This document provides an overview of a presentation on the science of safety training. Some key points:
- The presenter has over 24 years of experience in healthcare and various safety-related certifications and memberships.
- The presentation covers topics like historical context of patient safety, learning from defects, and celebrating safety. It also discusses tools to measure safety culture like the Safety Attitudes Questionnaire.
- The presentation describes how the Comprehensive Unit-based Safety Program (CUSP) was implemented at Tawam Hospital. Initial assessments found issues like hierarchies and a tendency to blame individuals for errors. CUSP helped establish a culture focused on systems and teamwork.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
The best way to enhance patient safety is to build a culture of safety at the hospital. The Johns Hopkins Hospital Comprehensive Unit-based Safety Program (CUSP)
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.
Assessment of Health Care Workers Knowledge, Attitude and Practices of Radiat...ijtsrd
Radiological doses are low and the chances of long time effect is minimal, but it should be kept as low as reasonably achievable. Therefore health workers especially Doctors requesting for imaging must be well trained in deciding when medical imaging should be carried out and should also have accurate knowledge of the associated risk involved. This can only be achieved if a proper knowledge and safety practice is adhered to. A cross sectional study to investigate the level of health workers knowledge, about radiation safety and their attitude towards radiation safety was carried out. A self administered questionnaire for radiation safety was sent to a purposive sample of 174 Health workers at a Specialist Hospital, in Jos, Plateau State, Nigeria. 169 questionnaires were filled and return by participant responsive rate 97.1 . The sample include 8 Radiologist, 72 Nurses, 3 Oncologist, 49 Clinicians, 26 Technicians and 11 Surgeons. Majority of the participants have never attain any radiation safety related training 76 . Radiologist and oncologist who were more frequently expose to ionizing radiation, their knowledge was not far better than the other health workers. The general knowledge score ranges from 5.9 to 60.9 , with a low score among nurses and surgeons. The most alarming was the applicability and convenience of radiation protection policies and procedure. Adherence to safety precaution practices was mostly violated by participants, especially nurses and surgeons, but they attributed it to the poor application of protective measures during performing the procedures. The investigation concluded that Health workers in a Specialist Hospital, Jos Plateau State, Nigeria have fair knowledge, negative attitude and poor safety practices towards radiation safety policies and precautions. Chenko G. Y. Nimchang | Ndam Moses Ponsel | Manset W. E. | Songden S. D "Assessment of Health Care Workers Knowledge, Attitude and Practices of Radiation Safety at a Specialist Hospital, Jos, Plateau State, Nigeria" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-6 , October 2022, URL: https://www.ijtsrd.com/papers/ijtsrd46452.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/46452/assessment-of-health-care-workers-knowledge-attitude-and-practices-of-radiation-safety-at-a-specialist-hospital-jos-plateau-state-nigeria/chenko-g-y-nimchang
Presented by:
Kevin Morash1; Heather Grant, MSc.2; Mark Harrison, MD1, 2
1Queen’s School of Medicine, Kingston, ON
2Division of Orthopaedic Surgery, Queen’s University, Kingston, ON
Objectives:
1.Introduce the Measuring and Monitoring of Safety Framework to a Canadian healthcare audience
2.Describe how the framework would work in Canada
predictors of mortality in mechanically ventilated patients using APACHE II a...Raj Mehta
A study to evaluate predictors of mortality in mechanically ventilated patients by using APACHE II and SAPS II scoring systems in adult ICU of AIIMS, New Delhi.
ISBARR The purpose of this project is to practice formulat.docxvrickens
ISBARR
The purpose of this project is to practice formulating and delivering patient report to other health professionals using the ISBARR format
Instructions:
1. Find an article on ISBARR (SBAR), summarize, and reflect on how it can be used in communicating assessment findings. Summarize your research on ISBARR/SBAR and cite your reference/s in no less than 500 words
Journal of Perioperative Nursing in Australia Volume 29 Number 1 Autumn 2016 acorn.org.au30
Peer-reviewed article
Handover between anaesthetists
and post-anaesthetic care
unit nursing staff using
ISBAR principles: A quality
improvement study
Authors
Patricia Kitney
RN, BAppSc-Nsg, DAppSc-Nsg Ed, MEd
(Research), GradCert LdrshipEdTrng,
GradCertPeriop
Western Health, Sunshine, Vic
Raymond Tam
MBBS FANZCA
Western Health, Sunshine, Vic
Paul Bennett
RN BN GradCertSc (App Stats) MHSM PhD
Deakin University, Geelong, Victoria,
Western Health – Nursing Research
Centre, Sunshine, Vic
Dianne Buttigieg
RN, BHSc (Nursing), Grad Cert Periop Nsg,
DipMgt
Western Health, Sunshine, Vic
David Bramley
MBBS MPH FANZCA
Western Health, Sunshine, Vic
Wei Wang
Msc (Stats) GdipSci (Stats) MD PhD
Deakin University, Geelong, Vic
Corresponding author
Patricia Kitney
Clinical Nurse Educator - Perioperative
Services
Western Health, Gordon Street, Footscray
VIC 3011
Tel. 03 8345 0506
[email protected]
Abstract
A structured approach to communication between health care
professionals contains introduction/identification; situation;
background; assessment and request/recommendation (ISBAR).
ISBAR was introduced into the post-anaesthetic care unit (PACU)
of a large Victorian health service in 2013. The aim of this study
was to measure the effect of an education program on ISBAR
compliance.
Method: A pre/post-test design using a 14-item audit tool was used to
measure compliance to ISBAR before and after an education intervention in
two acute hospitals in Melbourne, Victoria. The intervention consisted of one
30-minute education session to anaesthetists, and two 30-minute education
sessions to PACU nurses, combined with visual cues using ISBAR wall posters.
Results: In Hospital A, significant improvement from pre- to post-audit
was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p < .05),
respiratory assessment (χ2 (1) = 12.85, p < .01), analgesia assessment and
actions (Fisher’s exact test p < .05) and responsibility + referral (χ2 (1) = 4.44,
p < .05). For Hospital B significant improvement was found in communication
difficulties (χ2 (2) = 13.55, p < .01) and significant decreased performance was
found in respiratory assessment (χ2 (1) = 8.98, p < .01) and responsibility +
referral (χ2 (1) = 13.26, p < .01).
Implication for practice: The results from this study cohort suggest an
augmented education program may produce mixed results for ISBAR
compliance. More than education and visual tools may be required to improve
PACU ISBAR compli ...
ISBARR The purpose of this project is to practice formulat.docxjesssueann
ISBARR
The purpose of this project is to practice formulating and delivering patient report to other health professionals using the ISBARR format
Instructions:
1. Find an article on ISBARR (SBAR), summarize, and reflect on how it can be used in communicating assessment findings. Summarize your research on ISBARR/SBAR and cite your reference/s in no less than 500 words
Journal of Perioperative Nursing in Australia Volume 29 Number 1 Autumn 2016 acorn.org.au30
Peer-reviewed article
Handover between anaesthetists
and post-anaesthetic care
unit nursing staff using
ISBAR principles: A quality
improvement study
Authors
Patricia Kitney
RN, BAppSc-Nsg, DAppSc-Nsg Ed, MEd
(Research), GradCert LdrshipEdTrng,
GradCertPeriop
Western Health, Sunshine, Vic
Raymond Tam
MBBS FANZCA
Western Health, Sunshine, Vic
Paul Bennett
RN BN GradCertSc (App Stats) MHSM PhD
Deakin University, Geelong, Victoria,
Western Health – Nursing Research
Centre, Sunshine, Vic
Dianne Buttigieg
RN, BHSc (Nursing), Grad Cert Periop Nsg,
DipMgt
Western Health, Sunshine, Vic
David Bramley
MBBS MPH FANZCA
Western Health, Sunshine, Vic
Wei Wang
Msc (Stats) GdipSci (Stats) MD PhD
Deakin University, Geelong, Vic
Corresponding author
Patricia Kitney
Clinical Nurse Educator - Perioperative
Services
Western Health, Gordon Street, Footscray
VIC 3011
Tel. 03 8345 0506
[email protected]
Abstract
A structured approach to communication between health care
professionals contains introduction/identification; situation;
background; assessment and request/recommendation (ISBAR).
ISBAR was introduced into the post-anaesthetic care unit (PACU)
of a large Victorian health service in 2013. The aim of this study
was to measure the effect of an education program on ISBAR
compliance.
Method: A pre/post-test design using a 14-item audit tool was used to
measure compliance to ISBAR before and after an education intervention in
two acute hospitals in Melbourne, Victoria. The intervention consisted of one
30-minute education session to anaesthetists, and two 30-minute education
sessions to PACU nurses, combined with visual cues using ISBAR wall posters.
Results: In Hospital A, significant improvement from pre- to post-audit
was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p < .05),
respiratory assessment (χ2 (1) = 12.85, p < .01), analgesia assessment and
actions (Fisher’s exact test p < .05) and responsibility + referral (χ2 (1) = 4.44,
p < .05). For Hospital B significant improvement was found in communication
difficulties (χ2 (2) = 13.55, p < .01) and significant decreased performance was
found in respiratory assessment (χ2 (1) = 8.98, p < .01) and responsibility +
referral (χ2 (1) = 13.26, p < .01).
Implication for practice: The results from this study cohort suggest an
augmented education program may produce mixed results for ISBAR
compliance. More than education and visual tools may be required to improve
PACU ISBAR compli ...
This presentation explains the concept of patient safety, healthcare quality and how these can be embedded into surgical care to ensure excellent patient outcomes.
These slides were presented to the Surgery Interest Group of Africa (SIGAF) in April 2023 by Vivian Akwuaka.
ISBARR The purpose of this project is to practice formulatmariuse18nolet
ISBARR
The purpose of this project is to practice formulating and delivering patient report to other health professionals using the ISBARR format
Instructions:
1. Find an article on ISBARR (SBAR), summarize, and reflect on how it can be used in communicating assessment findings. Summarize your research on ISBARR/SBAR and cite your reference/s in no less than 500 words
Journal of Perioperative Nursing in Australia Volume 29 Number 1 Autumn 2016 acorn.org.au30
Peer-reviewed article
Handover between anaesthetists
and post-anaesthetic care
unit nursing staff using
ISBAR principles: A quality
improvement study
Authors
Patricia Kitney
RN, BAppSc-Nsg, DAppSc-Nsg Ed, MEd
(Research), GradCert LdrshipEdTrng,
GradCertPeriop
Western Health, Sunshine, Vic
Raymond Tam
MBBS FANZCA
Western Health, Sunshine, Vic
Paul Bennett
RN BN GradCertSc (App Stats) MHSM PhD
Deakin University, Geelong, Victoria,
Western Health – Nursing Research
Centre, Sunshine, Vic
Dianne Buttigieg
RN, BHSc (Nursing), Grad Cert Periop Nsg,
DipMgt
Western Health, Sunshine, Vic
David Bramley
MBBS MPH FANZCA
Western Health, Sunshine, Vic
Wei Wang
Msc (Stats) GdipSci (Stats) MD PhD
Deakin University, Geelong, Vic
Corresponding author
Patricia Kitney
Clinical Nurse Educator - Perioperative
Services
Western Health, Gordon Street, Footscray
VIC 3011
Tel. 03 8345 0506
[email protected]
Abstract
A structured approach to communication between health care
professionals contains introduction/identification; situation;
background; assessment and request/recommendation (ISBAR).
ISBAR was introduced into the post-anaesthetic care unit (PACU)
of a large Victorian health service in 2013. The aim of this study
was to measure the effect of an education program on ISBAR
compliance.
Method: A pre/post-test design using a 14-item audit tool was used to
measure compliance to ISBAR before and after an education intervention in
two acute hospitals in Melbourne, Victoria. The intervention consisted of one
30-minute education session to anaesthetists, and two 30-minute education
sessions to PACU nurses, combined with visual cues using ISBAR wall posters.
Results: In Hospital A, significant improvement from pre- to post-audit
was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p < .05),
respiratory assessment (χ2 (1) = 12.85, p < .01), analgesia assessment and
actions (Fisher’s exact test p < .05) and responsibility + referral (χ2 (1) = 4.44,
p < .05). For Hospital B significant improvement was found in communication
difficulties (χ2 (2) = 13.55, p < .01) and significant decreased performance was
found in respiratory assessment (χ2 (1) = 8.98, p < .01) and responsibility +
referral (χ2 (1) = 13.26, p < .01).
Implication for practice: The results from this study cohort suggest an
augmented education program may produce mixed results for ISBAR
compliance. More than education and visual tools may be required to improve
PACU ISBAR compli ...
Joint Commission defines Disruptive Behavior as “conduct by a health care professional that intimidates others working in the organization to the extent that quality and safety are compromised”.
Research has found that disruptive behavior not only impacts the morale and staffing of an organization but can lead to medical errors and breakdowns in the quality of care, treatment, and services delivered.
Safety Event Analysis Teams (SEAT) comprised of believers & opinion builders. The team identified defects from the event reports. Implemented systems changes to reduce the probability of recurring. At least one defect was investigated each month.
The implications of SEAT were, staff came open and reported the incidents. It helped institute a Fair and Just Culture. Investigation examined the processes and not just people. Staff share their experiences with other CUSP units. SEAT helped turn these staff in to champions
Most frameworks involving a “culture of safety” place patients at the center of the care delivery model (Sammer & James, 2011). In view of health policy, Ostrom (2007) stated that frameworks are meant to organize inquiry through identification of elements and potential relationship, but not intended to specifically test, explain, or predict behavioral outcomes or strengths of association as theory would test. In the healthcare setting patients occupy the center prominence of our safety efforts; however, we offer that care providers play an equally important role in optimizing patient safety and caregivers hold a position of equivalent actors in such frameworks. Furthermore, extrinsic factors such as government agencies are at times excluded in these discussions and some frameworks are structurally complex making it difficult for end users to retain, remember, and apply concepts consistently in practice.
Although a culture of safety is serious business (Denham, 2007a), it does not have to be implemented with a grim face. Joy and spirit of caregiving is also linked to patient safety. Joy comes from witnessing successful patient outcomes, and seeing the patient and family experiences of their healing journey (Hinz, 2011). Leape (2013) offers that joy and meaning will be created when the care providers feel valued, safe from harm, and being part of the solutions for change.
How then do we approach a complex system framework, such as patient safety, with a program that is meaningful, sustainable, and consistently recognizable, if not marketable, to the bedside caregivers? We have found that correlation of thoughts plays a significant role in retention and recognition of information for our multicultural staff. Gigerenzer (2007) posited that the strength of recognition surpasses that of simple recall in humans. When recall memory is impaired, recognition memory often remains (Gigerenzer, 2007, p. 111).
One way to strengthen recognition and information recall is through the use of mnemonics (Bakken & Simpson, 2011). Mnemonics encode complex information in which unfamiliar information to be learned is linked with known information, pictures, or symbols (Bakken & Simpson, 2011). Visual cues and auditory reminders enhance meaningfulness of new information and promote overall strength of association between novel learning and known or familiar patterns (Mastropieri, 1988).
Back ground
Tawam hospital faced many of the same barriers to patient safety present in hospitals elsewhere. The Leadership realized that the best way to enhance patient safety is to build a Culture of Safety at the hospital and hence has been implementing the Johns Hopkins Comprehensive Unit based Safety Program (CUSP). CUSP started as a pilot project in 2008 and now being implemented in ten units. Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Method
The Safety Attitudes Questionnaire (SAQ) was administered to all Tawam Hospital staff in three phases understand staff perception of safety. SAQ measures culture along 7 dimensions. The survey results are graded against percentage positive responses.
Results
A comparison of the SAQ’s pre & post CUSP implementation. ICU and Pediatric Oncology had six domains in the danger zone. NNU had four domains in the danger zone.
2010 & 2011 SAQ survey, the overall hospital score on all the domain scores were in the danger zone. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
Conclusion
SAQ results were disseminated department wise in the presence of a hospital Senior Executive. The unit staff selected one or two areas of concern and developed action plans for improvement.
CUSP was rolled out in Six more units. Safety Analysis Teams have been established in the CUSP pilot units to analyze and learn from defects.
Although the culture of safety is a serious business, it does not have to be implemented with a grim face. Joy and spirit of care giving are also linked to patient safety. Joy comes from witnessing successful patient outcomes and seeing a patient and family experience their healing journey.The use of emoticons to convey information saturates our wired world. One of the more popular emoticons is the smile. The smile is ubiquitous throughout computer generated communication such as emails, texts and social networking applications. Could we parlay its popularity in our patient safety efforts? We surmised that a healthcare provider, who is trained in the SMILE culture of safety model, would more easily recognize our culture of safety framework when this emoticon was used as a part of their daily communicating life.
Healthcare Associated Infections (HAIs) are the fourth leading cause of death in the USA. About 1.8 million patients suffer annually from care-related infections. HAIs cause 99,000 deaths every year in the US alone, at a cost of $3.1 billion dollars in excess healthcare costs in acute care hospitals. Besides HAIs kill more people than AIDS, breast cancer and auto accidents combined.
It is estimated that 271 people died each day from healthcare-associated infections (HAIs) such as Methicillin-resistant Staphylococcus aureus (MRSA) infections. Which is equivalent to one airline crash per day.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
1. Science of Safety Training
Presented by Krish Sankaranarayanan MS, MBA, CPHQ
Senior Safety Officer
2013-4-17 1
2. Introduction-About me
• Been in healthcare domain for over 24 years.
• Triple Masters degree.
• MS in Patient Safety Leadership from UOI- Chicago.
• Certified Professional in Healthcare Quality (CPHQ)
• Educational consultant- Canadian Healthcare Association-
CQI program
• Membership
– Member American College of Healthcare Executives
– Member National Association of Healthcare Quality
– Member American Society for Healthcare Risk Management
– Member American Society of Professionals in Patient Safety
– Vice President of the ACHE Middle East and North Africa Group
3. Discussion Items
• Ice Breaker- Eric Cropp story (Video)
• Historical context of Patient Safety?
• Second Victim
• Comprehensive Unit-based Patient Safety
program- Josie King Story (Video)
• Learning from defects
• Celebrating Safety
• 2-Question Survey
2013-4-17 3
6. Medical error: the second victim..
• The term second victim was initially coined by Wu in his
description of the impact of errors on professionals. The
doctor who makes the mistake needs help too.
• In the aftermath of a mistake, it's important the doctor seek
support to deal with the consequences.
Albert W Wu associate professor
School of Hygiene and Public Health and School of Medicine, Johns
Hopkins University, Baltimore, MD
2013-4-17 6
7. The Annual Toll of Medical Injury
IOM “To Err is Human” (1999)
• 44,000 – 98,000 deaths/year in US due
to medical errors.
• $ 50 billion in total costs.
• 7% of patients suffer a medication error.
• Every patient admitted to ICU suffers an
adverse event.
10. The patients saw an average of 17.8 health
professionals during their hospitalization
How many health professionals does a patient see during an average hospital
stay? N Whitt, R Harvey, S Child
18. Definition
• Safety culture is the ways in which safety is managed in the
workplace, and often reflects "the attitudes, beliefs, perceptions
and values that employees share in relation to safety" (Cox and Cox,
1991).
• The safety culture of an organization is the product of individual
and group values, attitudes, perceptions, competencies, and
patterns of behavior that determine the commitment to, and the
style and proficiency of, an organization's health and safety
management. Organizations with a positive safety culture are
characterized by communications founded on mutual trust, by
shared perceptions of the importance of safety, and by confidence
in the efficacy of preventive measures. (AHRQ)
• Source: Organising for Safety: Third Report of the ACSNI (Advisory Committee on the Safety of Nuclear
Installations) Study Group on Human Factors. Health and Safety Commission (of Great Britain). Sudbury,
England: HSE Books, 1993.
23. Culture in safe organizations
• Commit to no harm
• Focus on systems not people
• Value Communication/teamwork
– Assertive communication
– Teamwork
– Situational awareness
• Accept responsibility for systems in which we
work
• Recognize culture is local
• Seek to expose (not hide) defects
• Celebrate safety
– Workers viewed as heroes
2013-4-17 23
24. Johns Hopkins Comprehensive Unit-based
Safety Program (CUSP)
CUSP is a 6-step safety program
Step 1: Safety Attitude Questionnaire (SAQ)
Step 2:Staff education on the Science of Safety
Step 3: 2-item Staff Safety Survey
▪ Please describe how you think the next patient in your unit/clinical area
will be harmed?
▪ Please describe what you think can be done to prevent or minimize this
harm?
Step 4: Executive Walk Rounds
Step 5:
a) Learning from our mistakes
b) Improve teamwork and communication
Step 6 : Resurvey staff about Safety Culture (annually)
25. How we started at Tawam?
• January-08 Created the Patient Safety dept.
recruited 4 patient safety officers and a medication
safety officer.
• February-08 Leadership training on Patient Safety
• April-08 Comprehensive Unit based Safety Program
Roll-Out.
• 2008- ICU, NNU, Peds Onc (Pilot Units)
• 2011- Medical 1 & 2, Surgical 1& 2, Daycase, PICU
• 2012- OBGYN
• 2013- OR & ED
2013-4-17 25
26. Greatest Challenge at Tawam
• Employees hail from 60 nations
• Hierarchies between providers
• A culture that isn’t accustomed to
acknowledging medical errors.
• Tendency for poor communication and
teamwork that lead to adverse events.
Tawam had a history-
“you made a mistake, and you’re terminated.”
27. Measuring Culture of Safety
tested and well known tools
• Safety Attitudes Questionnaire
• Patient Safety Culture in Healthcare
Organizations
• Hospital Survey on Patient Safety Culture
• Safety Climate Survey
• Manchester Patient Safety Assessment
Framework
28. Baseline assessment-Safety Attitudes Questionnaire
Culture of Safety Survey- Domains
1.Teamwork Climate
2.Safety Climate
3.Job Satisfaction
4.Stress Recognition
5.Working Conditions
6.Perceptions of Hospital Management
7.Perceptions of Unit Management
28
29. Dependent Variables of SAQ
• The primary dependent variables -teamwork climate
and safety climate scale scores.
• These primary dependent variables were chosen
because they are important in preventing patient
harm.
• The rest of them are secondary dependent variables.
Sexton J.B., et al.: The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res
6(44):Apr. 3, 2006.
Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety
culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf 2010;36(6):252-260.
30. Safety Attitude Questionnaire-(SAQ)
Survey
Targeted Surveys Survey response
Location Year staff Administered Returned rate
Phase 1 CUSP Pilot Units 2008 199 199 199 100%
Phase 2 In-patient areas 2010 1600 1476 1450 98%
Out-Patient & satellite Qtr 4
Phase 3 locations 2011 805 497 483 60%
Total 2604 2172 2132
82% of staff in patient care areas have participated in the overall 3 phases of SAQ Survey.
81% overall response rate in all the 3 phases of SAQ Survey.
31. 2008 SAQ Phase-1
(CUSP Pilot Units)
SAQ Results 2008
100%
80%
Average % Positive
60%
ICU
40%
Pediatric Oncology
NNU
20%
0%
Teamwork Safety Job Stress Perceptions Perceptions Working
Satisfaction Recognition of Hospital of Unit Conditions
Management Management
Domain
37. 2 question survey: CUSP Expansion Pilot Units- 2008
• Please describe how you think the next patient in your unit/clinical area will be harmed.
• Please describe what you think can be done to prevent or minimize this harm.
2-item Staff Safety Survey
30%
25%
20%
15%
ICU N=93
NICU N=73
10% Peds Onc N=39
5%
0%
Communication Staffing Medication Infection Policies & Education Equipment Others
& Teamwork Errors Control Procedures
Areas of concern
38. 2 question survey: CUSP Expanded
Units- 2010 & 11
• Please describe how you think the next patient in your unit/clinical area will be harmed.
• Please describe what you think can be done to prevent or minimize this harm.
2-Question survey
Other
Equipment/Environment/facilities
Education Obgyn
Policies/Procedures and systems
Surg 2
Surg 1
Infection Control
Daycase
Medication Errors Med 2
Med 1
Staffing
Communication/Teamwork
0% 10% 20% 30% 40% 50% 60%
44. “I Watch The Line”- Campaign
• To increase staff awareness
• To ensure staff active involvement
• To ensure conscientious implementation
ICU NNU PICU
44
45. CLABSI Free Days
• ICU
– 323 CLABSI free days until 25th Dec 2012
– Recounting -42 CLABSI free days until 5th
February.
– Recounting -23 CLABSI free days until 28th
Feb.
• NNU-183 days until 28th Feb.
• PICU- 115 days until 28th Feb.
45
46. “Insanity: doing the same thing
over and over again and
expecting different results”
Albert Einstein
2013-4-17 46
47. “Every system is perfectly designed
to achieve the results it gets.”
Donald Berwick, M.D.
2013-4-17 47
49. What can we do to improve?
Errors can be prevented by
designing systems that make it
hard for people to do the wrong
thing, and easy for people to do
the right thing.
2013-4-17 49
55. Formula 1 Pit stop
• Takes six to twelve seconds in duration.
• Every pit stop is filmed and monitored by
human factor experts
• Errors are scored in five levels
• Highest score goes to the smallest
error, because people are unaware of it.
2013-4-17 55
56. Aviation-Sterile cockpit rule
• Prohibits crew member performance of non-
essential duties or activities while the aircraft is
involved in taxi, takeoff, landing, and all other flight
operations conducted below 10,000 feet, except
cruise flight.
• Prohibits the personal use of a personal wireless
communications device or laptop computer while a
flight crew member is at duty station during all
ground operations
2013-4-17 56
57. When errors occur one of the three
things happen
• It can cause the person to become a champion
Or
• It can cause the person to leave the profession
prematurely
Or
• It can make the person go in to a shell and feel
completely withdrawn and Disengaged.
2013-4-17 57
58. Medication Error Story-1
First Nurse proceeded
to administer the
vaccine without taking
Second Nurse baffled after seeing the tablet PC to the
the expiration date and the patient bed side
missing expiration date in the Expired vaccine
label arrived from
Pharmacy
Error reached Double check for
the patient but expiration date not
did not cause done properly
harm
Vaccine Injected and
asked second Nurse to
chart in Cerner on his
behalf
SWISS CHEESE MODEL
2013-4-17 58
59. Medication Error Story-2
Chemotherapy
Written by MD. Checked
Vincristine according Prepared by
doxorubicin To the protocol Pharmacy
And Then faxed Medication
l_aspargenes to pharmacy Received from
Pharmacy,
Checked with
Another
Two medication Chemotherapy
taken to Competent
patient room Nurse
VCR VCR
and DOXO
L-Asp returned to
DOXO L-Asp
fridge
And
Emla cream
2013-4-17 59
60. Medication Error Story-3
• Remicade a non formulary was administered to the patient (order was
in paper)
• Premedication of antihistamine, panadol was ordered in CERNER
What which was not communicated to the nurse
Happened
• The patient developed allergic reactions
• Investigation revealed that there was no set protocols or guidelines
• Break down in communication & information transfer
What Next
• Guidelines, protocols and checklist were developed
• No incidents since then
Action
2013-4-17 60
61. Implication of the errors
• The staff came open and reported the incidents
• Since CUSP was in place it helped institute a Fair and
Just Culture
• Investigation of the incidents, examined the
processes and not just people.
• The three nurses shared their experiences with other
CUSP units.
• The three nurses have now become our patient
safety champions.
Broke the myth-“you made a mistake, and don’t get terminated.”
2013-4-17 61
62. Learning from Defects- Tawam
• Creation of Safety Event Analysis Teams in
each CUSP unit.
– Identified a team of believers
– Team identified defects from Patient Safety Net
(PSN)
– Implemented systems changes to reduce the
probability of recurring.
– At least one defect was investigated each month.
2013-4-17 62
63. Impact of CUSP on the
staff
CUSP Can turn ordinary people in to
champions
63
64. Best Catch Award program
Celebrating Safety – Viewing workers as
heroes
• Instituted in 2009 for the best near miss caught.
• Now in the fourth year of implementation.
• Provided opportunity for staff to proactively identify
and implement risk reduction strategies.
• 2010, 2011 & 2012 Best Catch awards went to CUSP
units.
65. Best Catch Award 2010
Pediatric Oncology- CUSP
Prevented excess dose of
Chemotherapy medication
Synopsis :
Chemotherapy IFOSFAMIDE per protocol is for four doses, and it was written for 5 days.
The fifth dose arrived , nurse checked protocol and prevented.
Systemic change :
A copy of the protocol in pharmacy and patient chart to double check and prevent errors.
2013-4-17 65
66. Best Catch Award 2011
ICU- CUSP
Rhian Evans
Associate Nurse Manager – ICU
receives the award from the CEO
Mr. Gregory Schaffer
Prevented cauterization
and accidental fire in the
ICU
Synopsis :
Cauterization (ritualistic burning) Prevented family from approaching patient on
ventilator with hot burning coal in patient room. Coal was extinguished safely.
Resulted in system and policy changes.
67. Best Catch Award 2011
NNUCUSP
Asuncion Carlos
Sr. Respiratory Therapist -
receives the award from the
CEO Mr. Gregory Schaffer
Prevented inappropriate
order for therapy
Synopsis :
An inappropriate order for heliox therapy for NNU patient was not carried out.
2013-4-17 67
68. Best Catch Award 2012
Peds Oncology CUSP
Prevented administration of wrong
chemotherapy medication
Synopsis
The physician had ordered Metototrexate IT for this patient. In OR the mother of the
patient told the nurse that the patient should receive Cytarabin IT, not Metotrexate. The
Physician had prescribed the wrong drug.
2013-4-17 68
69. Arab Health Awards
• Tawam’s patient safety initiatives were
shortlisted for Arab Health in 2010 and 2011
awards and bestowed “commendable.”
70. Dr. Prathap C Reddy’s Safe Care
Awards 2011 India –Judging Panel
Dr Pranav Mehta
VP Physician & Ambulatory Care Services, North Shore Long Island Jewish
Healthcare System & Examiner of prestigious National Malcolm Baldrige Quality
Award
Ms. Diane C. Pinakiewicz
President-National Patient Safety Foundation
Ms. Manisha Shah VP -National Patient Safety Foundation
Ms Ann Jacobson
Executive Director International Accreditation, JCIA
Dr Cyrus Engineer
Manager, WHO Patient Safety project, Johns Hopkins
71. Award being received from the
Chief Minister of the Indian State of
Andhra Pradesh
Awarded to Tawam Hospital for the project title- Establishing “Culture of Safety”-A UAE Hospital
Experience
His Excellency Nallari Kiran Kumar Reddy, Hon'ble Chief Minister of Andhra Pradesh standing
fourth from left, gives away the award. Also present Diane C. Pinakiewicz President NPSF and Dr
Prathap C Reddy, M.D, MBBS, FCCP, FICA, FRCS Apollo Hospital Group India
72. Presented in conferences
1. Speaker at the Patient Safety Congress–IIRME Abu Dhabi- October 2009.
2. Speaker at the ICHA Convention for Patient Safety -New Delhi India- October 2009
3. Speaker at the Healthcare Management Forum -IIRME Dubai- January 2010.
4. Submitted poster at the International Forum on Quality and Safety in Healthcare at Nice-April 2010.
5. Submitted poster at the Patient Safety Congress in UK-May 2010.
6. Speaker at the Quality Standards and Accreditation Conference at Dubai -June 2010.
7. Presented poster at the 13th International Conference on Emergency Medicine at Singapore-June 2010.
8. Speaker at the Safety 2010 World Conference at UK- September 2010.
9. Speaker at the Patient Safety Congress–IIRME Abu Dhabi-October 2010.
10. Speaker at the International Patient Safety Conference-AIIMS New Delhi-October 2010.
11. Speaker at the Healthcare Management Forum -IIRME Dubai- January 2011.
12. Speaker at the First International Conference on Patient Safety -Oman-February 2011.
13. Speaker at the KFSHD -Quality and Safety Event –Saudi Arabia-April -2011.
14. Speaker at the Patient Safety Congress- Best Practices for Asia- India-April 2011.
15. Speaker & Organizer of 2nd Tawam’s Patient Safety Conference- Al Ain- June 2011.
16. Speaker at the at the XIX World Congress on Safety and Health at Work- Turkey- Sep 2011.
17. Speaker at the 3rd Johns Hopkins Medicine Annual Patient Safety Summit- Baltimore USA- June 2012
18. Speaker by Tel-Conference at the URMPM WORLD CONGRESS -UK, Sep 2012.
19. Presented poster at the 5th Medication Safety Conference-Abu Dhabi-Nov 2012.
20. Speaker at the 2nd Drug Safety MENA Summit-Abu Dhabi-February 2013.
21. Member Scientific Advisory Board and Speaker at the Patient Safety & Quality Congress Middle East- Abu Dhabi- March 2013
22. Speaker at The 15th Annual NPSF Patient Safety Congress- USA- May 2013
2013-4-17 72
73. Culture of Safety is a journey
• It takes as long as 5 years to develop a culture
of safety that is felt throughout an
organization. (Ginsburg et.al 2005)
• Need Patience, Perseverance, Commitment &
Engagement.
2013-4-17 73
75. 2-question Survey
• Please describe how you think the next
patient in your unit/clinical area will be
harmed?
• Please describe what you think can be
done to prevent or minimize this harm?
2013-4-17 75