The Importance of Patient and Associate Safety David Mayer, MD Vice-President Quality and Safety...
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The Importance of Patient and Associate Safety David Mayer, MD Vice-President Quality and Safety MedStar Health
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Transcript of The Importance of Patient and Associate Safety David Mayer, MD Vice-President Quality and Safety...
The Importance of Patient and Associate Safety
David Mayer, MDVice-President
Quality and SafetyMedStar Health
Patient Safety
“Medicine used to be simple, ineffective and relatively safe. Now it is complex, effective, and potentially dangerous.”
Sir Cyril Chantler,
Dean of London’s Guy’s Hospital
2
OptimizedOutcomes
10-8
10-7
10-6
10-5
10-4
10-3
10-2
10-1
Rel
iab
ilit
yThe MedStar Health Road to Success
Human Factors
Integration
Reliability Culture
Core Values & Vertical IntegrationHire for FitBehavior Expectations for allFair, Just and 200% Accountability
Process Design
Evidence-Based Best PracticeClinical Decision Support/ITFocus & SimplifyTactical Improvements (e.g. Bundles)
Intuitive design. Impossible to do the wrong thing. Obvious to do the right thing. Simulation/Innovation
Human FactorsIntegration
Including the Patient Voice in all we do
©2006 - 2010 Healthcare Performance Improvement, LLC. ALL RIGHTS RESERVED.
Patient & Family
Partnerships
3
Transparency
4
Why Do We Need Human Factors in Healthcare?
Credit to Raj Ratwani
High Reliability, Human Factors Engineering and Patient Safety
“We cannot change the human condition but we can change the conditions
under which humans work.”James Reason
5
Restoring Honesty, Trust and Safety in Healthcare
• Transparency (Honesty and Trust)– Transparency in Reporting– Transparency in Outcomes– Transparency in Communications
• Informed consent/Shared decision-making• Disclosure after harm
6
Patient Engagement and Partnership
• MedStar Patient and Family Advisory Council for Quality and Safety (PFACQS)– Rosemary Gibson– Helen Haskell– Sorrell King– Carole Hemmelgarn– Michael Millenson– Patty Skolnik– Armando Nahum– Victoria Nahum– Marty Hatlie– Knitasha Washington 7
Telluride Patient Safety Roundtable
Twelve Annual Roundtable:“The Power of Change Agents: Teaching Caregivers Effective Communication Skills to Overcome the Multiple Barriers to Patient Safety and Transparency”June 9th – June 18th, 2016Telluride, CO
Supported by TDCF and MedStar Health 8
