Patient Safety

Patientsafety

Reports in medical literature indicate that large number of deaths occur world over (many even go un-reported) due to errors in medical care which are otherwise preventable.

Patient Safety has become one of the most important factors in the healthcare and concerns equally to all the stakeholders. Ensuring patient safety requires open communication between physicians, hospital staff, patients and their families. It is our belief that everyone has a role in patient safety and in creating a safety culture in the hospital.

AHPI will educate members on all aspects of patient safety. It will provide comprehensive guidance on Patient Safety Protocols. It will initiate development of Standard Treatment Guidelines based on evidence based clinical pathways.

Safety Culture can be implemented if following initiatives are taken:-

    • Leadership Initiative

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      Improving patient safety should be among the highest priorities of healthcare leaders and managers. Healthcare executives should embrace error reduction as a key strategic priority and make patient safety improvement an ongoing active process in their organizations.

      To achieve reduction in healthcare errors, requires concerted efforts in terms of infrastructure, creating a culture of safety, implementing error reporting systems, providing safety training, to name a few.

      Patient safety work should be built into the schedule of healthcare executives and managers and this work should be regularly reviewed with the management team. Healthcare CEOs and senior clinical leaders need to be present and engaged when patient safety issues are discussed.

      Healthcare leaders should strive to make their management teams and staffs take ownership for improving patient safety.

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      Organizational commitment

      Patient safety Improvement activities should be led by committed leadership and supported by dedicated resources. Patient safety improvement program encourages the identification of errors and hazards; evaluates their causes; and then takes appropriate action to improve performance. Safety Practices should be reviewed on a regular interview to ensure the implementation.

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      Culture of safety

      A healthcare culture of safety should be an integrated part of individual and organizational philosophy and values that identifies hazards and risk that result from the process of care.

      A healthcare culture of safety promotes understanding and reporting of the errors and incidents. Culture of safety facilitates reporting of errors and safety concerns in a non-punitive environment as culture ensures analysis of the incidents and errors which help in improvement of the healthcare processes.

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      Routine audits and proactive Risk assessment of the Hazards

      Healthcare providers should routinely conduct self-assessments, or audits, to identify error-prone or high-risk processes, systems, or settings. A proactive Risk assessment ensures the hazards and by which risks get identified before they occurs. This should be done for all the clinical, Managerial, infrastructure processes.

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      Implementation of safe practices and Identified Improvement

      Safe practices are published and shared by National and International accreditation agencies which should be implemented and practiced by organizations to ensure a error proof processes. All identified Improvement after analysis of incidents and errors should be implemented across hospital and reviewed to ensure the implementation and sustainability of the process.

    PATIENT SAFETY GOALS:-

    The following are the International patient safety goals and Implementation of these reduces many Healthcare errors:-

    • Identify Patients Correctly

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      Patient identification is an important process while providing any services. Using of two identifiers is the best practices as patient's location or room number alone is not the right way in identifying a patient.

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      Improve Effective Communication

      Follow a verification process like read back or repeat back to ensure all the orders verbal or telephonic are verified before administering.

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      Improve the Safety of High-alert Medications

      To avoid medication error, storage and administration of all high Alert medication (concentrated electrolytes, including, but not limited to, potassium chloride, potassium phosphate, sodium chloride >0.9%) are ensured as per the protocol.

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      Eliminate Wrong-side, Wrong-patient, Wrong-procedure Surgery

      To eliminate Wrong-side, Wrong-patient, Wrong-procedure, time out procedure has to be followed.

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      Reduce the Risk of Health Care–acquired Infections

      To reduce the HAI, Hand Hygiene process and guideline has to be implemented and all caregiver should be educated and trained about the same.

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      Reduce the Risk of Health Care–acquired Infections

      To decrease or eliminate any identified risks of patients falling, Assess and periodically reassess the potential risk associated with the patients.

      Safety culture has to be established in all the Healthcare Organizations to eliminate risk to the patients during the care process and ensure the safety to all the patients, family and staff.