Policies & National Initiative to Improve Patient Safety By: Maria Linda G. Buhat, RN, Ed.D....
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Policies & National Initiative to Improve Patient Safety
By: Maria Linda G. Buhat, RN, Ed.D.
PHC-Assistant Director for Nursing Service (CNO)
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“Technically the biggest safety systems in healthcare is the minds and hearts of the workers who keep intercepting the flaws in the system and prevent
patients from being hurt. They are the safety net, not the cause of injury.”
- Don Berwick
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Regulatory Standards
Administrative Order No. 1012-0012
Rules and Regulations Governing the New Classification of Hospitals and Other Health
Facilities in the Philippines
Objective:
To protect and promote the health of the public by ensuring a minimum quality of service rendered by hospitals and other regulative health facilities and to assure the safety of patients and personnel.
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Regulatory Standards
Republic Act 7875
Philippine Health Insurance Corporation
Republic Act 9241
Amendment to Philippine Health Law
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Regulatory Standards
Administrative Order No. 2008-0009
Adopting the 2008 Revised List of Notifiable Diseases, Syndromes, Health-Related Events
and Conditions
Administrative Order No. 42
Creating an Inter-Agency Committee for the Formulation and Implementation of a National
Plan to Combat Antimicrobial Resistance in the Philippines
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Regulatory Standards
DOH Administrative Order No. 2008
Declaring National Policy on Patient Safety
March 23, 2009
National Committee on Patient Safety to Oversee the Development of Implementing Guidelines
and Provide Technical Assistance for the Implementation of Patient Safety Program
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National Patient Safety Committee
National Technical Working Group
ProfessionalOrganizations
Field ImplementationManagement Office
Centers for Health Development
Health Care Facilities
DOH Administrative Order No. 2008-0023
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A key element in improving patient safety in any organization is fostering a
“CULTURE OF SAFETY”.
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Initiatives
Standards on:
Use of Medical Devices
Safe Blood Use
Drugs/Pharmaceuticals
Infection Control Policies– Hand Hygiene– Use of PPE– Needle/Sharps Injuries– Mercurial Spill Clean Up
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Initiatives
Standards on:
Use of Physical Restraints
Development of Clinical Practice Guidelines (CPGs Multidisciplinary)– Immediate Newborn Care/Essential Newborn Care
WHO Surgical Safety Checklist
Reporting of Sentinel Events
Use of Thermo-Regulatory Devices
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Subnational Levels
Patient Safety
• Infection Control
• Medication Safety
• Sentinel Events
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Subnational Levels Initiatives
Infection Control• Hand Hygiene
• Use of PPE
• Needle/Sharp Injuries
• Mercurial Spill Clean Up
• Antimicrobial Prophylaxis (preoperative use of antibiotics)
• Bundles of Care
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Bundles of Care
• Ventilation-associated Pneumonia (VAP) Bundle
• Central Line Bundle
• Catheter associated Urinary Tract Infection (CAUTI) Bundle
• Surgical Site Infection (SSI) Bundle
• Pressure Sore Prevention Bundle
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Medication Safety
• Reporting of Adverse Drug Reaction• Communication
–Read Back/Repeat Back–Hand off/Shift Report–SBAR
»Situation»Background»Assessment»Recommendation
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Medication Safety
• Communication–Interdisciplinary Progress Notes–Prescription Writing
»No abbreviations–Medication Reconciliation–Medication Vest–10 Golden Rules on Drug Administration
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Medication Safety
• Safety Measures in the Administration of High Alert Drugs
• High Alert and Narcotic Drugs Storage
• Handling and Administration of Chemotherapy Drugs
• Control of Concentrated Electrolytes
• Common Abbreviations
• Medication Incident Documentation and Reporting
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“Nurses are indispensable to patients’ safety.”
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External Accreditation Bodies
• PhilHealth (Bench book)
• ISO – DOH Hospitals
• JCI
• ACI
• Others
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Human Factors
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“Errors can happen anywhere and to anyone.”
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Safety Framework
- MLGB
Environment Health Workers
Communication Systems/Processes
Patient Safety
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Human Factors and Patient Safety
• A number of individual factors affect human performance, thereby predisposing a person to error.
Two factors with the greatest impact are fatigue and stress.
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Nurses: Too Tired to be Safe?
Those who routinely work long, often unpredictable hours, such as shifts that exceed 12 hours, make more mistakes than those who work fewer hours.
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Professional Certification/Licensing
Licensing of Health Professionals
• must pass the examination given by the Philippine Regulatory Commission prior to licensure to practice
• Renewal every three years with mandatory CME/CPE units
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Certification of Competencies
DOH Order No. 2012-0181 (October 2012)
Guidelines on the Department of Health Nurse Certification Program
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Certification of Competencies
DOH Order No. 2013-0100 (July 2013)
Operational Guidelines on the Implementation of DOH-NCP in Designated Hospitals
Objectives:
1. To standardize clinical competencies in various specialty areas
2. To address competency gaps
3. To improve the delivery of nursing care
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Other Initiatives
Administrative Order No. 2012-0020 (October 2012) Guidelines Governing the Occupational Health and Safety of
Public Health Workers
Objectives:1. To promote occupational health safety in the health care
facilities 2. To protect public health workers from hazards and risks
associated in their work3. To prevent distress and injuries to public health workers4. To provide access to treatment, rehabilitation and
compensation of work connected illnesses and injuries affective public health workers, whenever applicable
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WHO Patient Safety Curriculum
•implemented in government university (pilot)
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“Most medical errors are system-related and not attributable to individual negligence
or misconduct.”
-Institute of Medicine Report (1999)
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Professional Organizations
• Philippine College of Surgeons
• Infection Control Organization
• ANSAP
• Philippine Alliance for Patient Safety
• OHNAP
• Others
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“Punitive Culture hinders reporting and recording of preventable errors.”
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“One reason for the limited impact of many quality and safety initiatives is that they rely on only one level of intervention for example, staff
training or tightening protocols and gives insufficient attention to other factors that
influence clinical practice.”
- Charles Vincent
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