Public health, occupational safety and the use of PPEHarm Kiezebrink
Using Personal Protection Equipment during outbreak situations is a vital part of the routines to prevent responders to an outbreak to get infected, as well as to prevent a virus to escape an infected area. This training in Egypt 2008 was provided by the European Union under the Better Training for Safer Food program.
Public health, occupational safety and the use of PPEHarm Kiezebrink
Using Personal Protection Equipment during outbreak situations is a vital part of the routines to prevent responders to an outbreak to get infected, as well as to prevent a virus to escape an infected area. This training in Egypt 2008 was provided by the European Union under the Better Training for Safer Food program.
Dental occupational hazards & Safety Practices in Dental SettingsGhada Elmasuri
This ppt describes the biological, chemical, environmental, physical, and psychological workplace hazards that may apply to dentistry with specific standards to protect such exposure.
Barrier technique personal protective equipment [compatibility mode]drnahla
Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Dental occupational hazards & Safety Practices in Dental SettingsGhada Elmasuri
This ppt describes the biological, chemical, environmental, physical, and psychological workplace hazards that may apply to dentistry with specific standards to protect such exposure.
Barrier technique personal protective equipment [compatibility mode]drnahla
Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
To increase the effectiveness of the incident analysis in improving care, analysis can’t be addressed in isolation from incident management (the multitude of activities that take place before and after an incident). Three main topics will be covered in this module: the main steps in the incident management continuum; differentiating between incident analysis (focused on system improvement) and accountability reviews (focused on individual performance), and selecting an incident analysis method.
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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.
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Demystifying the FDA's Human Factors GuidanceGreenlight Guru
In 2016, the FDA finalized its human factors guidance for medical devices.
This guidance document cleared up some of the uncertainty about how manufacturers should implement human factors into their product development process.
However, due to the wide diversity of medical devices manufactured today (auto-injector vs. infusion pump vs. robotic surgical system etc.), manufacturers often struggle to understand how the guidelines apply to their own specific device(s).
This webinar will break down FDA’s human factors guidance into a list of actionable steps.
Specifically, you will learn:
-An understanding of usability testing and its role within the field of human factors
-How to improve overall product design and speed to market by implementing human factors into design controls
-Strategies to pass a human factors validation test on the first attempt
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Watch the presentation here: https://www.greenlight.guru/webinar/human-factors-fda
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The Promise: CRISPR offers exciting possibilities:
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Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
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Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
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Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
2. At the end of this session you will understand:
• The Culture of Safety
• What Trained Observers watch for in Donning/Doffing
• Why Organizational Safety Leaders need your input
• Failure Mode and Effect Analysis (FMEA)
• How you can use your Observer (FMEA) Skills Daily
2
4. The Culture of Safety
• Safety is everyone’s
responsibility
• Openly sharing
information without
reprisal is essential
• LISTENING is the first
step in mitigating risks
CHECK OUT: http://www.ihi.org/resources/Pages/Changes/DevelopaCultureofSafety.aspx
http://aubreydaniels.com/blog/2013/01/23/7-keys-for-creating-a-safety-culture/ 4
5. Language is Important
• United Airlines discovered
that crew “hierarchy” can
lead to important
information being missed,
with sometimes fatal results
CHECK OUT: http://en.wikipedia.org/wiki/Crew_resource_management 5
6. Language is Important
• When black box tapes
from air crashes were
reviewed, it was noted
there were times the
Co-pilot expressed
concerns to the Pilot,
that could have
prevented the crash
6CHECK OUT: http://gtresearchnews.gatech.edu/newsrelease/CREW.html
7. CUUS
United Airlines created CUUS - 4 critical words – which - if used
- translate to
“STOP AND LISTEN. We have a potential problem.”
• I am Concerned
• I am Uncomfortable
• This is Unsafe
• I am Scared
If anyone uses this language, it is important to immediately STOP
AND LISTEN.
7
8. You will know you have a
Culture of Safety when you:
• Openly share ideas
• Listen to each other
• Think innovatively
about safety
• Develop ways together
to reduce risk and
prevent failure
8
10. What is a Trained Observer?
That’s a great question!
In general terms, Trained Observers are people
trained to “observe a situation” and “rate it”
using:
• written description
• photographs, or
• other visual scales such as drawings or videos
10http://www.urban.org/toolkit/data-methods/ratings.cfm
11. Trained Observers
for Donning/Donning of PPE
This Trained Observer will watch others:
1. Prepare to Don PPE
2. Don their PPE
3. Doff Their PPE
AND correct any risks or failures they observe in the process
To do this Trained Observers will use:
• Written aids such as check lists
• Photo or visual aids
• Rating scales
11
12. Trained Observers for
Donning and Doffing of PPE
• Observe others donning-
doffing, using a check list to
insure it is done correctly
• Do not perform hands-on
tasks to assist (unless an
emergency)
• Is there a Trained Observer
in this picture?
12
13. Trained Observers for
Donning and Doffing of PPE
• The Trained Observer must
verbally confirm each step
with the person being
observed
• Is there a Trained Observer
in this picture?
13
14. Trained Observers for
Donning and Doffing of PPE
• If staff need hands-on
assistance, a “buddy”
should help and the Trained
Observer remains a 3rd
person
• Is there a Trained Observer
in this picture?
14
15. Trained Observers for
Donning and Doffing of PPE
• Over time, as staff gain
experience, they will be
able to don and doff by
themselves.
• To reach this level requires
almost daily practice ( rare).
• The buddy could potentially
become a Trained Observer
under those conditions
• Is there a potential Trained
Observer in this picture?
15
16. Trained Observers for
Donning and Doffing of PPE
• The Safest Model for a
Trained Observer in the
Donning and Doffing of PPE
is using 3 people
– Two Buddies in PPE to assist
each other as needed.
– One Trained Observer
• Is there a Trained Observer
in this picture?
16
17. To Support the Trained Observer
Institutions/Agencies must
have:
• Checklists for donning and
doffing their specific PPE
• Simple protocols for
documentation
• Training sessions to
develop/maintain the
Trained Observer Skills
• A Safety Leader if
assistance is needed
17
19. Organizational Safety Leaders
• The Role of a Safety Leader
is to monitor workplace
activities to ensure workers
comply with company
policies and government
safety regulations
• This includes organizational
policy development, safety
inspections and training.
19
20. In the Setting of A Serious Communicable Disease
Organizational Safety Leaders oversee:
• Risk based Selection of PPE
• Screening Staff for suitability to use PPE
• Development of Donning and Doffing Protocols
• Setting up Serious Communicable Disease Units and
Teams
• Training Teams including Trained Observers for PPE
20
21. In the Setting of A Serious Communicable Disease
Organizational Safety Leaders
Must work with others to
establish protocols for the safe
management of:
• Lab specimens
• Waste
• Patient movement within
the hospital
• Diagnostic Imaging
• Visitors
• Etc.
21
22. In the Setting of A Serious Communicable Disease
Organizational Safety Leaders
22
• Must be strong
promoters of the
Culture of Safety
• Remain current and
continually monitor
health and safety
guidance as it evolves
• Work with staff to find
even better ways to
improve safety
24. Failure Mode and Effects Analysis
(FMEA)
FMEA is a systematic,
proactive method for
evaluating a process to:
• Identify where and how
it might fail
• Assess the relative
impact of different
failures
24
25. Failure Mode and Effects Analysis
(FMEA)
• The Ultimate Goal of
FMEA is identifying
risk/failures and
PROACTIVELY
correcting them
• This is the main role of
a Trained Observer
25
CHECK OUT:
http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalys
isTool.aspx
27. Exercising your
Observer (FMEA) Skills Daily
• Hand-washing
• Seal checks of your N95
• Proper Glove removal
• Waste disposal
• All of the above are
Donning-Doffing Steps you
do daily
• Practice them as if you were
dealing with a patient with
a Serious Communicable
Disease
27
28. Exercising your Trained
Observer (FMEA) Skills Daily
Review online protocols or the
training materials of others to:
• Identify the risk
• Consider the impact of the
failure
• Think proactively of
correction
28
53. General Failure Risks
• Contamination
• Equipment: Improper use or Failure
• Physiologic: Fatigue, Heat
• Psychological: Claustrophobia
53
54. Safety belongs to all of US
• The CBRNE Collaborative
is a Public Health Agency
of Canada Project,
sponsored by the
Canadian Safety and
Security Program.
• It is managed by
Sunnybrook Research
Academy (Toronto).
• Check us out at:
www.cbrnecc.ca
54
55. The Trained Observer
Slide Presentation
• Was Created by Dr. Laurie
Mazurik, Staff Emergency
Physician at Sunnybrook
Health Science Centre
Toronto, CANADA
• Her experience with SARS in
2003, ignited a passion to
support better training for
HCW in personal protection
and emergency
preparedness.
• Laurie.mazurik@cbrnecc.ca
55www.cbrnecc.ca