[Audio] Good Morning, this is a gentle reminder from your Patient Safety Committee Our committee promotes everyone to Speak up for patient safety No one should be harmed in health care..
[Audio] Patient safety aims to prevent and reduce risks, errors and harm that occur to patients during provision of healthcare. Patient safety situations causing most concern: Medication errors; unsafe transfusion practices Diagnostic errors Healthcare associated infections Sepsis Unsafe surgical care procedures Fall Safety hazards Communication errors Defective devices.
[Audio] The Resolution World Health Assembly (W H A) 72.6 on Patient Safety Puts Patient Safety as a global health priority To promote patient safety by increasing public awareness and engagement, enhancing global understanding and working towards global solidarity and action (Patient Safety, 2019). Here is the 6 step in implementing Patient Safety Culture in Tondo Medical Center.
[Audio] step 1 BUILD A SAFETY CULTURE All staff should be included in the safety and health program, given the training and tools to recognize good and bad safety practices, and feel comfortable advocating for their own safety and the safety of others around them..
[Audio] step 2 LEAD AND SUPPORT YOUR STAFF Inspire staff by staying positive and filter out stress and negativity..
[Audio] step 3 INTEGRATE YOUR RISK MANAGEMENT ACTIVITY Integrated risk management gives organization a better understanding of their risks and help support informed risk- based decision- making..
[Audio] step 4 PROMOTE REPORTING Spotting safety hazards shouldn't have repercussions. Make it clear that there are no consequences to reporting incidents and hazards..
[Audio] step 5 INVOLVE AND COMMUNICATE WITH PATIENTS AND THE PUBLIC Recognize the importance of patient's active involvement in their own care..
[Audio] step 6 LEARN AND SHARE SAFETY LESSONS The 'root cause analysis' approach provides the healthcare staff with a consistent and structured methodology to investigate incidents. It enables staff to identify where systems are failing and where improvements in patient care and safety can be made..
[Audio] And MOST IMPORTANTLY.... And MOST IMPORTANTLY... POWTOOn CREATED USING 4 POWTOOn.
[Audio] step 7 IMPLEMENT SOLUTIONS TO PREVENT HARM It is important to properly train the staff and establish strict hospital protocols. From sanitation practices and medical record- keeping, , to medication administration and patient diagnosis, getting these things is all part of patient safety..
[Audio] Here are the list of reportable Patient Safety Incidents.
[Audio] First category is Sentinel event Sentinel Events are serious clinical incidents that have caused or could have caused serious harm or death of a patient The first type of Sentinel events is Surgical events such as Death, paralysis, coma or other major permanent loss of function following surgery Surgical procedures involving the wrong patient or body part Unintended retention of instrument/s or other material/s after surgery requiring re-operation Post-operative hemorrhage / hematoma Unplanned return to operating room.
[Audio] Other categories of sentinel events are Unanticipated death, cardio-respiratory arrest or loss of major function in any admitted patient Maternal death or serious morbidity associated with labor and delivery Unanticipated death of a full term infant.
[Audio] Patient fall that results in injury, death or major permanent loss of function Hemolytic transfusion reaction involving administration of blood or blood products Infection control indicators Hospital care related infections, needle stick injuries.
[Audio] Drug-related indicators that result to death and serious morbidity (Medication Error/ ADR) Death, paralysis or major permanent loss of function as a direct result of the use of restraints Aspiration incidents.
[Audio] Second category of patient safety incident is Medication Management / Treatment Incidence Medication Error Near Missed incidents related to medication Adverse Drug Reaction And Blood Transfusion Reaction.
[Audio] third category of patient safety incident is fall incidence It can be with injury such as hematoma, contusion etc or without injury.
[Audio] The fourth category is Patient Identification Error Incidence Such as Wrong Patient Identification And Near Missed Patient Identification Error.
[Audio] Incidents such as Theft, Absconded patient/s, Chemical spillage, Fire, Earthquake , Loss of personal belongings, Alcohol intoxication of patient watcher, Possession of deadly weapon Falls on the fifth category which is safety and Security Concerns.
[Audio] The sixth category are any type of communication and documentation error.
[Audio] The seventh category is any type of patient and co- employee complaints.
[Audio] The eighth category is any reports of incidents that violate patient and hospital safety and security.
[Audio] How do you answer the CORRECTIVE ACTION REPORT? Conducting a Root Cause Analysis (RCA)is an essential problem- solving method use to isolate and identify concerns. Root Cause: State why did the findings occur. Tick the method that you will use, it can be thru: 5 Whys; Fishbone Analysis; or Brainstorming (Narrative) Root cause of the problem: Tick the nature of the problem, it can be caused by: Manpower; Money; Material/ Supply; Management; methods; Machine; or Mother Nature Corrective Action: Recommend preventive measures to ensure that the problem won't happen again. Responsibility: is where The Staff involved and their Department heads sign Target date of Completion: Completion date of the initial implementation of all action.
[Audio] If you observed any Patient Safety Incidents... Refer immediately to the Physician, call the Supervisor- on duty and the Senior House Officer or inform directly the Patient Safety Nurse..
[Audio] Awareness is the key to prevention Do your work with pride, put safety in every stride. The Patient Safety Committee thanks all of you for all the dedication you bring to your profession everyday. We appreciate all the hard work you put in to keeping our institution safe and secure. Wishing all of us a productive and successful day ahead. God bless us all!.