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    Topic 1 What Is Patient Safety?: (Concepts and Prospects)

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    Reda Zizo
    Patient safety is a discipline that emerged with increasing complexity in healthcare systems and resulting patient harm. It aims to prevent and reduce risks, errors, and harm during healthcare provision through continuous improvement based on learning from errors and adverse events. Key aspects of patient safety include a systems approach to errors, safety culture, involvement of patients, and clear policies and leadership to drive safety strategies.

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    Topic 1 What Is Patient Safety?: (Concepts and Prospects)

    Uploaded by

    Reda Zizo
    33 views21 pages
    Patient safety is a discipline that emerged with increasing complexity in healthcare systems and resulting patient harm. It aims to prevent and reduce risks, errors, and harm during healthcare provision through continuous improvement based on learning from errors and adverse events. Key aspects of patient safety include a systems approach to errors, safety culture, involvement of patients, and clear policies and leadership to drive safety strategies.

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    Patient safety is a discipline that emerged with increasing complexity in healthcare systems and resulting patient harm. It aims to prevent and reduce risks, errors, and harm during healthcare provision through continuous improvement based on learning from errors and adverse events. Key aspects of patient safety include a systems approach to errors, safety culture, involvement of patients, and clear policies and leadership to drive safety strategies.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views21 pages

    Topic 1 What Is Patient Safety?: (Concepts and Prospects)

    Uploaded by

    Reda Zizo
    Patient safety is a discipline that emerged with increasing complexity in healthcare systems and resulting patient harm. It aims to prevent and reduce risks, errors, and harm during healthcare provision through continuous improvement based on learning from errors and adverse events. Key aspects of patient safety include a systems approach to errors, safety culture, involvement of patients, and clear policies and leadership to drive safety strategies.

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    © All Rights Reserved
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    Download as pdf or txt
    of 21

    Topic 1

    What is patient safety?


    (concepts and prospects)

    Dr. MOUSTAFA ABDELNASSER


    Professor of Microbiology, Immunology& Infection Control
    Faculty of Medicine, Al-Azhar University
    Diploma of TQM, Master of Health Profession Education
    mostafa_online1@yahoo.com, mostafa.nasser@ azhar.edu.eg

    4/9/2021 What is patient safety? 1


    Learning objective

    Understand the discipline of patient safety


    and its role in minimizing the incidence
    and impact of adverse events, and
    maximizing recovery from them.

    4/9/2021 What is patient safety? 2


    Knowledge requirements
    • harm caused by health-care errors and system
    failures.
    • lessons about error and system failure from
    other industries.
    • history of patient safety and the origins of the
    blame culture.
    • difference between system failures, violations
    and errors.
    • a model of patient safety

    4/9/2021 What is patient safety? 3


    Performance requirements
    • apply patient safety thinking in all clinical
    activities.
    • demonstrate ability to recognize the role of
    patient safety in safe health-care delivery.

    4/9/2021 What is patient safety? 4


    WHO Patient Safety Topics

    4/9/2021 What is patient safety? 5


    What is Patient Safety?
    • Patient Safety is a health care discipline
    that emerged with the evolving complexity
    in health care systems and the resulting
    rise of patient harm in health care facilities.

    4/9/2021 What is patient safety? 6


    What is Patient Safety?
    • It aims to prevent and reduce risks, errors
    and harm that occur to patients during
    provision of health care.
    • A cornerstone of the discipline is
    continuous improvement based on
    learning from errors and adverse events.

    4/9/2021 What is patient safety? 7


    • Patient safety is fundamental to delivering
    quality essential health services.

    • Indeed, there is a clear consensus that


    quality health services across the world
    should be effective, safe and people-
    centred.

    4/9/2021 What is patient safety? 8


    To realize the benefits of quality health care,
    health services must be

    4/9/2021 What is patient safety? 9


    IOM's Six Quality Aims For Healthcare
    To ensure successful implementation of
    patient safety strategies; are all needed:
    • clear policies
    • leadership capacity
    • data to drive safety,
    • skilled health care professionals and
    • effective involvement of patients in their
    care.

    4/9/2021 What is patient safety? 10


    Harm caused by health-care
    errors and system failures
    We should know what is the:
    • extent of adverse events
    • categories of adverse events
    • economic costs
    • human costs

    4/9/2021 What is patient safety? 11


    Lessons about error and system
    failure from other industries

    When a large-scale technological disasters:


    • what investigations showed?
    • what is a systems approach?

    4/9/2021 What is patient safety? 12


    Swiss cheese model

    Why do interns make prescribing errors? A qualitative study MJA 2008; 188 (2): 89-94
    Ian D Coombes, Danielle A Stowasser, Judith A Coombes and Charles Mitchell
    Adapted from Reason’s model of accident causation
    4/9/2021 What is patient safety? 13
    History of patient safety and
    origins of the blame culture
    • blame culture in health care
    • Why do we blame?
    • person approach
    • systems approach

    4/9/2021 What is patient safety? 14


    Difference between system
    failures, violations and errors

    • professional accountability
    • Violations ‫اإلنتهاك‬
    • types of violations

    4/9/2021 What is patient safety? 15


    A model of patient safety
    1. Those who work in health care.
    2. Those who receive health care or have a
    stake in its availability.
    3. The infrastructure of systems for
    therapeutic interventions (health-care
    delivery processes).
    4. The methods for feedback and continuous
    improvement.
    4/9/2021 What is patient safety? 16
    4/9/2021 What is patient safety? 17
    What is Safety Culture?
    • Perceived priority of
    safety relative to other
    goals CULTURE
    • Culture is the compass
    team members use to
    guide their behaviors, BEHAVIOR
    attitudes, and ON THE JOB
    perceptions on the job
    – What will I get
    praised ‫ مدح‬for? OUTCOMES
    – What will I get Patient and Family Safety
    reprimanded ‫ توبيخ‬for? Care Provider Safety
    – What is the “right”
    thing to do?

    4/9/2021 What is patient safety? 18


    Core Aspects of Safety Culture

    Schein E. Organizational culture and leadership, 4th edition. San


    Francisco, CA: Jossey-Bass; 2010.
    4/9/2021 What is patient safety? 19
    Knowledge & Expertise
    Patients Clinicians

    • experience of illness • diagnosis disease


    • social circumstances • etiology
    • attitude to risk • prognosis
    • values • treatment options
    • preferences • outcome
    probabilities
    Coulter A Picker Institute 2001

    4/9/2021 What is patient safety? 20


    Students should:
    • understand the multiple factors involved in
    failures
    • avoid blaming
    • practise evidenced-based care
    • maintain continuity of care for patients
    • be aware of the importance of self-care
    • act ethically everyday

    4/9/2021 What is patient safety? 21

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