Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System...

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Transcript of Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System...

Page 1: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology
Page 2: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unify the Healthcare System

Identify Challenges

Implement APSS

Patient

AdvocatesHospitalsClinicians

Medical

Technology

CompaniesGovernment

• Healthcare-associated Infections

• Medication Errors

• Sepsis

Actionable Patient Safety Solutions

zero preventable deaths by 2020

Page 3: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Airway Safety

Page 4: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Airway Safety

Failed Airway Unplanned Extubation

Page 5: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unify the Healthcare System

Identify Challenges

Implement APSS

Patient

AdvocatesHospitalsClinicians

Medical

Technology

CompaniesGovernment

• Healthcare-associated Infections

• Medication Errors

• Sepsis

• Airway Safety

Actionable Patient Safety Solutions

zero preventable deaths by 2020

Page 6: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unplanned Extubation

A Common and Costly

Complication of

Airway Management

Page 7: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unplanned Extubation

Common

7.3 % of Mechanically Ventilated ICU Patients

> 100,000 UE Yearly

12,000 Deaths Yearly

Costly

$4 Billion

Annually

Page 8: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unplanned Extubation

Common

7.3 % of Mechanically Ventilated ICU Patients

12,000 Deaths Yearly

Costly

$4 Billion

Annually

Page 9: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Unplanned Extubation

Common

7.3 % of Mechanically Ventilated ICU Patients

12,000 Deaths Yearly

Costly

$4 Billion

Annually

Page 10: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

If you can’t measure it, you can’t improve it.Peter Drucker

Page 11: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

If you can’t measure it, you can’t improve it.Peter Drucker

The first step

Know what the rate of unplanned

extubation is in your hospital / agency

Page 12: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Determine Baseline Rates

Institute APSS

Monitor Improvements

Unplanned Extubation

Page 13: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Airway Safety Taskforce

Metrics

Page 14: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Data Collection Tools

Rate of Unplanned Extubation =

Number of Incidences of Unplanned Extubation

Total Number of Mechanical Ventilation

Days

Patient Demographics:

Age: Sex: M F Weight (lbs):

Information on Intubation:

Patient Intubated: Date: Time:

Endotracheal Tube (ETT)

Type: Standard ETT Subglottic Suction ETT

Size: Depth:

Information on Extubation:

Patient Extubated Date: Time:

Type: Planned Unplanned

If Extubation was Unplanned:

Cause: Self Extubation Accidental Extubation (Must be witnessed)

Was patient restrained? Y N Was patient sedated? Y N

Was reintubation required? Y N Was reintubation successful? Y N

Complications:

Pneumonia (VAP, Aspiration) Date of Dx:

Brain Injury

Death

Other: Describe:

Unplanned Extubation Data Sheet

Page 15: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Determine Baseline Rates

Institute APSS

Monitor Improvements

Page 16: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Airway Safety Taskforce

Actionable Patient Safety Solutions

www.patientsafetymovement.org

http://www.patientsafetymovement.org/
Page 17: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

Help your state

attain zero preventable deaths

from unplanned extubation

Educate

Determine Baseline Rates

Make a Commitment

Institute APSS Monitor Improvements

Page 18: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

You can help your EMS agency / hospital reach

ZERO preventable deaths

from unplanned extubation

Make a Commitment.

The Movement is not just about information

It’s about ACTION

Page 19: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

Patient Safety Movement

ZERO preventable deaths by 2020

[email protected]

http://www.patientsafetymovement.org/
mailto:[email protected]
Page 20: Patient Safety Movement - nasemso.org · Patient Safety Movement Unify the Healthcare System Identify Challenges Implement APSS Patient Advocates Clinicians Hospitals Medical Technology

A MODEL SAFE PATIENT HANDLING AND MOVEMENT … · VA SAFE PATIENT HANDLING & MOVEMENT POLICY SPHM Policy Ties all Program Elements Together… Implemented in units with necessary

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Patient Centered Primary Care Collaborative · erogers@pcpcc.net Patient Centered Primary Care Collaborative and the National Patient Centered Medical Home Movement Table of Contents

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THE JOINT PATIENT MOVEMENT SYSTEM, A …The history of the patient movement system begins in 1792 1 during the Napoleonic Wars. The French surgeon Dominique Jean Larrey developed the

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DevelopmentandValidationof3DFiniteElementModelsfor ...downloads.hindawi.com/journals/ijd/2018/4927503.pdf · movement, and clinical tooth movement of the second patient are shown

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Predicting Post-Operative Patient Gait Jongmin Kim Movement Research Lab. Seoul National University.

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Actionable Patient Safety Solution (APSS) #2F: CENTRAL … · Patient Safety Movement Foundation | patientsafetymovement.org | @0X2020 Page 1 of 12 Actionable Patient Safety Solution

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California Patient Movement Plan … · 31.05.2017 · CALIFORNIA PATIENT MOVEMENT PLAN iii 1 Document Change Control and Maintenance 2 The most current copy of this document, including

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MCRP 4-11.1G Patient Movement - globalsecurity.org · nttp 4-02.2m/mcrp 4-11.ig u.s. navy nttp 4-02.2m u.s. marine corps mcrp 4-11.ig patient movement edition may 2007 department

MCRP 4-11.1G Patient Movement - globalsecurity.org · nttp 4-02.2m/mcrp 4-11.ig u.s. navy nttp 4-02.2m u.s. marine corps mcrp 4-11.ig patient movement edition may 2007 department

Intro to ESF #8 Patient Movement ECCC to ESF Lamana.pdf · Patient Movement State Support local requests ... Microsoft PowerPoint - Intro to ESF #8 Patient Movement_ECCC.pptx Author:

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Condylar Movement Assessment is Severe Attrition Patient ... · PDF fileAttrition Patient Undergoing Orthodontic Treatment: Joint Vibrant ... The wire sequence included ... Severe

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Assessing Facility & Patient Needs Towards Appropriate Selection of Safe-Lift Equipment Safe Patient Handling and Movement Dana L. Root, MS, PT, CPE Regional.

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EVIDENCE-BASED PRACTICES FOR SAFE PATIENT HANDLING AND MOVEMENT€¦ · Nelson, A., Baptiste, A. (September 30, 2004) "Evidence-Based Practices for Safe Patient Handling and Movement"Online

EVIDENCE-BASED PRACTICES FOR SAFE PATIENT HANDLING AND MOVEMENT€¦ · Nelson, A., Baptiste, A. (September 30, 2004) "Evidence-Based Practices for Safe Patient Handling and Movement"Online

California Patient Movement Plan - EMSA · 31/5/2017  · 20 fire, law and transportation, whose contributions would be essential to the success of patient 21 movement activities.

California Patient Movement Plan - EMSA · 31/5/2017  · 20 fire, law and transportation, whose contributions would be essential to the success of patient 21 movement activities.