Patient safety
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Patient safety
- 1. Patient safety Capt kalaivani R
- 2. The first requirement of any Hospital is that it does the sick “NO HARM”. Florence Nightingale
- 3. Are we following the longstanding cornerstone of medicine “Do NO Harm”? Are we unintentionally harming patients whom we are seeking to help? Do we know the burden of unintended death and morbidity due to preventable adverse events?
- 4. DEFICIT OF QUALIFIED HEALTH-CARE PROVIDERS The deficit in 57 countries are estimated to be 2.4 million doctors, nurses and midwives.
- 5. DEVELOPED NATIONS: 1 IN 10 PTS HARMED
- 6. DEVELOPING COUNTRIES: RISK HIGHER
- 7. 63% of all injections administered are unsafe • 22% reuse • 20% unsterile equipment • 54% wrong technique
- 8. On an average there is one medication error every day for every inpatient
- 9. MEDICATION ERRORS Confusing drug names Illegible handwriting Similar packing Similar clinical use Look Alike Sound Alike – LASA medications
- 10. WRONG PROCEDURE/ SURGERY/SITE About 50% adverse events occurring among in patients result from surgery
- 11. 1.4 M PEOPLE SUFFER HAI
- 12. WHICH PATIENTS ARE MORE AT RISK…???? Complex surgery Multiple Medical conditions Emergencies Geriatric patients Pediatric patients Any patient who cannot perform ADL (Acts of Daily Living) A physically / mentally challenged
- 13. Failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim, do not all result in injury. HEALTH CARE ERROR
- 14. NEAR MISS An event that almost happened or an event that did happen but no one knows about. If the person involved in the near miss does not come forward, no one may ever know it occurred.
- 15. Nursing shortage Lack of standards Malfunctioning instruments Poor leadership and teamwork Poor infection control practices Poor communication Poor infrastructure
- 16. What is Patient Safety ? “Patient safety is a health care discipline that emphasizes the reporting ,the analysis and prevention of medical error that often leads to adverse health care events.” WHO “Patient safety is defined as prevention of harm to the patients” Institute of Medicine (IOM)
- 17. Objectives of Patient Safety Create patient safety culture Increase hospital accountability towards its patients and society Decrease adverse events in hospitals Implement programmes to prevent the recurrence of adverse events
- 18. WAYS TO
- 19. Patient Safety Practices Reduce the risk of adverse events related to exposure to medical care across a range of diagnoses or conditions.
- 20. Proper Training
- 21. CNE
- 22. MEDICATION ADMINISTRATION Right Patient Right Drug Right Dose Right Route Right Time Right Documentation
- 23. Patient Safety Solutions Look-Alike, Sound-Alike Medication Names Patient Identification Communication During Patient Hand-over Performance of Correct Procedure at Correct body site Control of Concentrated Electrolyte Solutions
- 24. Assuring Medication Accuracy at Transitions in Care Avoiding Catheter and Tubing Mis- Connections Single Use of Injection Devices Improved Hand Hygiene to Prevent Health Care-associated Infection
- 25. Reduce the risk of patient harm from falls. Report critical results of tests and diagnostic procedures on a timely basis Identify patients at the risk of suicide Prevention of pressure ulcers
- 26. Absence of evidence is not the evidence of absence Always look for what is wrong before looking who is wrong Yes…it is necessary
- 27. Thank you