Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe. It is generally agreed upon that the definition of patient safety is… "DO NO HARM"

1. PATIENT SAFETY

3. Describe the importance of the patient safety.
Define patient safety.
Identify IPSG (international patient safety goals) in healthcare provision.
Recognize approaches for error control,
Describe the components of Safety culture.
ILOs

4. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components

6. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4
components

7. IMPACT

8. What We Know
One in nine adults
contract infection in
hospital.
One in nine patients
receive wrong
medication or wrong
dose.

9. MORE DEATHS AFTER EXPERIENCING ADVERSE EVENTS IN HOSPITAL
THAN DEATHS FROM BREAST CANCER, MOTOR VEHICLE ACCIDENTS
AND HIV COMBINED.
Breast
cancer
MVAs HIV
Adverse events
in hospital

10. Is there any possibility of error?

11. Who are we going to blame?

12. Do you have comment?

13. What is the difference?

14. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components

15. PATIENT SAFETY DEFINITION
• Healthcare organizations including
hospitals were founded to give
care to those who need it and to
keep patients safe.
• It is generally agreed upon that the
definition of patient safety is…

16. WHAT IS BEING DONE TO MAKE HEALTHCARE
ORGANIZATIONS SAFE FOR PATIENTS?
Joint Commission
on Accreditation
for Healthcare
Organizations
(JCAHO) 1st
established patient
safety goals in
2002.
Each year those
goals are re-
evaluated &
revisions are
published.
When healthcare
organizations are
accredited, they
are given report
cards and graded
on their
compliance with
meeting the goals.

17. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components

22. EGYPTIAN STANDARDS
7) Prevention of patient's
risk for developing
pressure ulcers
8) Prevention of catheter
& tubing mis-connections

23. IDENTIFICATION
Identify Patients Correctly
• Use at least two (2) ways to identify a patient.
IPSG1

24. COMMUNICATION
Implement a process for taking verbal (VO) or telephone (TO) orders.
IPSG2

25. Standardize a list of (Prohibited) abbreviations, acronyms, and symbols
that are not to be used throughout the organization.
MSO4
U
mcg

26. Improve the Effectiveness
of Communication Among Caregivers
Improve critical
test results &
values,
timeliness of
reporting, &
timeliness of
receipt.
Measure,
assess and, if
appropriate,
take action.
Use checklists &
standardized
formats.
When receiving
the patient,
check to see
that all orders
are
implemented.
Use the Patient
Transfer forms
and established
criteria.

27. Standardize “hands-off”
communications (on/off
duty reports, transfers,
shift changes)

28. Improve the safety of high-alert medications
IPSG3

29. Ensure correct-site, correct-procedure and
correct-patient surgery
IPSG4

30. Reduce the health care associated infections
(HAI)
IPSG5

31. Reduce the risk of patient harm
resulting from Falls
• Assess & periodically re-assess each patient’s risk for falling
IPSG6

33. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components

34. No error
No adverse
effect
Optimal
outcome
Safety = Control of errors?

35. Why rather than Who
How things go wrong
Blame
someone
•Person approach
Chain of
events
•System approach

36. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(6)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components

37. Shared, learned beliefs and behaviors that reflect
an organization’s preparation to learn from errors
Safety culture

38. Components (foundations) of safety
Reporting
• People in direct contact with risks & hazards
freely report their errors & near-misses.
Just
• An atmosphere of trust in which front line
operators are not punished for actions,
omission or decisions they take which are
commensurate with their experience & training
but where gross negligence, willful violations &
destructive acts are not tolerated”.
Flexible
• Permit front line workers to share information,
manage changing work conditions, and to
adapt & learns from experience.
Learning
• A learning culture correctly interprets
information from its safety systems & has the
will to implement change.

40. WHAT
IS Sense the error.
S
Act to prevent it.
A
Follow safety guidelines.
F
Enquire into accidents/deaths.
E
Take appropriate remedial measure.
T
Your responsibility
Y

43. Activity 1

44. Activity 2

46. Importance
Impact
Magnitude of
the problem
Definition
Joint
Commission
on
Accreditation
for Healthcare
Organizations
(JCAHO)
Goals
International
(7)
Egyptian (2)
Approaches
Control of
errors
Safety
culture
4 components