patient safety

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Discuss the orientation to patient safety

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Orientation to Thahran Aljanoub Hospital Patient Safety ”Because to Err is Human”:

Orientation to Thahran Aljanoub Hospital Patient Safety ”Because to Err is Human” Dr/Waleed Fawzy Thahran Aljanoub Hospital

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What is Patient Safety? The absence of the potential for patient harm Involves all Health care givers, All job descriptions Involves all Departments Time frame: 24/7

Got Patient Safety? :

Got Patient Safety?

The GOAL:

The GOAL TJH strives to provide an environment that ensures the safety of all individuals by promoting a Culture which is proactive and non-punitive to facilitate the reporting of hazards, errors, near-misses, concerns and otherwise unsafe conditions within the Hospital. Employees are required to report Patient Safety issues or concerns to their Manager Compliance hotline 0543168843. Employees may report a Patient Safety or quality of care concern directly to the Quality Manager of Hospitals at 311. Reporting of Patient Safety or quality of care concerns will not result in retaliation or discipline.

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What Should Be Reported? Unanticipated death or permanent loss of function Healthcare acquired infection Unanticipated patient outcome Any adverse event involving a patient, patient care or patient environment. Any near miss Any safety concerns you have

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Which Policies Address Patient Safety? Patient Safety Policy Hospital Safety Policies Facilities Policies Pharmacy Policies Unit Policies Medical , Nursing and Other Staff Policies

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2010 Patient Safety Goals 1. Improve accuracy of Patient identification 2. Improve effectiveness of Communication 3. Improve the safety of using Medications 4. Reduce risks of health care associated infections 5. Reconcile Patient Medications across the continuum of care. 6. Reduce the risk of patient harm resulting from falls. 7. Encourage patient’s active involvement in their care. 8. Identify safety risks inherent in patient population.

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1. Patient Identification Badges for Employees, Volunteers, Visitors Patients wear ID Bands Name band Blood transfusion Allergy band Fall risk band ID Patients by full name/ DOB or MRN Never use room number

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2. Improve Communication Verify verbal and phone orders by writing first and then reading back. Verbal orders only in emergencies Avoid use of prohibited abbreviations Document, Notify and Communicate clearly critical lab values Report up the chain of command Document “hand off” communications – complete transfer forms

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3. Safety of Medications Standardizing drug concentrations Reducing potential for error related to look-alike and sound alike meds. Insulin – all types Chemotherapy Ambulatory medications Label all medications and med containers or other solutions on or off the sterile field in operative and procedural areas.

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4. Healthcare Associated Infections Perform hand hygiene before and after patient care per CDC guidelines. Use hand foam or soap and water. Manage as sentinel events, those cases of unanticipated death or permanent loss of function related to healthcare associated infection. Common (HAI) - MRSA, VRE, or C. diff

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5. Patient Medications Medication reconciliation - document meds on admission Medication brought in by family members Herbals, supplements, OTC drugs Develop a process for communicating patient medications to all providers Provide list of medications to patient upon discharge from facility.

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6. Prevent Patient Falls Report on OVR Time of most inpatient falls - 1pm and 6-8 pm Place of Fall - at bedside, transitioning from bed to bathroom Ages – any age, not just the elderly Diagnosis – Psych, behavioral, head injury Anti-psychotics, Sedatives, Diuretics, Heart drugs, Anti-epileptics, Narcotics, Poly Pharmacy > 5 of any medications

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Encourage patients’ and their families to report concerns about safety to: Quality Director at ext.311 Patients are provided a copy of the patient education pamphlet. 7. Patient’s Active Involvement in Care

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8. Identify Safety Risks in Patient Population Identify patients at risk for suicide. Applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals.

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HANDLE WITH CARE TRANSPORTING PATIENTS Adverse events are often associated with patient transport. Does the patient need oxygen for transport? Was an order obtained to discontinue telemetry? Did you give a complete report on this patient? Checklists help. Complete transfer forms.

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VITAL SIGNS Document so others can see them. This is a major form of Communication. Count respirations accurately. Know VS parameters for your patient. You must notify up the chain of command for vital signs outside parameters.

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LABELING SPECIMENS Check Pt ID band and lab form Label all specimens at the patient’s side. Transport STATs and cultures immediately Call the Lab – to alert them, when sending a STAT specimen

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Call For Any Emergency Call switch board for any life threatening emergency. Call 0 and give the Operator the following: Your exact location, including room number/ward. Is patient adult or child? Your name and callback extension Complete all portions of the Resuscitation Form and send to Risk Management.

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PATIENT ENVIRONMENT Clean up spills and wet surfaces immediately. Rehearse “What IF!” “What do we do if?” This helps staff to be prepared when it does happen. Know how to manage facility disruptions Power loss Weather emergencies Water outages

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DOCUMENT I did it, I just forgot to write it down….. Would you be able to give a legal account of your care if it is not documented?

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Be a Patient Advocate For the patient Your family Your children Yourself

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