Achieving patient safety through ipe … · IPE “Occasions when two or more professionals learn...
Transcript of Achieving patient safety through ipe … · IPE “Occasions when two or more professionals learn...
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ACHIEVING PATIENT SAFETY THROUGH IPE
Assoc.Prof.Onuma Chaiwat
Faculty of Medicine Siriraj Hospital Mahidol
University Bangkok Thailand
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Interprofessional Education (IPE)
■ Health profession GOAL
Improve quality of patient care by collaborating with each other
■ IPE “Occasions when two or more professionals learn with, from and about each other to improve collaboration and quality of care”
■ IPE promotes interdisciplinary collaboration and teamwork, reduce the barrier and promote competency among various healthcare groups
Zwarenstein M. J Interprof Care 1999;13:417-24
Barr H.J Interprof Care 2006;20:96-104
Cusack T.Qual Prim Care 2012;20:231-8
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six national education associations of schools of the health professions
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CC 1: Value/Ethics for interprofessional Practice
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CC 2 : Roles/Responsibilities
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CC 3: Interprofessional Communication
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CC 4 : Teams and Teamwork
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Thailand
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Patients Safety
■ A discipline in the health-care sector that applies
safety science methods towards the GOAL of
achieving a trustworthy system of health-care
delivery
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Why should we have to know about patients safety ??
■ Because patients outcomes has NOT markedly improve as
WE expected in the ERA of modern health care
■ Still have significant RISKs to Patient Safety
■ Harm results in permanent injury, increased length of stay
and death
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OUTCOM ES
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SICUs
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Doctor
Nurse
Pharmacist
Patietns/Relatives
Worker
Physical therapist
Patients Safety Cycle
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1. What is patient safety
2. Human factors is important
3. Complexity of systems
4. Effective team player
5. Learning from Errors to prevent harm
6. Understanding & Managing of clinical risk
7. Quality-improvement method to improve care
8. Engaging with patients and carers
9. Infection prevention and control
10. Patient safety and invasive procedures including surgery
11. Improving medication safety
WHO : training in patient safety
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Non-technical skills for Patient safety
Siriraj Hospital
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Credit by Capt. Sinnop Thepraksa
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WHO : training in patient safety
1. What is patient safety Medical Error is the big issue
2. Human factors is importantHuman-human (stress, fatique), human-machine
3. Complexity of systemsUnderstanding with System approach
4. Effective team player Communication, teamwork
5. Learning from Errors to prevent harm Threat & Error management
6. Understanding & Managing of clinical risk Risk Management, Situation awareness
7. Quality-improvement method to improve care Intervention to fix the problems
8. Engaging with patients and carers Include Pt & carers in Team
9. Infection prevention and control Infection :Major cause of death
10. Patient safety and invasive procedures including surgery
Wrong site/procedure/patient
11. Improving medication safetyOrdering,dispending, administering medications
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Patient safety
Training
IPE/IPP Interprofessional Practice
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Interprofessional Practice (IPP)
■ Multiple health workers from different professional backgrounds
provide comprehensive health services by working with patients, their
families, caregivers, and communities to deliver the highest quality of
care across settings
Framework for action on interprofessional Education and Collaborative Practice, WHO 2010
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Siriraj Safety Culture Course for High Reliability Organization
■ From Thai Airway to healthcare organization (start at 2015)
■ Proactive risk management
: Situation Awareness & Decision Making
■ Doctors, Nurses, Pharmacists, Dentists, Physical therapist
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Education : Instruction, Narrative medicine,
Story telling, Clip video
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Siriraj Safety Culture Course High Reliability Organization
ม.ย. 2560 อบรม พป.ตอยอดป 1 (130)
19
ม.ย. 2560 อบรม พป.ป 1 (285)
18 ม.ค., ต.ค. 2560 (2) Intensive for the Trainer รน 1 (41)
17
เม.ย. 2560
อบรมบคลากรทางคลนก (163)
16
ม.ค. 2560 อบรมบคลากรทางคลนก (150)
13
ธ.ค. 2559 อบรมบคลากรทางคลนก (116)
12
พ.ย. 2559 อบรมอาจารยแพทยใหม (40)
10
ธ.ค. 2559
อบรมหน.งานคลนก (52)
11
ธ.ค. 2560 อบรมหน.งานสนบสนน (100)
23
พ.ย. 2560 อบรมอาจารยแพทยใหม (40)
21
ก.พ. 2558
Training for the Trainer รน 1 (34)
1
ส.ค. 2559 ชแจงกรรมการประจ าคณะฯ (50)
8
ม.ย. 2559 อบรม พป.ป 1 (268)
7
พ.ค. 2559 Training for the Trainer รน 2 (38)
6
ต.ค.-ธ.ค. 2558
อบรมหน.งานคลนก (200)
5 4 3 2
ต.ค. 2559 อบรม นศ.พ. ป 5 (262)
9
ก.พ. 2560
อบรมบคลากรทางคลนก (331)
15 14
พ.ย. 2560 Training for the Trainer รน 3 (45)
22
ส.ค. 2560 อบรมหน.งานสนบสนน (60)
20
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2559 2560 2561
อาจารยแพทย/ทนตแพทย 8 49 63
บคลากรทางคลนก 228 1072 2026
บคลากรสายสนบสนน 7 116
แพทยประจ าบาน 268 285 284
แพทยประจ าบานตอยอด 130 113
นศ.พ. ชนป 5-6 262 474
รวม 511 1798 3076
511
1798
3076
0400800
120016002000240028003200
จ านว
นผเข
าอบร
ม
จ านวนผเขาอบรมแบงตามประเภทงาน (คน) ป 2559 - 2561
จ ำนวนผเขำอบรม Situation awareness & Decision making
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Feedback “Safety culture : Situation awareness & decision making”
Healthcare staff in Siriraj Hospital 2014-2019
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บคลำกรทำงคลนก
หมายเหต : จดอบรมแลวทงหมด 22 รน รวมผเขาอบรมทงหมด 2,645 คน (ป 2559 1 รน, ป 2560 5 รน, ป 2561 16 รน)
ระดบความร/ความพงพอใจในภาพรวม
สามารถน าไปประยกตใช ความพงพอใจโดยรวม
2559 4.42 4.30
2560 4.40 4.35
2561 4.50 4.37
2562 4.42 4.31
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
ระดบ
ความร/คว
ามพง
พอใจในภาพร
วม
2019
KPI > 4.2
2016
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ความรกอนการอบรม
ความรหลงการอบรม
การถายทอดของวทยากร
สามารถน าไปประยกตใช
สอทใชบรรยาย/กจกรรมกลม
ครอบคลมประเดน
ระยะเวลาการบรรยายเหมาะสม
ความพงพอใจโดยรวม
2559 2.91 4.27 4.44 4.42 4.37 4.13 4.30
2560 2.94 4.33 4.43 4.40 4.35 4.30 4.35
2561 3.10 4.41 4.54 4.50 4.40 4.29 4.37
Average 2.98 4.34 4.47 4.44 4.37 4.24 4.34
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
ระดบ
ความร/คว
ามพง
พอใจในภาพร
วม
บคลำกรทำงคลนก Health care staff KPI > 4.2
หมายเหต : จดอบรมแลวทงหมด 22 รน รวมผเขาอบรมทงหมด 2,645 คน (ป 2559 1 รน, ป 2560 5 รน, ป 2561 16 รน)
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Very good+Excellent
ระดบวฒนธรรมความปลอดภยของผปวย (Patient Safety Grade)
Siriraj Patient Safety Culture Survey
1. การไมลงโทษกรณทเกดความผดพลาด (Nonpunitive
Response) 2. บคลากร (Staffing) 3. การสงตอ (Hospital Handoffs and
Transitions) 4. ความถ ของการรายงานอบตการณ (Frequency of Event
Reporting)
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Thanks you for your attention