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Patient Safety: Dr.S.Selvakumar.M.S Hosp - Supdt-Dhqh Namakkal

This document discusses patient safety in healthcare. It defines patient safety as the prevention of errors and adverse effects to patients during healthcare. Common medical errors include medication errors, hospital-acquired infections, and unsafe surgical practices. Ensuring patient safety requires clear policies, effective leadership, data collection to identify issues, skilled healthcare professionals, and patient involvement. Hospitals must establish a culture focused on continual learning and improvement rather than blame. The overall goal of patient safety is to achieve a trustworthy and reliable system of healthcare delivery.

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saravanan
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81 views

Patient Safety: Dr.S.Selvakumar.M.S Hosp - Supdt-Dhqh Namakkal

This document discusses patient safety in healthcare. It defines patient safety as the prevention of errors and adverse effects to patients during healthcare. Common medical errors include medication errors, hospital-acquired infections, and unsafe surgical practices. Ensuring patient safety requires clear policies, effective leadership, data collection to identify issues, skilled healthcare professionals, and patient involvement. Hospitals must establish a culture focused on continual learning and improvement rather than blame. The overall goal of patient safety is to achieve a trustworthy and reliable system of healthcare delivery.

Uploaded by

saravanan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PATIENT SAFETY

Dr.S.SELVAKUMAR.M.S
HOSP.SUPDT- DHQH
NAMAKKAL
WHAT IS DISCUSSED?
• WHAT IS PATIENT SAFETY

• WHY PATIENT SAFETY IS DISCUSSED

• DETAILS OF PATIENT SAFETY

• ACTION TAKEN FOR PATIENT SAFETY


WHAT IS PATIENT SAFETY
• PREVENTION OF ERRORS AND ADVERSE
EFFECTS TO PATIENTS.

• PREVENTION AND REDUCTION OF


RISKS,ERRORS AND HARM THAT OCCURS TO
PATIENTS DURING HEALTH CARE.
Errors
1.Medication errors
2.HAIs
3.Unsafe injection practices
4.Unsafe surgical care procedures
5.Diagnostic errors
6.Unsafe transfusion practices
7.Radiation errors
8.Sepsis
9.Venous thromboembolism
ERRORS
• Active error: The final step of error is usually
prominent and the person who committed it
even gets punished.

• Latent error: Unless we report and analyse the


error, the contributory factors are not taken
care of.
• 10% of HOSPITAL
ADMISSIONS EXPERIENCE
AN ERROR
WHY DOES IT OCCUR
• Healthcare settings are very complicated.
• At one end of the spectrum you have highly
qualified super specialists whose responsibility
is huge with limited time availability.
• We have the doctors and nursing staff who
are the working force of the hospital.
• At the other end we have the support
departments staff equally contributing....
• The administration has to balance all the
actions of this team to ensure a safe care for
the patient.
• Crowded OPs, long working hours,
communication gap - illegible hand writing,
LASA drugs, work stress etc., contributes to
ERRORS in healthcare settings.
COMPLEX ENVIRONMENT
1. Healthcare team

2.Infrastructure of the HCO – buildings


- equipments

3. Healthcare consumer – Nutrition


Financial
Socialf
Disease condition
Commitment from members of the healthcare team is
“free” and that is what is needed in most circumstances.
Data of errors on RCAnalysis – 2/3 rds of adverse events preventable.
28% were due to negligence & 48% non- negligence causes
Patient safety includes
• Physical,chemical & biological safety,

• Mechanical like machines and instruments


safety,

• Activities of healthcare team members,

• Financial safety!
CASE STUDY...
• PORTABLE GENERATOR....
UNINTENSIONAL
BUT
SERIOUS HARM
BLAME culture
Healthcare team members should be
taught that they are accountable for their
actions,maintain competence and
practice ethically – worthy of the trust.
Perrow was the first person to write about
the need to stop “pointing fingers” in
1984 – 60% to 80% of system failures
were attributed to ‘operator error’.
To ensure patient safety strategies
• We need,
1.Clear policies,
2.Leadership capacity,
3.Data to drive safety improvements,
4.Skilled healthcare professionals,
5.Effective involvement of patients in their
care. This point needs attention in our setup.
HIRA
• Hazard Identification ; Risk Assessment
• Assessment by frequency and severity
• Frequency by occurence scale 1 – 5
• Severity by negligigible to fatal, 1 – 4
• Objective assessment helps prioritization
• Elimination, isolation and minimisation are the
possible solutions.
INFECTION CONTROL
• HAI – healthcare associated infection
• UTI, respiratory infections, surgical wound and
blood stream infections are order of
frequency.
• Sterilisation / disinfection play vital role
• Hand hygiene
• BMWManagement
ACTION FOR PATIENT SAFETY
• Set “patient safety” as priority

• Patient safety day has been observed since 2004 on 17th


september.
• 2005 – clean care is safer care
• 2008 - safer surgery saves lives
• 2017 - medication without harm
• 2019 – speakup for patient safety
• 2020 – Keep healthcare workers safe, to keep patients
safe.
WHO patient safety education
• Curriculum guide topics
1.Communicating effectively
2.Identifying,Prevention & mgt of adverse events and
near misses.
3.Using evidence and information
4.Working safely
5.Being ethical
6.Continual learning
7.Specific issues.
HRO – high reliability organization
Organizations operating under hazrdous conditions
but manage to function in a way that is almost
‘failure free’ , that is they have few adverse events.
1.Air traffic control systems,
2.Nuclear power plants,
3.Naval aircraft carriers
Team – effective - CRM – crew resource mgt
team players.
PATIENT SAFETY
Is defined as a discipline in the healthcare sector
that applies safety science methords towards
the goal of achieving a trust worthy system of
healthcare delivery.Patient safety is also an
attribute of healthcare systems, it minimizes
the incidence of, and maximizes recovery from
adverse events.
PROTECT THE
VULNERABLE

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