This document discusses safety concerns in healthcare. It outlines key definitions like safety concern and introduces the importance of addressing safety issues. Common medical errors are classified and ways to identify errors through methods like morbidity reviews are presented. The purposes of reporting errors to improve patient safety are explained. Finally, the top 10 safety concerns for healthcare organizations in 2015 are listed, including alarm hazards, data integrity issues, and medication errors related to dosages.

1. SAFETY CONCERNS IN
HEALTHCARE
Prepared by
Raveen Isamel Abdullah
B.CS.in Nursing
Hawler medical university
College of nursing
2016-2017

2. Outlines
• Introduction to safety concerns in health care
• Definition of safety concern
• Importance of addressing safety concerns .
• Classification of medical errors
• How to identify errors
• Reporting errors
• top 10 safety concerns in health care in 2015

3. Objectives
1. By end of seminar students will be able to
identify the main safety concerns in
healthcare worldwide in 2015.
2. Understand the process of reporting errors
and classify the medical errors in general .

4. Introduction
• Health care services are provided to patients
in an environment with complex interactions
among many factors, such as the disease
process itself, clinicians, technology, policies,
procedures, and resources.
• When these complex factors interact, harmful
and unexpected outcomes (e.g., errors) can
occur.

5. Safety Concern
• Any condition, practice, or violation that causes a big
probability of physical harm, property loss, and/or
environmental impact.

6. Health Care
• Is the maintenance or improvement of health via
the diagnosis, treatment, and prevention of disease, illness,
injury, and other physical and mental impairments in human
beings.

7. Importance of adressing safety concerns in
healthcare
1. Identify potential threats to patient safety.ƒ
2. Improve patient safety by addressing concerns.
3. Improving healthcare system by improving patient safety .
4. Minimize death rate which caused by existence of safety
hazards .

8. Classification of medical Errors

9. Error Identification
1. Morbidity and Mortality.
2. Retrospective chart review .
3. Reporting systems for serious accidents and important “near
misses”

10. Purpose of Reporting
1. Improve the management of an individual patient
2. Identify and correct systems failures.
3. Prevent recurrent events.
4. It helps in providing a safe environment for patient care.
5. Provide a record of the event.
6. Obtain immediate medical advice and legal counsel

11. Reporting
1. Date when the report is made
2. Method of reporting (written or visual/oral )
3. Date, time and place of the event
4. Personal details of those involved
5. A brief description of the nature of the event or disease.

12. What could happen if incident reporting is Not
done?
1. Hazard may not be identified.
2. Incorrect assumptions may be made about exposure to
hazard and associated risks.
3. Outcome for the next person may not be so favorable.

13. Example
There is an adult patient been admitted to ICU
in order to receive intensive care !routinely
diagnostic tests were sent to lab according to
his condition so the physician can clearly study
the level of improvement during his stay at
ICU!?

14. What are the expected errors which might
occur regarding daily diagnostic tests !

15. Answer
1. Not performed when needed or indicated
2. Incomplete
3. Unavailable
4. Wrong patient
5. Wrong process
6. Wrong time

16. Why people don’t report ?!
1. There is slow action towards improving errors due to
presence of a variety of barriers .
2. People stop reporting or do not report in first place
because they think it is waste of time .
3. People are not aware of nature of errors ,then how will they
know to report it ?!
4. Sometimes they don’t differentiate between what's right
and what's wrong regarding safety hazards within health
system !!!!!

17. Top 10 Patient Safety Concerns
for Healthcare Organizations 2015
1. Alarm hazards: inadequate alarm configuration
2. Data integrity: incorrect or missing data in EHRs and other health IT
systems
3. Managing patient violence
4. Mix-up of IV lines leading to misadministration of drugs and solutions
5. Care coordination events related to medication reconciliation
6. Failure to conduct independent double checks independently
7. Opioid-related events
8. Inadequate reprocessing of endoscopes and surgical instruments
9. Inadequate patient handoffs related to patient transport
10.Medication errors related to pounds and kilograms

18. Conclusion
• Everything about health care is complex.
• Recognizing the complexity of care and how several factors
combine at a specific time and result in errors and adverse
events.
• organizations, leaders, and clinicians will dedicate themselves
to using data and evidence and to continuously improve the
quality and safety of care, even when there are complex
challenges!!

19. References
1. Top 10 Patient Safety Concerns for Healthcare Organizations [Internet]. Health
Data Management. [cited 2017 May 6]. Available from:
https://www.healthdatamanagement.com/slideshow/top-10-patient-safety-
concerns-for-healthcare-organizations
2. The 10 Patient Safety Concerns Every Health Care Worker Needs to Know About
[Internet]. Monster Career Advice. [cited 2017 May 6]. Available from:
https://www.monster.com/career-advice/article/patient-safety-concerns
3. 2017_PSTop10_ExecutiveBrief.pdf [Internet]. [cited 2017 May 6]. Available from:
https://www.ecri.org/EmailResources/PSRQ/Top10/2017_PSTop10_ExecutiveBrief.
pdf
4. Hughes RG. Nurses at the ‘sharp end’ of patient care [Internet]. Agency for
Healthcare Research and Quality (US); 2008 [cited 2017 May 6]. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK2672/
5. Safety Concern Law and Legal Definition | USLegal, Inc. [Internet]. [cited 2017 May
6]. Available from: https://definitions.uslegal.com/s/safety-concern/

20. THANKS FOR BEING PATIENT