Research in the Patient Safety Strategy. David Bates. IV Internacional Conference on Patient Safety (Madrid, Ministry of Health and Consumer Affairs, 2008)
Patient safety aims to prevent harm caused by healthcare itself. While most medical care is delivered safely, errors still occur and patient safety has increasingly been recognized as an important global issue, though more work is needed to address it. Common causes of harm include individual errors, system issues, and environmental factors, and strategies like checklists and protocols seek to improve safety.
This document discusses patient safety guidelines and creating a culture of safety in healthcare organizations. It defines patient safety and medical errors, and outlines several national patient safety goals. These include correctly identifying patients, improving staff communication, using medications safely, preventing infections and falls, and engaging patients in their care. The document emphasizes that a just culture is needed where staff feel comfortable reporting errors without blame. It also stresses the role of organizational culture and leadership in prioritizing safety. Key aspects of a comprehensive safety program include infrastructure, policies, education, incident reporting, and processes for immediate response to issues.
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.
Joint Commission and Patients for Patient Safety. Laura Botwinick. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
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.
The document discusses patient safety management programs and initiatives. It describes the differences between patient safety programs and safe hospital initiatives, with the key difference being their focus - patient safety programs focus on medical management safety while safe hospital initiatives focus on disaster risk reduction and management safety. It also provides an overview of the status and practices of patient safety programs in the Philippines, including the national policy. Finally, it shares the author's thoughts, perceptions, opinions and recommendations regarding developing an excellent comprehensive patient safety program that is well-designed, implemented, evaluated and improves patient outcomes.
Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospita...Health Catalyst
Health Catalyst is excited to announce the Patient Safety Monitor™ Suite: Surveillance Module, the industry’s first comprehensive patient safety application to use predictive and text analytics combined with concurrent clinician review of data to help monitor, detect, predict and prevent threats to patients before harm can occur.
The Patient Safety Monitor Suite leverages AI and machine learning to quickly identify patterns of harm, learn from those patterns, and suggest strategies to eliminate patient safety risks and hazards. This potent combination of AI, machine learning, text analytics and near real-time data from multiple IT systems enables the Patient Safety Monitor Suite to predict harm events and guide clinical interventions while the patient is still in the hospital.
In this webinar you will learn how the Surveillance Module can provide:
* Greater clarity to the types, numbers, and causes of adverse events, enabling leaders to quickly prioritize improvement efforts.
* Improved patient outcomes such as reduced morbidity, mortality, and length-of-stay, and increased quality-of-life and satisfaction.
* Bottom-line cost savings and improved brand recognition related to unnecessary or preventable high-cost care and reduced/eliminated penalties.
* The ability for clinicians and infection preventionists to focus on patient care instead of burdensome manual data extraction, aggregation, and reporting.
Patient safety aims to prevent harm caused by healthcare itself. While most medical care is delivered safely, errors still occur and patient safety has increasingly been recognized as an important global issue, though more work is needed to address it. Common causes of harm include individual errors, system issues, and environmental factors, and strategies like checklists and protocols seek to improve safety.
This document discusses patient safety guidelines and creating a culture of safety in healthcare organizations. It defines patient safety and medical errors, and outlines several national patient safety goals. These include correctly identifying patients, improving staff communication, using medications safely, preventing infections and falls, and engaging patients in their care. The document emphasizes that a just culture is needed where staff feel comfortable reporting errors without blame. It also stresses the role of organizational culture and leadership in prioritizing safety. Key aspects of a comprehensive safety program include infrastructure, policies, education, incident reporting, and processes for immediate response to issues.
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.
Joint Commission and Patients for Patient Safety. Laura Botwinick. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
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.
The document discusses patient safety management programs and initiatives. It describes the differences between patient safety programs and safe hospital initiatives, with the key difference being their focus - patient safety programs focus on medical management safety while safe hospital initiatives focus on disaster risk reduction and management safety. It also provides an overview of the status and practices of patient safety programs in the Philippines, including the national policy. Finally, it shares the author's thoughts, perceptions, opinions and recommendations regarding developing an excellent comprehensive patient safety program that is well-designed, implemented, evaluated and improves patient outcomes.
Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospita...Health Catalyst
Health Catalyst is excited to announce the Patient Safety Monitor™ Suite: Surveillance Module, the industry’s first comprehensive patient safety application to use predictive and text analytics combined with concurrent clinician review of data to help monitor, detect, predict and prevent threats to patients before harm can occur.
The Patient Safety Monitor Suite leverages AI and machine learning to quickly identify patterns of harm, learn from those patterns, and suggest strategies to eliminate patient safety risks and hazards. This potent combination of AI, machine learning, text analytics and near real-time data from multiple IT systems enables the Patient Safety Monitor Suite to predict harm events and guide clinical interventions while the patient is still in the hospital.
In this webinar you will learn how the Surveillance Module can provide:
* Greater clarity to the types, numbers, and causes of adverse events, enabling leaders to quickly prioritize improvement efforts.
* Improved patient outcomes such as reduced morbidity, mortality, and length-of-stay, and increased quality-of-life and satisfaction.
* Bottom-line cost savings and improved brand recognition related to unnecessary or preventable high-cost care and reduced/eliminated penalties.
* The ability for clinicians and infection preventionists to focus on patient care instead of burdensome manual data extraction, aggregation, and reporting.
Introducing the Next-Gen Patient Safety OrganizationHealth Catalyst
Eliminating avoidable harm is a problem that we can and should solve. The journey to become highly reliable at producing meaningful and sustainable outcomes improvements requires organizations to maximize their investments in safety.
Safety improvements are the result of people, and process changes with data-driven insights as the underlying secret ingredient, but most PSOs are missing this tight integration between the three. Does your PSO?
View this webinar announcing the next generation Health Catalyst Patient Safety Organization (HC PSO) and learn why coupling it with the Health Catalyst Patient Safety Monitor™ Suite—built by patient safety experts for patient safety experts—is such an important differentiator. Leading in this product announcement are two experts in patient safety, Michael Barton and Elaine St. James. In this webinar they share the following:
- Importance of active safety surveillance and analysis to discover safety vulnerabilities that are often overlooked.
- Operational efficiency and organizational risk avoidance available by hosting together the safety analytics and HC PSO.
- Effective safety governance and application of safety best practices that will improve outcomes in a measurable, and sustainable way.
- Integration of analytics, and benchmarking from a health care Data Operating System (DOS).
Implementation of an active trigger surveillance tool into your existing system is just one step on your safety journey. Eliminating preventable harm requires commitment to change, organizational buy-in and a number of key components that will be discussed in this webinar. We hope that you will view the webinar.
The document outlines the policies and procedures of a hospital's patient safety plan. It establishes a patient safety committee to identify risks, prevent medical errors, and improve safety. It defines key terms like adverse events, near misses, and medication errors. It also lists the standard safety policies the hospital has implemented covering areas like clinical care, medication management, infection control, and facility maintenance. The goal is to institutionalize patient safety as a fundamental part of healthcare delivery.
Patients for patient safety. Margaret Murphy. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
This document discusses patient safety in healthcare. It defines patient safety as the absence of preventable harm during healthcare. It notes that most patient harm is due to systemic flaws rather than individual negligence. It then discusses various types of patient safety concerns like medical errors, adverse events, infections, and falls. International patient safety goals are also presented, such as properly identifying patients, improving communication, and reducing healthcare-associated infections. The document emphasizes that improving safety requires efforts across many areas to protect patients from harm.
The document outlines the International Patient Safety Goals (IPSG) which are aimed at reducing common causes of medical errors and improving patient safety. It discusses the goals of correctly identifying patients, improving communication effectiveness, improving safety of high-alert medications, ensuring correct surgery procedures, reducing healthcare-associated infections, and reducing risks of patient harm from falls. For each goal, it provides more details on the specific processes and standards involved in achieving that goal.
We are delighted and excited to share some of the great work that has been taking place across Wessex to support the WHO World Patient Safety Day. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.
1. Patient safety aims to prevent harm caused by errors and system failures in healthcare by applying safety science methods. Adverse events are common but preventable issues that cause unnecessary harm.
2. Healthcare-associated infections are a major global problem, affecting millions of patients annually. Following proper infection control procedures like hand hygiene and using personal protective equipment can help prevent transmission and reduce infection rates.
3. Nurses play a key role in infection prevention by maintaining clean clinical environments, properly washing hands, using protective barriers, and safely handling and disposing of medical sharps and wastes. Following recommended guidelines can help provide safe care and minimize infection risks for all patients.
These are the slides from a presentation by Dr. David Fairchild, CMO of Tufts Medical Center, and Dan Dunlop, president of Jennings, a healthcare marketing agency. To visit Dan's blog go to http://thehealthcaremarketer.wordpress.com.
The document discusses patient safety definitions, goals, and best practices. It defines patient safety as working to avoid, manage, and treat unsafe acts in healthcare through the use of best practices leading to optimal patient outcomes. The goals are to provide a safe environment for all individuals by promoting a proactive, non-punitive culture that facilitates reporting of hazards, errors, near-misses, and other unsafe conditions. Key aspects that should be reported include unanticipated outcomes, infections, errors, near misses, and safety concerns. Effective communication, identifying patients correctly, improving medication safety, ensuring correct procedures, reducing infections, and mitigating fall risks are emphasized as important areas of focus.
Risk Management and Patient Safety Evolution and Progress. Charles Vincent. Match Safety critical component of quality (Madrid, Ministry of Health and Consumer Affairs, 2005)
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
This document provides guidelines for various quality and safety practices at a hospital. It discusses proper patient identification procedures, guidelines for verbal and telephone orders, procedures for high alert medications, surgical checklists including site marking and time outs, hand hygiene practices, fall risk assessment and prevention measures, occurrence variance reporting for documenting incidents, and the focus-PDCA methodology for quality improvement. Key areas of focus include correctly identifying patients, improving communication, ensuring surgery and medication safety, reducing healthcare associated infections and patient harm from falls.
This document discusses patient safety and medical errors. It notes that around 1 in 10 hospitalized patients experience harm from medical errors, with at least 50% being preventable. Common causes of errors include inadequate assessment, communication issues, training deficiencies, and environmental factors like understaffing. The document advocates for strategies like checklists, reporting systems, and process redesign to promote patient safety and minimize harm from errors. It also discusses the psychological impact on healthcare workers who make errors and the importance of a supportive learning environment.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
Presentations from the patient safety conference held at Teesside University on 1 and 2 September 2014 - Students at the forefront of continuing and improving our culture of safe care
This document provides information about The Joint Commission (TJC) accreditation process for home healthcare services. It discusses how TJC is the major accrediting body for healthcare organizations and provides the "Gold Seal of Approval." The document outlines the TJC accreditation and survey process, including an on-site visit. It also discusses the benefits and consequences of pursuing TJC accreditation, as well as tips for preparing for the survey process.
This document outlines the quality improvement and patient safety curriculum for the residency program at the University of California, San Francisco Department of Medicine. It includes an introduction that provides the rationale for teaching QI and PS to residents. It then describes the global goals and objectives of the curriculum, as well as the core concepts and tools taught. An overview of how the curriculum maps to ACGME milestones is presented. The document provides details on how the curriculum is organized and delivered, including descriptions by program, training site, and year. It concludes by discussing next steps for the curriculum. The goal of the curriculum is to prepare physicians to provide safe, high-quality, patient-centered care and cultivate future leaders in healthcare quality improvement
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETYsoumyareena
This document discusses quality improvement and patient safety. It defines quality of care and notes that the WHO defines quality as care that is safe, effective, timely, efficient, equitable and people-centered. It then discusses that quality improvement in healthcare aims to systematically improve care delivery through measuring, analyzing, improving and controlling processes. Various quality improvement tools are listed such as brainstorming, data collection tools, flow charts and control charts. An example quality improvement project aims to reduce voluntary nurse turnover rates. The steps of defining the problem, organizing a team, clarifying the current process and selecting and planning improvements are outlined. Patient safety is defined as avoiding unintended harm during care. Various aspects of patient safety related to medication, surgery, electricity
This document provides an overview of patient safety initiatives and issues in hospitals. It discusses that 10% of hospital patients suffer adverse events, with medical errors causing around 100,000 deaths per year in the US. Common types of errors include overdoses and performing procedures on the wrong patient. The document then outlines the Patient Safety Friendly Hospital Initiative, which develops standards to assess patient safety in hospitals and has piloted the approach in 7 countries. It describes the five domains used to measure hospital performance on patient safety and provides examples of critical and core standards. The document concludes by offering recommendations on how hospitals can develop their own patient safety programs.
Patient safety is a fundamental principle of healthcare. Medical errors harm millions of patients annually, costing billions of dollars. Up to 15% of hospital activity results from preventable adverse events, many of which are infections, pressure ulcers, or complications from unsafe medication practices and medical radiation. Investing in improved safety measures like hand hygiene could reduce patient harm and healthcare costs significantly.
This document covers different types of safety in hospitals, including fire safety, electrical safety, life safety and environmental safety, and personal safety. It discusses fire safety plans and protocols, maintaining safe equipment and avoiding electrical hazards, handling hazardous materials, ensuring a safe building environment, and promoting personal and property security. The overall message is that maintaining safety in hospitals is a shared responsibility.
National Patient Safety Foundation 2012 Dashboard DemoEdgewater
Edgwater attended the NPSF 2012 Patient Safety Congress in order to showcase our proven expertise in developing Patient Safety & Quality systems and processes. This presentation highlights some Edgewater client success stories as well as a demonstration of dashboards developed as part of our projects.
Introducing the Next-Gen Patient Safety OrganizationHealth Catalyst
Eliminating avoidable harm is a problem that we can and should solve. The journey to become highly reliable at producing meaningful and sustainable outcomes improvements requires organizations to maximize their investments in safety.
Safety improvements are the result of people, and process changes with data-driven insights as the underlying secret ingredient, but most PSOs are missing this tight integration between the three. Does your PSO?
View this webinar announcing the next generation Health Catalyst Patient Safety Organization (HC PSO) and learn why coupling it with the Health Catalyst Patient Safety Monitor™ Suite—built by patient safety experts for patient safety experts—is such an important differentiator. Leading in this product announcement are two experts in patient safety, Michael Barton and Elaine St. James. In this webinar they share the following:
- Importance of active safety surveillance and analysis to discover safety vulnerabilities that are often overlooked.
- Operational efficiency and organizational risk avoidance available by hosting together the safety analytics and HC PSO.
- Effective safety governance and application of safety best practices that will improve outcomes in a measurable, and sustainable way.
- Integration of analytics, and benchmarking from a health care Data Operating System (DOS).
Implementation of an active trigger surveillance tool into your existing system is just one step on your safety journey. Eliminating preventable harm requires commitment to change, organizational buy-in and a number of key components that will be discussed in this webinar. We hope that you will view the webinar.
The document outlines the policies and procedures of a hospital's patient safety plan. It establishes a patient safety committee to identify risks, prevent medical errors, and improve safety. It defines key terms like adverse events, near misses, and medication errors. It also lists the standard safety policies the hospital has implemented covering areas like clinical care, medication management, infection control, and facility maintenance. The goal is to institutionalize patient safety as a fundamental part of healthcare delivery.
Patients for patient safety. Margaret Murphy. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
This document discusses patient safety in healthcare. It defines patient safety as the absence of preventable harm during healthcare. It notes that most patient harm is due to systemic flaws rather than individual negligence. It then discusses various types of patient safety concerns like medical errors, adverse events, infections, and falls. International patient safety goals are also presented, such as properly identifying patients, improving communication, and reducing healthcare-associated infections. The document emphasizes that improving safety requires efforts across many areas to protect patients from harm.
The document outlines the International Patient Safety Goals (IPSG) which are aimed at reducing common causes of medical errors and improving patient safety. It discusses the goals of correctly identifying patients, improving communication effectiveness, improving safety of high-alert medications, ensuring correct surgery procedures, reducing healthcare-associated infections, and reducing risks of patient harm from falls. For each goal, it provides more details on the specific processes and standards involved in achieving that goal.
We are delighted and excited to share some of the great work that has been taking place across Wessex to support the WHO World Patient Safety Day. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.
1. Patient safety aims to prevent harm caused by errors and system failures in healthcare by applying safety science methods. Adverse events are common but preventable issues that cause unnecessary harm.
2. Healthcare-associated infections are a major global problem, affecting millions of patients annually. Following proper infection control procedures like hand hygiene and using personal protective equipment can help prevent transmission and reduce infection rates.
3. Nurses play a key role in infection prevention by maintaining clean clinical environments, properly washing hands, using protective barriers, and safely handling and disposing of medical sharps and wastes. Following recommended guidelines can help provide safe care and minimize infection risks for all patients.
These are the slides from a presentation by Dr. David Fairchild, CMO of Tufts Medical Center, and Dan Dunlop, president of Jennings, a healthcare marketing agency. To visit Dan's blog go to http://thehealthcaremarketer.wordpress.com.
The document discusses patient safety definitions, goals, and best practices. It defines patient safety as working to avoid, manage, and treat unsafe acts in healthcare through the use of best practices leading to optimal patient outcomes. The goals are to provide a safe environment for all individuals by promoting a proactive, non-punitive culture that facilitates reporting of hazards, errors, near-misses, and other unsafe conditions. Key aspects that should be reported include unanticipated outcomes, infections, errors, near misses, and safety concerns. Effective communication, identifying patients correctly, improving medication safety, ensuring correct procedures, reducing infections, and mitigating fall risks are emphasized as important areas of focus.
Risk Management and Patient Safety Evolution and Progress. Charles Vincent. Match Safety critical component of quality (Madrid, Ministry of Health and Consumer Affairs, 2005)
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
This document provides guidelines for various quality and safety practices at a hospital. It discusses proper patient identification procedures, guidelines for verbal and telephone orders, procedures for high alert medications, surgical checklists including site marking and time outs, hand hygiene practices, fall risk assessment and prevention measures, occurrence variance reporting for documenting incidents, and the focus-PDCA methodology for quality improvement. Key areas of focus include correctly identifying patients, improving communication, ensuring surgery and medication safety, reducing healthcare associated infections and patient harm from falls.
This document discusses patient safety and medical errors. It notes that around 1 in 10 hospitalized patients experience harm from medical errors, with at least 50% being preventable. Common causes of errors include inadequate assessment, communication issues, training deficiencies, and environmental factors like understaffing. The document advocates for strategies like checklists, reporting systems, and process redesign to promote patient safety and minimize harm from errors. It also discusses the psychological impact on healthcare workers who make errors and the importance of a supportive learning environment.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
Presentations from the patient safety conference held at Teesside University on 1 and 2 September 2014 - Students at the forefront of continuing and improving our culture of safe care
This document provides information about The Joint Commission (TJC) accreditation process for home healthcare services. It discusses how TJC is the major accrediting body for healthcare organizations and provides the "Gold Seal of Approval." The document outlines the TJC accreditation and survey process, including an on-site visit. It also discusses the benefits and consequences of pursuing TJC accreditation, as well as tips for preparing for the survey process.
This document outlines the quality improvement and patient safety curriculum for the residency program at the University of California, San Francisco Department of Medicine. It includes an introduction that provides the rationale for teaching QI and PS to residents. It then describes the global goals and objectives of the curriculum, as well as the core concepts and tools taught. An overview of how the curriculum maps to ACGME milestones is presented. The document provides details on how the curriculum is organized and delivered, including descriptions by program, training site, and year. It concludes by discussing next steps for the curriculum. The goal of the curriculum is to prepare physicians to provide safe, high-quality, patient-centered care and cultivate future leaders in healthcare quality improvement
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETYsoumyareena
This document discusses quality improvement and patient safety. It defines quality of care and notes that the WHO defines quality as care that is safe, effective, timely, efficient, equitable and people-centered. It then discusses that quality improvement in healthcare aims to systematically improve care delivery through measuring, analyzing, improving and controlling processes. Various quality improvement tools are listed such as brainstorming, data collection tools, flow charts and control charts. An example quality improvement project aims to reduce voluntary nurse turnover rates. The steps of defining the problem, organizing a team, clarifying the current process and selecting and planning improvements are outlined. Patient safety is defined as avoiding unintended harm during care. Various aspects of patient safety related to medication, surgery, electricity
This document provides an overview of patient safety initiatives and issues in hospitals. It discusses that 10% of hospital patients suffer adverse events, with medical errors causing around 100,000 deaths per year in the US. Common types of errors include overdoses and performing procedures on the wrong patient. The document then outlines the Patient Safety Friendly Hospital Initiative, which develops standards to assess patient safety in hospitals and has piloted the approach in 7 countries. It describes the five domains used to measure hospital performance on patient safety and provides examples of critical and core standards. The document concludes by offering recommendations on how hospitals can develop their own patient safety programs.
Patient safety is a fundamental principle of healthcare. Medical errors harm millions of patients annually, costing billions of dollars. Up to 15% of hospital activity results from preventable adverse events, many of which are infections, pressure ulcers, or complications from unsafe medication practices and medical radiation. Investing in improved safety measures like hand hygiene could reduce patient harm and healthcare costs significantly.
This document covers different types of safety in hospitals, including fire safety, electrical safety, life safety and environmental safety, and personal safety. It discusses fire safety plans and protocols, maintaining safe equipment and avoiding electrical hazards, handling hazardous materials, ensuring a safe building environment, and promoting personal and property security. The overall message is that maintaining safety in hospitals is a shared responsibility.
National Patient Safety Foundation 2012 Dashboard DemoEdgewater
Edgwater attended the NPSF 2012 Patient Safety Congress in order to showcase our proven expertise in developing Patient Safety & Quality systems and processes. This presentation highlights some Edgewater client success stories as well as a demonstration of dashboards developed as part of our projects.
This document discusses a case involving a patient who received incompatible blood products during treatment for injuries from a car accident and later died. A root cause analysis found the nurse was pressured into administering the wrong blood by a surgeon during a busy period in the emergency department. The document then outlines considerations for addressing accountability and promoting a culture of safety, including defining disruptive behavior, just culture principles, and tools for evaluating safety culture such as leadership rounds. It provides example scripts and guidelines for conducting leadership rounds to openly discuss safety issues with frontline staff.
Patient safety is a fundamental principle of healthcare. Adverse events can result from problems in various areas of care and improving safety requires a complex, system-wide effort. Ensuring safety involves assessing risks, preventing harm, reporting and analyzing incidents, learning from mistakes, and implementing solutions. Guidelines include proper identification of patients, hand hygiene, medication reconciliation, and fall prevention.
This document discusses 10 key facts about patient safety:
1) Patient safety is a global public health issue recognized by WHO.
2) As many as 1 in 10 patients are harmed while receiving hospital care in developed countries.
3) Developing countries have an even higher risk of patient harm from issues like healthcare-associated infections which are 20 times more common than in developed nations.
4) WHO and its World Alliance for Patient Safety are working with countries to improve safety practices and reduce risks to patients worldwide.
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.
This document discusses quality issues related to patient safety, specifically medication errors. It defines key terms like medical error, adverse event, and near miss. It then identifies systems and personnel issues that can contribute to medication errors, such as staffing levels, the physical environment, and a lack of adherence to policies and procedures. The document also outlines the nurse's role in preventing errors and systems that have been implemented, such as computerized order entry and barcoding. It provides an overview of a trigger tool for measuring adverse drug events and discusses the results of a previous study on using clinical decision support systems to change physician ordering behavior and reduce errors.
The Global Enterprise (EHR) Task Force conducted a study comparing electronic health record programs across 15 leading countries. They found that while each country governed and funded EHRs differently, common challenges included developing standards, gaining physician involvement, and achieving momentum among stakeholders. The task force identified lessons for national EHR programs, such as customizing technology strategies and addressing legal and communication issues.
Co-ordinated malaria research for better policy and practice: the role of res...ACT Consortium
Prof. David Schellenberg from the London School of Hygiene & Tropical Medicine presents on behalf of the ACT Consortium at the European Congress on Tropical Medicine and International Health in Basel, Switzerland, 8 September 2015
Neonatal screening for inborn errors of metabolismPydesalud
Presentación empleada por Pedro serrano Aguilar durante su charla en el encuentro Genetic insidER (Sevilla, 16-17 abril 2015).
Más info: http://www.genetic-insider.com/es/index.php
Estratégias sobre Segurança do Paciente: Cuidados de Saúde para todos, sempre...Proqualis
Aula de Itziar Larizgoitia Jauregui, Coordenadora de Pesquisa e Gestão do Conhecimento do Programa de Segurança do Paciente da Organização Mundial de Saúde (OMS), durante o II Seminário Internacional sobre Qualidade em Saúde e Segurança do Paciente - evento do Qualisus - nos dias 13 e 14 de Agosto de 2013, no Ministério da Saúde, em Brasília.
International registers – how an HTA organisation can contribute.HTAi Bilbao 2012
The document discusses international registers for novel medical procedures and how health technology assessment (HTA) organizations can contribute. It provides examples of NICE providing guidance on procedures with uncertainties about safety and efficacy, requiring "special arrangements" like data collection through clinical registries. International collaboration is important for uncommon procedures. HTA organizations can recommend submitting data to existing registers, manage registry projects, and help ensure active surveillance to develop the evidence.
Global healthcare spend will continue to increase, yet healthcare coverage and access remains uneven across Asia-Pacific. Social Innovation in healthcare promises better access to higher quality, affordable healthcare, in the areas of preventative care, by developing the market, exploring more inclusive design, as well as leapfrogging technologies to offer more cost-effective interventions. We present a Healthcare Social Innovation Checklist to help practitioners systematically deploy a more holistic approach in their go-to-market strategies. This presentation was delivered at the APACMed MedTech Start Up and SME Workshop on 22 August 2019.
"Theera-Ampornpunt N. Medical informatics: a look from USA to Thailand. Paper presented at: Ramathibodi’s Fourth Decade: Best Innovation to Daily Practice; 2009 Feb 10-13; Nonthaburi, Thailand. Panel discussion via videoconference, in Thai."
Towards a Grand Convergence for Child Survival and HealthCORE Group
This document summarizes the findings of a strategic review of the Integrated Management of Childhood Illness (IMNCI) approach. Some key findings include:
- IMNCI has been widely adopted and transformed global approaches to child health, but implementation has been uneven and challenges remain.
- Fragmentation of global child health strategies and lack of sustained funding and leadership have undermined full implementation and impact.
- Evidence is not systematically used to inform policies and programs.
The review provides 5 recommendations to address these problems, including consolidating global leadership, developing innovative strategies to reach marginalized populations, establishing mechanisms for shared learning and evidence use, tailoring strategies to country contexts, and strengthening monitoring and accountability. The overall
Presentation created for Jordi Serrano Pons who was invited to present at the ITU Experts Group Meeting held within the framework of the ITU European Regional Initiative on ICT Applications, including e-Health.
Topic of the meeting:
M-HEALTH: TOWARDS BETTER CARE, CURE AND PREVENTION IN EUROPE
CDS Innovations for Chronic Disease Managementdpugrad01
This is a presentation I gave at the 2007 AMIA Spring Congress. The presentation focuses on innovative projects in the AHRQ Health IT Portfolio focused on improving health care through the use of clinical decision support. In particular, these projects targeted chronically ill patients.
Patient-generated data is health-related data created by patients to help manage their condition, including symptoms, medication adherence, and biometric data from wearable devices. This data is distinct from clinical data as it is recorded by patients outside of healthcare settings. Technologies allow widespread collection of patient data to improve monitoring and research. However, ensuring high quality, standardized data sharing while protecting patient privacy and engaging patients requires governance plans and may require significant resources from patient organizations.
Best Practice Statement Principles of wound management in paediatric patientsGNEAUPP.
This document provides guidance on wound management principles for pediatric patients. It discusses key differences in pediatric and neonatal skin that require special considerations in wound care. The causes of wounds in pediatric patients include trauma, medical devices, and certain skin conditions. A thorough assessment of the wound and any factors that could delay healing is important. Wound documentation and management should be tailored to the individual patient. Regular reassessment is needed to monitor progress and watch for signs of infection. Managing pain and anxiety is also a priority, given their impact on the healing process.
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...Department of Health
Session Five: The next goal – towards Canada, France, Japan and the United States.
Canada & France: Dr Etienne Hirsch, Director, Institute for Neurosciences, Cognitive sciences, Neurology and Psychiatry at INSERM and the French alliance for life and health science Aviesan & Dr Yves Joanette CIHR, Scientific Director, Canadian Institutes of Health Research (CIHR), Institute of Aging & World Dementia Council Member
The document discusses developing a pilot project for coverage with evidence development (CED) in the private sector. A stakeholder workgroup selected pharmacogenetic testing for estimating initial warfarin dosing as the topic. The workgroup discussed operational and study design issues, such as coverage models, communication with patients and providers, funding, and informed consent. Conducting private sector CED poses challenges but payers remain interested to generate better information for coverage decisions through this mechanism.
Every Preemie – Scale: Scaling, Catalyzing, Advocating, Learning, Evidence-Dr...CORE Group
Every Preemie - SCALE is a 5-year USAID program aimed at reducing preterm birth and low birthweight in 24 priority countries. It focuses on moderate preterm newborns from pre-pregnancy to postnatal care. The program will work with in-country partners to demonstrate and scale up evidence-based interventions through activities like situation assessments, advocacy, implementation research, and capacity building. It is implemented by a consortium including Project Concern International, the Global Alliance to Prevent Prematurity and Stillbirth, and the American College of Nurse-Midwives.
The document provides an overview and introduction to the WECAN Academy 2019. The key points are:
1. The WECAN Academy brings together two existing patient advocacy training programs - the SmartStart program for new advocates and the Masterclass for experienced advocates.
2. The 2019 Academy saw 105 patient advocates from 26 countries participate across the two programs, covering topics across 4 knowledge pillars - research and data, healthcare systems and policy, advocacy tools and skills, and disease and care.
3. The document outlines the schedule and sessions covered across the 3 day program for SmartStart and Masterclass participants, demonstrating the increasing complexity and specialization of topics covered each day.
Similar to Research in the Patient Safety Strategy (20)
Multidisciplinary care: a perspective from diagnosis and treatment of rare cancers. Casali P. Technical Conference: Multidisciplinary Care in Cancer as a model of health care quality (Madrid: Ministry of Health and Social Policy, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Sánchez de Toledo J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ortiz H. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Barnadas A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Oriol Díaz de Bustamante I. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Moreno Marín P. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Medina JA. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Experiencias y percepción de la atención integral de los pacientes con cáncer. Fisas Armengol A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
Este documento describe la atención oncológica multidisciplinar y la gestión de casos como un modelo de calidad asistencial. Explica que la gestión de casos implica coordinar y facilitar el acceso a los servicios sanitarios adecuados para cada paciente. Además, describe el rol de la enfermera gestora de casos en unidades oncológicas, cuyas funciones principales son coordinar el plan de tratamiento del paciente y servir de referente para el paciente y el equipo médico. Finalmente, concluye que la gestión de casos contribuye
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Díaz Mediavilla J. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
La mejor evidencia junto a la mejor organización: el reto de la coordinación profesional en atención oncológica. Ignacio A. Jornada Técnica: Atención Multidisciplinar en Cáncer como modelo de calidad asistencial (Madrid: Ministerio de Sanidad y Política Social, 2010)
The power of lifestyle interventions to prevent cardiovascular diseases. Tuomilehto J. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Alcohol and chronic diseases: complex relations. Guillemont J. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Risk Assessment and Management of Cardiovascular Diseases - an English Approach. Lynam E. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Cardiovascular disease inequalities: causes and consequences. Capewell S. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
Addressing cardiovascular disease at EU level: tangible plans for the future. Hübel M. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).
1) Denmark aimed to create common processes and data structures across 13 municipalities and multiple medical vendors from 2002-2007, but faced issues with too many concurrent users and high data transmission.
2) From 2007-2012, Denmark established a shared medication record and common database to address prior issues.
3) The document discusses various roles that medical intermediaries can play, including consumer/professional content aggregation, patient management, records management, physician career services, and more. It also covers intermediation theory and the challenges in Europe.
The impact of eHealth on Healthcare Professionals and Organisations: The Impact of ICT at Kaiser Permanente. Wiesenthal A. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
1. Patient Safety Research
Madrid, 2008
David W. Bates, MD, MSc
External Program Lead, Research
World Alliance for Patient Safety
2. Overview
™Why is research needed?
™Review of evidence
™Directions of research program of World
Alliance
Prior work
Future plans
™Conclusions
2| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
3. Why Research--Epidemiology?
™To get local data
Will be variation by site, country
™Allows estimation of return on investment
™Makes possible rational prioritization of
solutions
Many more solutions than any country can afford
3| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
4. Why Do Research—Solutions?
™Many solutions may not work at all
Or in certain settings
Or when implemented in specific ways
Cultural issues
™Again, resources are scarce and need to
prioritize
Far too many options even for safety
4| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
5. To Err is Human
™ Errors are common
™ Errors are costly
™ Systems cause errors
™ Errors can be prevented
and safety can be
improved
5| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
6. Global Picture of Patient Safety
™ Clear from many studies that is an important problem
in every country evaluated
Adverse event rate in hospitalized patients about 10% in most
developed countries
Know much less about the developing world
™ Know much more about safety in the hospital than
safety outside it
Yet limited data available suggest that the magnitude of the
problem is about as big outside hospitals
6| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
7. Background Report: Objectives
Led by Ashish Jha, MD
™Create framework for approaching topics
™Identify major topics in patient safety
™Describe the epidemiology, severity and
potential for intervention
™Identify gaps in knowledge to inform priority
setting
7| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
8. The Report
™ Framework
ƒ Structural factors that affect safety
• e.g. safety culture
ƒ Processes of care that impact safety
• e.g. safe injection practices
ƒ Outcomes of unsafe care
• e.g. healthcare-associated infections
™ Alternatives / over-lays:
ƒ Clinical setting (ambulatory, hospital care, etc.)
8| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
9. The Report
™Goal to identify major issues in patient safety
ƒ 23 major topics identified
ƒ Report available on World Alliance website
9| Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
10. Structural Topics
Organizational determinants and latent failures
Accreditation and regulation to advance patient safety
Safety culture
Inadequate training and education; workforce issues
Stress and fatigue
Production pressures
Lack of appropriate knowledge and availability of knowledge, transfer of knowledge
Adequate measures of patient safety
Devices, procedures without human factors engineering
10 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
11. Process Topics
Errors in care through misdiagnosis
Errors in care through poor test follow-Up
Errors in care: counterfeit / substandard drugs
Errors in care: unsafe injection practices
Bringing patients’ voices into patient safety
11 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
12. Outcomes Topics
Adverse events and injuries due to medical devices
Adverse events due to medications
Adverse Events due to surgical errors
Adverse events due to health-care associated Infections
Adverse events due to unsafe blood products
Adverse events due to falls in the hospital
Injury due to pressure sores and decubitus ulcers
Patient safety concerns among the elderly
Patients safety among pregnant women and newborns
12 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
13. Major Findings
™Structural factors:
ƒ Nearly all the data from developed nations
ƒ Little data about features of organizational structures
that optimize safety
ƒ Data from developed nations have begun to quantify
• Impact of stress, fatigue, and lack of knowledge
on safety
• Production pressures
• The role of human factors engineering
ƒ Unclear how these translate to developing and
transitional countries
13 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
14. Implications and Recommendations
™Likely substantial burden from unsafe care
ƒ Especially in developing and transitional nations
ƒ Need better data to describe epidemiology, impact
™Structure/process/outcomes may be useful
ƒ Lack of data about underlying processes, structures
™Large gaps in knowledge about solutions
ƒ Still in infancy in developed nations
ƒ Which solutions transportable largely unknown
ƒ Strategies to reduce AE for developing and transitional nations
14 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
15. Global Priorities
for Patient Safety Research
™Developed a set of global priorities for patient
safety research
™Stratified by level of development
Developing
Transitional
Developed
15 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
16. Priority Setting Working Group
™ Produced an agenda
of research priorities,
stratified by level of
development
™ Led by David Bates,
with support of Ashish
Jha
™ Through Lit review,
Delphi technique &
extensive
consultation
16 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
17. Priorities Process
™Followed a modified Delphi approach
Three rounds, each time with discussion
™Also developed a short description of a
process an individual country can follow
™For each priority we identified key
research questions (intended as
examples, not necessarily the most
important)
17 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
18. Developed Countries
1. Lack of communication and coordination (including hand-offs)
2. Latent organizational failures
3. Poor safety culture and blame-oriented processes
4. Cost-effectiveness of risk-reducing strategies
5. Developing better safety indicators (including a global safety
indicator)
6. Procedures that lack human factors consideration built into design
7. Health information technology/information systems
8. Patients' role in shaping the research agenda
9. Devices that lack human factors consideration built into design
10. Adverse drug events/medication errors
18 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
19. Transitional Countries
1. Development & testing of locally effective and affordable solutions
2. Cost-effectiveness of risk-reducing strategies
3. Lack of appropriate knowledge, transfer of knowledge
4. Inadequate competences, training and skills
5. Lack of communication and coordination (including hand-offs)
6. Poor safety culture and blame-oriented processes
7. Health care associated infections
8. Extent and nature of the problem of patient safety
9. Latent organizational failures
10. Developing better safety indicators (including a global safety
indicator)
19 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
20. Developing Countries
1. Development & testing of locally effective and affordable solutions
2. Cost-effectiveness of risk-reducing strategies
3. Counterfeit and Substandard Drugs (including traditional
medicines)
4. Inadequate competences, training and skills
5. Maternal and Newborn Care
6. Health care associated infections
7. Study of the extent and nature of the problem of patient safety
8. Lack of appropriate knowledge and transfer of knowledge
9. Unsafe injection practices
10. Unsafe blood practices
20 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
21. Advancing Methods & Tools Working Group
™ To assess strengths &
weaknesses of methods for
research on patient safety,
™ To inform on best methods
& tools for specific research
questions and data settings
™ Through lit review, testing
of new methods and expert
consultation
™ Led by Ross Baker
(Toronto U) and Bill
Runciman (Australia)
21 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
22. Advancing Methods & Tools:
Accomplishments
™ Main working directions were identified
™ Draft papers for each of the theoretical directions
have been produced, reviewed
Acute care
Primary care
Interventions
™ Producing tools for use in developing countries
™ New effort to develop set of indicators for developing,
transitional countries
22 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
23. Research Studies in Developing
Countries
™ To estimate the magnitude and main causes of patient
harm
To stimulate actions at local and regional level
To build on regional initiatives
™ Performed multi-country study in EMRO and in two
countries in AFRO
Ross Wilson (Australia), Philippe Michel (France), Sisse Olsen
(UK), Charles Vincent (UK)
™ Performed multi-country study project in Latin-America
(PAHO)—IBEAS study
In collaboration with Spain MOH
23 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
24.
25.
26. Preliminary EMRO/AFRO Results
™Health care is causing permanent disability
and death in developing and transitional
countries
™Much of this harm is preventable (~75%)
™Final report to be released soon
26 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
27. Lessons Learned So Far
™ Building a team was essential for completion of
project as well doing something with the results
™ Patient safety can galvanise attention and interest
such that it leads to huge local effort
™ Connecting the project through regional WHO
organization to Health Ministries in each country was
crucial
™ Medical record quality is improved by promulgation of
standards (Egypt & Kenya)
27 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
28. New Initiatives
™Training program on patient safety research
™Small-grant research program
™New research studies
28 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
29. Education for Patient Safety
Researchers
™ Considering educational opportunities at various levels: (i)
Scholar high degree level-masters & PhD; (ii) Short
courses/diplomas; (iii) in-service training
™ Building on available capacity and people, institutions,
groups, organizations by regions (linking with colleges
and academia)
™ Developing local advocates and champions
™ Action:
Situational analysis: organizational and program models, funding,
target audience, faculty, and curriculum; mapping of potential
resources, including existing collaborations
Expert working group—led by Peter Norton (Canada), Narendra
Arora (India)
29 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
30. The Small Research Grants
Program for Patient Safety
Aims
• To stimulate research in patient
safety research in developing
and transitional countries -
providing seed funding
• To contribute to local capacity
building –targeting young or
early- to mid-career researchers
• To promote the culture of patient
safety - facilitating dissemination
of research findings.
30 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
31. Objectives and Workplan
Workplan
Funding 20-30 small research projects in 2009 (>200
applications)
• Initial deadline September 30, 2008
• Grants of 10 000 - 25 000 per project
• For projects that can be completed in 12-18 months
• Encourage researchers from developing/transitional
countries as lead investigator
• Dissemination of research findings is compulsory
Formulation Management, Evaluation
Communication
& preparation monitoring & reporting
31 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
32. New Research Studies
™Have commissioned new research work
focusing on program priority areas:
Modeling global burden of unsafe care
Indicators and tool development
Implementation research for maternal and neonatal
care
Methodological guide for developing countries
Meta-analysis of existing prevalence studies
32 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008
33. Conclusions
™ Safety is a problem in all nations
Need research to understand problem, learn what to do first
™ Know much less about problem in developing,
transitional countries
All nations need to begin to address research in this area
ƒ Public responds very positively
™ Developed countries: communication, latent failures,
safety culture high priority
™ Developing/transitional countries: developing/testing
locally affordable solutions
™ All countries want to provide safer care
33 | Research Program: WHO World Alliance for
Patient Safety | 09 December 2008