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    Patientsafety (Topic1)

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    PIH SHT
    This document discusses patient safety. It begins by defining patient safety as a discipline that aims to prevent risks, errors, and harm during healthcare. The document then lists several learning objectives related to understanding patient safety. It provides a brief history of patient safety and the evolution from a blame culture to a systems approach. The document discusses various models of patient safety and quality improvement. It emphasizes the importance of clear policies, leadership, data, skilled professionals, and patient involvement in ensuring successful strategies. Overall, the document serves to introduce the key concepts and goals of patient safety.

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    © All Rights Reserved
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    Patientsafety (Topic1)

    Uploaded by

    PIH SHT
    17 views21 pages
    This document discusses patient safety. It begins by defining patient safety as a discipline that aims to prevent risks, errors, and harm during healthcare. The document then lists several learning objectives related to understanding patient safety. It provides a brief history of patient safety and the evolution from a blame culture to a systems approach. The document discusses various models of patient safety and quality improvement. It emphasizes the importance of clear policies, leadership, data, skilled professionals, and patient involvement in ensuring successful strategies. Overall, the document serves to introduce the key concepts and goals of patient safety.

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    This document discusses patient safety. It begins by defining patient safety as a discipline that aims to prevent risks, errors, and harm during healthcare. The document then lists several learning objectives related to understanding patient safety. It provides a brief history of patient safety and the evolution from a blame culture to a systems approach. The document discusses various models of patient safety and quality improvement. It emphasizes the importance of clear policies, leadership, data, skilled professionals, and patient involvement in ensuring successful strategies. Overall, the document serves to introduce the key concepts and goals of patient safety.

    Copyright:

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

    Patientsafety (Topic1)

    Uploaded by

    PIH SHT
    This document discusses patient safety. It begins by defining patient safety as a discipline that aims to prevent risks, errors, and harm during healthcare. The document then lists several learning objectives related to understanding patient safety. It provides a brief history of patient safety and the evolution from a blame culture to a systems approach. The document discusses various models of patient safety and quality improvement. It emphasizes the importance of clear policies, leadership, data, skilled professionals, and patient involvement in ensuring successful strategies. Overall, the document serves to introduce the key concepts and goals of patient safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 21

    Topic 1

    What is patient safety?


    Moustafa Abdelnasser
    Professor of Microbiology & Immunology
    Faculty of Medicine, Al-Azhar University
    Diploma of TQM, Master of Health Profession
    1
    Education
    Learning objective

    • Understand the discipline of patient safety.


    • Introduce the history of patient safety.
    • List patient safety goals.
    • Clarify its role in minimizing the incidence
    and impact of adverse events.

    3
    Learning objective

    • Apply patient safety thinking in all clinical


    activities
    • Recognize the role of patient safety in safe
    healthcare delivery.

    4
    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.

    5
    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.
    • Patient safety is fundamental to delivering
    quality essential health services.

    6
    To realize the benefits of quality health care,
    health services must be

    7
    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.

    8
    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

    9
    History of patient safety and
    origins of the blame culture
    • Why do we blame?
    • Person approach
    • System approach

    10
    Person approach
    (Blame culture)
    • The way we have traditionally managed
    failures and mistakes in health care has
    been called the person approach.
    • We single out the individuals directly
    involved in the patient care at the time of
    the incident and hold them accountable.

    11
    System approach
    (No Blame- “Just” culture)
    • Just (Fair) culture adopt a no blame
    approach that focuses on the system that
    led to the error rather than on the
    individual.

    12
    Swiss cheese model

    13
    A model of patient safety
    (healthcare system is divided into four main domains)

    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.
    14
    15
    Core Aspects of Safety Culture

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


    Francisco, CA: Jossey-Bass; 2010.
    16
    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

    17
    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

    18
    19
    SOURCES OF LEARNING
    -WHO Patient Safety/Curriculum Guide for Medical Schools 2009
    -Egyptian Neonatal safety training network standards for NICU at
    www.egyneosafety.net and www.researchgate.com
    https://www.researchgate.net/publication/322831357_Egyptian_Neonatal_Safet
    y_Standards
    -Egyptian Neonatal safety training network ;scientific content of the physician
    course at www.egyneosafety.net and www.researchgate.com
    • https://www.researchgate.net/publication/322831567_NICU_Patient_Safety
    _Course_Scientific_Content
    - WHO patient safety solutions. www.who.int/patientsafety/solutions/en/.
    - The web site www.webmm.ahrq.gov has case archives that can be used for
    potential case studies that may be helpful in your teaching.
    - Institute for Safe Medication Practices at www.ismp.org.
    -National Patient Safety Agency at www.npsa.nhs.uk.

    20
    Books
    -Vicente K. The human factor. London, Routledge,
    2004:195–229.
    -Cooper N, Forrest K, Cramp P. Essential guide to
    generic skills. Blackwell Publishing, 2006.
    -Institute of Medicine. Preventing medication
    errors: quality chasm series. Washington, DC,
    National Academy Press, 2006
    (http://www.iom.edu/?id=35961).

    21

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