Medical Office Survey on Patient Safety Culture Initiatives · AHRQ 2016 Medical Office Survey on...
Transcript of Medical Office Survey on Patient Safety Culture Initiatives · AHRQ 2016 Medical Office Survey on...
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MedicalOfficeSurveyonPatientSafetyCultureInitiativesMARIAHRAMIREZMENTOR: KATHY DONOHUEBSN ,MBA ,CHCQM,CPPS D IRECTORAMBULATORY QUAL ITY CEQI
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AgendaI.TheRealityofMedicalErrorsII.Definition:PatientSafetyCultureIII.OverviewofAHRQ2016MedicalOfficeSurveyonPatientSafetyCultureIV:DescriptionofSummerProject◦ Methods◦ Initiatives◦ EvaluationTool
V:MyRole/LearningExperience
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TheRealityofMedicalErrorsinHealthcareSetting
1jet/day
44,000-98,000/year
Source:ToErrisHuman:BuildingaSaferHealthSystem,1999
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Whatis“PatientSafetyCulture”?
“…theproductofindividualandgroupvalues,attitudes,perceptionsandpatternsofbehaviorthatdeterminethecommitmentto,andthestyleandproficiencyof,anorganization’shealthandsafetymanagement.”
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AHRQ2016MedicalOfficeSurveyonPatientSafetyCulture
Administeredtostaffandfacultyofambulatorycarecentersincludes:nurses,physicians,front-deskstaff,medicalassistants,nursepractitioners,etc.
PurposeofAHRQSurvey:◦ Canassessthebaselinestatusofthepatientsafetycultureinamedicaloffice
◦ Canactasaninterventiontoraisestaffawarenessaboutpatientsafetyissues
◦ Canbeamechanismtoevaluatetheimpactofpatientsafetyimprovementinitiatives
◦ Isawaytotrackchangesinpatientsafetycultureovertime
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10DomainsMeasuredStaffTraining
OfficeProcessandStandardization
CommunicationaboutError
CommunicationOpenness
WorkPressureandPace
PatientCareTrackingandFollow-Up
OverallPerceptionsofPatientSafetyandQuality
Teamwork
LeadershipSupportforPatientSafety
OrganizationalLearning
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CharacteristicsofSurveyRespondentsComparativeAHRQDatabase ClinicalPracticesoftheUniversityof
Pennsylvania(CPUP)
25,127medicalofficerespondentsClinicalStaffAdministrativeStaffRegisteredNurses
1,952medicalofficerespondentsPhysiciansAdministrativeorClericalStaffAdvancedpracticenurse
AreasofStrengthTeamworkPatientCareTracking/Follow-Up
AreasofStrengthTeamworkPatientCareTracking/Follow-UpOverallPerceptionsofPatientSafety
AreasofOpportunityWorkPressureandPaceCommunicationaboutError
AreasofOpportunityWorkPressureandPaceCommunication aboutErrorOfficeProcessesandStandardization
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AimofSummerProjectGoal:
ImprovePatientSafetyCultureacrosstheClinicalPracticesofUniversityofPennsylvania
Objectives:
RaiseawarenessaboutcurrentstateofsafetycultureacrossCPUP
Designandimplementinterventionstonarrowgapsinsafetyculture
Maintainimprovementsachievedinpatientsafetyculture
PerceivedCultureofSafetyPatientSafety
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InitiativesImplementedtoAchievetheAim
1– Signage
2- LanguageofSafety
3 – Department-LevelDataPresentations
4 - Penn-SpecificPatientSafetyCultureToolkit
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RaisingStaffAwareness:DataPresentationMeetings
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RaisingStaffAwareness:CultureofSafetyToolkitConstruction
2AreasofFocus
- OfficeProcessandStandardization◦ WorkPressureandPace
- Communication◦ CommunicationOpenness◦ CommunicationaboutError
PatientCareTrackingandFollow-Up
StaffTraining
OverallPerceptionsofPatientSafetyandQuality
OfficeProcessandStandardization
Teamwork
CommunicationaboutError
LeadershipSupportforPatientSafety
CommunicationOpenness
OrganizationalLearning
WorkPressureandPace
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SafetyInitiativesbyDepartment
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EvaluationTool:PennMedicineSafetyNet
- Flexible,web-basedeventreportingtool
- TracksmedicalerrorsthroughreportingofincidentsbyallPennMedicineemployees
- SubmissionExamples:- Labelingerrorsontests- Patientfall- “Near-miss”events- Equipmentunavailableorbroken
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EvaluatingtheImpact
Difficultyinmeasuringculture:- CurrentMeasure:
- SafetyNetSubmissionsasaproxyvariable
- FutureMeasure:- Resultsof2018MedicalOfficePatientSafetyCultureSurvey
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MyRoleEvaluatetheimpactofpatientsafetyinitiativesbydepartment◦ DataPresentationMeetingsAttendee◦ Collectedsafetyinitiativesofall19departmentsofCPUP
◦ CreatedanddisseminatedCultureofPatientSafetyToolkitthroughoutCPUP◦ PresentedworkperiodicallytoQualityViceChairsMeetingandDataPresentationMeetingsforfeedback
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MyLearningExperiencePresentationSkills
Interactionwithmedicalstaff
Theimportanceoftakinginitiative
Beingreceptivetoconstructivecriticismandfeedback
PatientSafetyCultureknowledge
Understandingofessentialcomponentswithinahealthsystemthatarecrucialforsuccess
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AcknowledgementsKathyDonohue– Mymentor
DavidHorowitz,MDCPUPChiefMedicalOfficer
BarbaraPriorMSN– CPUPAssociateExecutiveDirector
LaquishaReed– CEQIAdministrativeCoordinator
CEQIOffice
SUMR2017Cohort
JoanneLevy
SafaBrowne
LeonardDavisInstituteforHealthEconomics
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Questions?