient safety plan
Standardized
&categorize
medical errors
Identify data
collection plan&
reporting
structure
Establish an error-
near miss reporting
mechanism

18. The leadership is to build an
environment that recognize the
importance of safety.

19. 1-Create & maintain a culture of
safety.
2-Encourage decision making.
3-Implement patient safety program
throughout the organization.
4-Ensure that the processes are
designed well, using available
information from internal or external
sources about potential risks to
patient and successful practices

20. Reactive:
Investigate significant patient incidents
(sentinel events).
Proactive:
Monitor patient safety and redesign
high-risk processes to prevent a
sentinel event from occurring.

21. An inpatient received 2 (two) unit of the
incorrect type of blood at the time. The
patient’s blood was drawn for a type/cross
match, the sample was mislabeled with
another patient's name. The transfusion
was given to the patient whose name
appeared on the type/cross match lab
report, not the patient whose blood was in
the lab specimen vial.

22. Poorly designed system for
labeling laboratory specimen.
If this problem continuing
uncorrected, for sure it could
caused anther incidence that
lead to a blind end.

23. 1- Gather the facts.
2- Choose team.
3- Determine sequence of
events.
4- Identify contributing factors.
5- Select root causes.
6-Develop corrective actions.
7- &Follow-up plan.

24. LIBRARY CONNECTIONS &
ADVOCACY
How is Your Library
Involved in Patient Safety
)or how will it be(?

25. With literature searches in Training,
Education & in the telling stories;
participation creating & sharing
information through alert services;
supporting & institutional resources
& needs. Creating & Sharing
Information for patient education on
the website information pages:

26. In Summary:
All library roles eventually
supporting patient’s safety.

27. 1- Staffs are not washing their hands will.
2-Staff does not changing their gloves between
patients.
3-Staff does not wearing the appropriate PPE.
4-Given the patients wrong medication.
5-Given the wrong dialyzer.
6-Staff does not performing safe procedure.
(catheter care(
7-Staff unskilled in annulations.
8-Staff does not performing appropriate patient
assessments.

28. 1-Everyone should know what the plan is.
2-No one is ever hesitant to voice a concern
about a patient.
3-There are strong positive perceptions of team
work ( trust( & communication.
4-Everyone should be treated with respect.
5-Nursing input is well received.
6-High quality care is delivered safely
& efficiency.

31. QUESTIONS
(?)

32. ( LOVE YOU SWEETIE (SON) FARIS )