Hospital safety committee ptlls assignment 1
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Transcript of Hospital safety committee ptlls assignment 1
Total Duration: 30 minutes
Presentation: 25 minutes
Question & Answer session: 5 minutes
Dr. Salma Azeez
To provide a multi-
disciplinary forum and
framework which
identifies and manages
environment of care
issues, thus promoting a
safety environment for
our patients, visitors and
staff.
1. To oversee, guide and ensure
the following aspects of
safety in the hospital:
Patient safety
Employee safety
Radiation safety
Environment /Facility safety
Disaster Management
2. To promote a culture of ‘ Do
not harm’ and report any
‘Near Misses”
3. To review the incident report
analysis & action taken
towards incidences reported.
4. Appropriate storage and safety practices with regard to all Hazardous materials including waste management.
5. Analyze the staff injuries reported and other illness caused at work.
6. Teaching and training programs conducted for all levels of staff for safety of patients and personnel.
A Risk management
program in hospitals is
imperative because:
•To treat patients in a
safe environment.
•We are constantly
exposed to external
and internal risks.
•To reduce errors that
are costly in terms of
damage.
Patient Safety
Employee
Safety
Laboratory
Safety
Emergency &
Disaster
Preparedness
Hazardous
Materials
Surgical
Safety
Facility safety
SET THE SAFETY
CULTURE……
•Non punitive
•Transparent
• Need to know
•Speak out
• If we don't know, how
can we correct it?
• It can happen to anyone
of us!
•Involvement of
Clinicians for clinical
safety issues
“ A sustained, proactive
process of
identifying, avoiding and
rapidly resolving
errors, omissions, mishaps
and miscommunications that
could affect patients well
being at any point of time”’
Accuracy of patient identification.
Safety of using medications.
Risk of Health care-associated infections.
Accuracy and complete reconciliation of
medications across the continuum of care.
Risk of patient harm resulting from falls.
Surgical safety.
Health care-associated Pressure ulcers
Emergency preparedness……
and many more !
(use of: safety bands, non skid slippers, markers on
surgery sites are helpful)
VERBAL ORDERS: ERROR
PREVENTION:
•Read back policy Avoid when
possible.
•Enunciate slowly and distinctly.
•State numbers like pilots
(i.e., “one-five mg” for 15 mg).
• Spell out difficult drug names
Specify concentrations
(10 Cohen MR. Medication Errors.
Causes, Prevention, and Risk
Management; 8.1-8.23.)
IDENTIFY PATIENTS
CORRECTLY
Use at least (2) ways to identify
patients while giving medicines, giving
blood or blood products, taking blood
samples or providing any other
treatments or procedures. The patients
Room No cannot be used to identify
patients.
(call patient name loud & clear and wait
for patient acknowledgement as well as
match wrist identification e.g. MR no.#)
Language should be simple and understood. A read back or narrate can help Increase health literacy of patients.
Standardize the handover process and allot sufficient time
Relevant information should be available to every one concerned.
Patients should be aware of the medicines, dosages and intervals of administration
Patient and families should be involved in the decision making.
(Comments: educate patient about: name of drug, dose, how-to-take, written instructions, & known side effects. Patient and relatives should sign consent for control drug therapies/surgeries)
Implementation of strategies that make
alcohol-based hand-rubs readily available at
points of patient care.
Access to a safe, continuous water supply at
all taps/faucets.
Staff education on correct hand hygiene
techniques; Use of hand hygiene reminders in
the workplace.
Measurement of hand hygiene compliance
through observational monitoring and other
techniques.
Patient Falls
Allergy assessment
Pressure Ulcers
Medication
Errors
Adverse drug reactions
Vulnerable patients
Risk assessment in different groups
of employees .
Pre Joining formalities: Medical
fitness
Periodic health check up policy
(„Periodicity‟ differs in different
groups of employees).
Medical Benefits
Post exposure prophylaxis… needs
to be streamlined.
•Installation of warning signals in appropriate areas - Bilingual
•Monitoring of Radiation safety & monitoring devices.
• Radiation safety data.
• Standardize the personal protective wearing for paramedics.
•Correct patient
identification.
•Correct sample
identification.
•Reduce typographical
errors.
•Safety in blood bank
•Transfusion transmitted
reactions.
•Set protocols in case
of a spill.
Know the emergencies/disasters relevant to
your institute/workplace.
Code system
Location of ramps, fire
extinguisher, evacuation plan etc.
Appropriate personal protective measures to
be procured for emergencies.
Training, training, training…
Do mock drills
CODE RED FIRE
CODE BLUE ADULT CARDIOPULMONARY ARREST
PEDIATRIC CODE
BLUE
PEDIATRIC CARDIOPULMONARY ARREST
CODE ORANGE HAZARDOUS MATERIAL SPILL / BIOLOGICAL
AGENT HAZARD
CODE YELLOW INFANT / CHILD MISSING
CODE GRAY SECURITY THREAT
CODE BLACK DISASTER
•Know the hazardous
material in relevant to
your area.
•Material safety data
sheets.
•Personal protective
equipment boxes.
•Training •Incident Reporting in
case of spills
•Incomplete Consent
forms.
•Marking of site pre
operatively.
• Pre anesthetic review
•Operative notes (to be
authenticated)
Nursing call bells
Checking and maintenance Safety
belts in stretchers/wheel chairs
Signage – danger/warning
Regular checking of alternative
sources of supply
CORDON off renovation sites
No lose wires/open electric circuits
Disabled friendly washrooms
Reactivation of fire detection
systems in new building
Emergency lights in staircases
To develop a culture of patient safety
To describe approach for measurement and reporting on patient safety
To find out frequent problems that our Institute encounters .
Identify accountabilities
To develop the solutions for patient safety
Safety
Reliability
Change
Data
Culture
Leadership
Pyramid
THANK YOU