PATIENT SAFETY AND QUALITY IN HEALTHCARE Flashcards
what is patient safety? according to Institute of medicine
freedom from accidental injury due to medical care or from medical error
what is patient safety?
according to the national patient safety foundation
the prevention of healthcare errors, and the elimination of mitigation of patient injury caused by healthcare errors
what percentage of patients experience harm in ambulatory care settings?
40%
from the 40% of patients that experience harm in ambulatory care settings, what percentage can be prevented?
80%
What’s Murphy’s Law?
If anything can go wrong, it will go wrong
Hippocratic oath - date
5th century BC
Hippocrates said
“Primum non nocere”
First, do no harm!
Why do errors happen in health care?
communication
training
patient assessment
staffing levels
availability of info
competency
procedural compliance
physical environment
continuum of care
organizational culture
alarm systems
steps to minimize medical error
education and training
rules and policies
reminders, checklists and double checks
simplifications and standardization
automation and computerization
forcing function
PERSON focused strategies to decrease patient safety incidents
education
policies/rules
communication, team work and reporting
checklists
(this are less effective than the system ones)
SYSTEM focused strategies to decrease patient safety incidents
checklists
simplification/standardization
constraints
forcing functions
what are forcing functions and constraints?
ej. information bracelets and colored cables
what are checklists?
listas que se hacen para verificar que se haga todo lo que se debe hacer
what is simplification and standardization?
eliminate de complexity of procedures and make standardized ones for everyone to follow
important factors for patient safety and quality
communication and team work
policies and rules
education
