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Ovret Sdo Patientsafety4 June09
- 6. Katolinska Sjukhus toilets – quick/low cost video cams & poster 08/03/09
- 8. Good cost/effectiveness – direct communication with patients 08/03/09
- 13. Can you grow pineapples in Shockholm? 08/03/09 Seed Gardener/planting & nurture Climate / soil The point is, choose plants you see growing in similar environments – and change which aspects of climate you can Can Darth change the micro or macro climate? Anna, supported by Darth
- 15. Later… back at the Katolinska Research Centre …Jon calls together the research group 08/03/09
- 19. 08/03/09 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Theory informed evaluation – safety interventions evolve in context Actions: planning and preparations Result: agreed care goals, three shared centres and joint management Planning Innovation Further development actions Established Actions to develop coordinated client/patient care planning system & other systems & procedures >>>>>>>>>>>> Context factors help and hinder implementation at different times Government policy helps planning Intermediate results : coordination structures and changes in personnel behaviour 1996 2000 2004 2008 Results : Consequences for personnel Results: Consequences for clients
- 25. What does not work? 08/03/09 “ be more careful”
- 27. Researchers may need guidance … 08/03/09
Notas del editor
- Goal: Identify Patients Correctly � Requirement 1: Use at least two (2) ways to identify a patient when giving medicines, blood or blood products; taking blood samples and other specimens for clinical testing, or providing any other treatments or procedures. The patient's room number cannot be used to identify the patient. Goal: Improve Effective Communication � Requirement 2: Implement a process/procedure for taking verbal or telephone orders, or for the reporting of critical test results that requires a verification "read-back" of the complete order or test result by the person receiving the information. NOTE: Not all countries permit verbal or telephone orders. Goal: Improve the Safety of High-alert Medications Requirement 3: Remove concentrated electrolytes (including, but not limited to, potassium chloride, potassium phosphate, sodium chloride >0.9%) from patient care units. Goal: Eliminate Wrong-site, Wrong-patient, Wrong-procedure Surgery Requirement 4: Use a checklist, including a "time-out" just before starting a surgical procedure, to ensure the correct patient, procedure and body part. Requirement 5: Develop a process or checklist to verify that all documents and equipment needed for surgery are on hand and correct and functioning properly before surgery begins. Requirement 6: Mark the precise site where the surgery will be performed. Use a clearly understood mark and involve the patient in doing this. Goal: Reduce the Risk of Health Care � acquired Infections Requirement 7: Comply with current published and generally accepted hand hygiene guidelines. NOTE: This should recognize that not all countries have a CDC (Centers for Disease Control and Prevention) or may not recognize the US CDC. Goal: Reduce the Risk of Patient Harm Resulting from Falls Requirement 8: Assess and periodically reassess each patient's risk for falling, including the potential risk associated with the patient's medication regimen, and take action to decrease or eliminate any identified risks.
- K eep it simple, Sven believes in green leadership
- I ts one thing in hot house study conditions, another out in the wild
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