1. Total Duration: 30 minutes
Presentation: 25 minutes
Question & Answer session: 5 minutes
Dr. Salma Azeez
2. To provide a multi-
disciplinary forum and
framework which
identifies and manages
environment of care
issues, thus promoting a
safety environment for
our patients, visitors and
staff.
3. 1. To oversee, guide and ensure towards incidences reported.
the following aspects of 4. Appropriate storage and
safety in the hospital: safety practices with regard
Patient safety to all Hazardous materials
including waste
Employee safety management.
Radiation safety
Environment /Facility safety 5. Analyze the staff injuries
reported and other illness
Disaster Management caused at work.
2. To promote a culture of ‘ Do
not harm’ and report any 6. Teaching and training
‘Near Misses” programs conducted for all
levels of staff for safety of
3. To review the incident report patients and personnel.
analysis & action taken
4. A Risk management
program in hospitals is
imperative because:
•To treat patients in a
safe environment.
•We are constantly
exposed to external
and internal risks.
•To reduce errors that
are costly in terms of
damage.
5. Patient Safety
SET THE SAFETY Employee
CULTURE…… Safety
Laboratory
•Non punitive Safety
•Transparent
Emergency &
• Need to know
•Speak out Disaster
• If we don't know, how Preparedness
can we correct it? Hazardous
• It can happen to anyone Materials
of us! Surgical
•Involvement of Safety
Clinicians for clinical
Facility safety
safety issues
6. “ A sustained, proactive
process of
identifying, avoiding and
rapidly resolving
errors, omissions, mishaps
and miscommunications that
could affect patients well
being at any point of time”’
7. Accuracy of patient identification.
Safety of using medications.
Risk of Health care-associated infections.
Accuracy and complete reconciliation of
medications across the continuum of care.
Risk of patient harm resulting from falls.
Surgical safety.
Health care-associated Pressure ulcers
Emergency preparedness……
and many more !
(use of: safety bands, non skid slippers, markers on
surgery sites are helpful)
8. VERBAL ORDERS: ERROR IDENTIFY PATIENTS
PREVENTION: CORRECTLY
Use at least (2) ways to identify
•Read back policy Avoid when patients while giving medicines, giving
blood or blood products, taking blood
possible.
samples or providing any other
•Enunciate slowly and distinctly. treatments or procedures. The patients
•State numbers like pilots Room No cannot be used to identify
(i.e., “one-five mg” for 15 mg). patients.
(call patient name loud & clear and wait
• Spell out difficult drug names
for patient acknowledgement as well as
Specify concentrations
match wrist identification e.g. MR no.#)
(10 Cohen MR. Medication Errors.
Causes, Prevention, and Risk
Management; 8.1-8.23.)
9. Language should be simple and understood. A read
back or narrate can help Increase health literacy of
patients.
Standardize the handover process and allot sufficient
time
Relevant information should be available to every one
concerned.
Patients should be aware of the medicines, dosages
and intervals of administration
Patient and families should be involved in the decision
making.
(Comments: educate patient about: name of drug, dose, how-to-
take, written instructions, & known side effects. Patient and relatives
should sign consent for control drug therapies/surgeries)
10. Implementation of strategies that make
alcohol-based hand-rubs readily available at
points of patient care.
Access to a safe, continuous water supply at
all taps/faucets.
Staff education on correct hand hygiene
techniques; Use of hand hygiene reminders in
the workplace.
Measurement of hand hygiene compliance
through observational monitoring and other
techniques.
12. Risk assessment in different groups
of employees .
Pre Joining formalities: Medical
fitness
Periodic health check up policy
(„Periodicity‟ differs in different
groups of employees).
Medical Benefits
Post exposure prophylaxis… needs
to be streamlined.
13. •Installation of
warning
signals in appropriate areas
- Bilingual
•Monitoring ofRadiation
safety & monitoring devices.
• Radiation safety data.
•Standardize the personal
protective wearing for
paramedics.
14. •Correct patient
identification.
•Correct sample
identification.
•Reduce typographical
errors.
•Safety in blood bank
•Transfusion transmitted
reactions.
•Set protocols in case
of a spill.
15. Know the emergencies/disasters relevant to
your institute/workplace.
Code system
Location of ramps, fire
extinguisher, evacuation plan etc.
Appropriate personal protective measures to
be procured for emergencies.
Training, training, training…
Do mock drills
16. CODE RED FIRE
CODE BLUE ADULT CARDIOPULMONARY ARREST
PEDIATRIC CODE PEDIATRIC CARDIOPULMONARY ARREST
BLUE
CODE ORANGE HAZARDOUS MATERIAL SPILL / BIOLOGICAL
AGENT HAZARD
CODE YELLOW INFANT / CHILD MISSING
CODE GRAY SECURITY THREAT
CODE BLACK DISASTER
17. •Know the hazardous
material in relevant to
your area.
•Material safety data
sheets.
•Personal protective
equipment boxes.
•Training
•IncidentReporting in
case of spills
18. •Incomplete Consent
forms.
•Marking of site pre
operatively.
• Pre anesthetic review
•Operative notes (to be
authenticated)
19. Nursing call bells
Checking and maintenance Safety
belts in stretchers/wheel chairs
Signage – danger/warning
Regular checking of alternative
sources of supply
CORDON off renovation sites
No lose wires/open electric circuits
Disabled friendly washrooms
Reactivation offire detection
systems in new building
Emergency lights in staircases
20. To develop a culture of
patient safety
To describe approach for
measurement and reporting
on patient safety
To find out frequent
problems that our Institute
encounters .
Identify accountabilities
To develop the solutions for
patient safety
21. Safety
Reliability
Change
Data
Culture
Leadership
Pyramid