PATIENT SAFETY - PowerPoint PPT Presentation

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PATIENT SAFETY

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Amharic English. Arabic French. Chinese Cree. Ojibway Oji-Cree. Eritrean ... Tagalog 15 languages! PHASE 2, ISTA. Medication Card. Patient Safety is achievable! ... – PowerPoint PPT presentation

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Title: PATIENT SAFETY


1
PATIENT SAFETY through COMMUNICATION Ma
rch 11, 2008
2
  • BACKGROUND on MIPS
  • Independent, non-profit corporation
  • Created in May 2004
  • Governed by 12 member board
  • Majority (7) elected by our membership and 5
    appointed by Minister of Health
  • Board citizens, providers, administrators

3
  • MISSION
  • To promote patient safety and quality health care
    for Manitobans

4
Objective 1 Promote patient safety activities in
Manitoba health care system.
5
Objective 2 Identify emerging patient safety
quality care issues.
6
Objective 3 Promote best practices in patient
safety.
7
Objective 4 Raise awareness of patient safety
issues.
8
MIPS PATIENT ADVISORY COMMITTEE MPAC
9
MPAC
  • Provide a voice for patients/families interested
    in patient safety its promotion in healthcare
    settings
  • Do activities to promote MIPS mission
    objectives
  • Create long-term strategies for patient family
    involvement in MB Health care system

10
FACTS
  • Canadian Adverse Events Study (2004)
  • The results suggest that, of the almost 2.5
    million annual hospital admissions in Canada
    similar to the type studied, about
  • 7. 5 (185,000) of adult hospital admissions
    (acute care) resulted in an adverse event
  • Of these, 37 (70,000) were considered
    preventable, and
  • 9000-24000 died.

11
Safety in Long-Term Care Settings (2008)Wagner
Rust
FACTS
  • Accidental injury - most common adverse event
    among nursing home residents with dementia
    psychosis
  • Falls - most frequently reported adverse event in
    LTC settings
  • Medications- 42 of all adverse drug events
    preventable

12
  • Patient safety is everyones responsibility.

13
  • PATIENT SAFETY IS A COMMON GOAL
  • Reduce preventable harm to patients
  • Provide the safest quality care possible

14
DO I PROMOTE PATIENT SAFETY?
  • Ask yourself
  • Do I value resident safety?
  • Do I communicate effectively with residents
    their families?
  • Do I do all that I can to promote patient safety
    in my organization?

15
ACTION CHECKLIST(Reality Check)
  • Do I
  • Communicate in respectful open, honest manner
    daily?
  • Communicate regularly with families HC team?
  • Provide families with timely health information?
  • Use plain language and visual clues when
    discussing the patient with families?
  • Regularly ask families to clarify what was
    discussed?

16
ACTION CHECKLIST
  • DO I
  • Encourage families to ask questions?
  • Discuss patient safety with families HC team?
  • Look for latent safety threats every day?
  • Report/disclose any errors or potential errors
    that may impact on patients?
  • DO I PROMOTE PATIENT SAFETY??

17
BUILDING BLOCKS TOPATIENT SAFETY
18
  • BUILDING BLOCKS TO PATIENT SAFETY

Communication
19


Communication
Patient Safety
20
COMMUNICATION
  • Why is it important?
  • Bridge between HC providers, patients/ families
    rest of HC team to achieve patient safety
    quality care.

21
  • Communication
  • Root cause of 70 of sentinel events reported to
    the Joint Commission, US.

22
WHAT TYPE OF COMMUNICATION IS NEEDED ?
  • Verbal Non-Verbal
  • Respectful
  • Honest
  • Mutually trusting
  • Accepting
  • Empathetic

23
COMMUNICATION
  • Interdisciplinary
  • Engage family
  • Care planning
  • Reporting/disclosing incidents
  • Medication safety
  • Critical to culture of safety
  • Timely shared

24
  • BUILDING BLOCKS TO PATIENT SAFETY

Action
Communication
25
  • What can you-Health Care Provider- do?

26
ACTIONS OF HEALTH CARE PROVIDERS
  • Open two-way communication
  • Ongoing involvement
  • Ongoing sharing
  • Teamwork
  • Advocate for Culture of Patient Safety

27
  • ACTION
  • OPEN TWO-WAY COMMUNICATION
  • Talk with families/care givers.
  • Listen to families/care givers.
  • Talk with HC team.
  • Listen to HC team.

28
  • ACTION
  • ONGOING INVOLVEMENT
  • Families/care givers in health decisions
  • Health care team
  • Upper management

29
  • ACTION
  • ONGOING SHARING of
  • Patient information
  • Importance of patient safety
  • Latent threats to patient safety
  • Reporting/disclosure of adverse events
  • With
  • Families/care givers
  • Rest of HC team

30
  • ACTION
  • TEAMWORK
  • Effectively collaborate with others
  • Give and receive feedback on performance
  • No Blame approach to incident reporting
    analysis

31
  • ACTION
  • 5. ADVOCATE - CULTURE of PATIENT SAFETY
  • Be a site champion
  • Stay positive
  • Involve families in important decisions
  • Be persistent

32
  • BUILDING BLOCKS TO PATIENT SAFETY

Support
Action
Communication
33
  • SUPPORT
  • Is there a patient safety culture?
  • Is patient safety
  • A top priority in your organization among
    leaders?
  • Viewed as a positive concept?
  • The focus of attention for all organizational
    activities?

34
  • SUPPORT
  • Is there a collaborative environment?
  • Blame-free reporting system
  • Proactive approach (errors/problems anticipated)
  • Share information (3 Cs)
  • Accountability - safety is everyones
    responsibility
  • Monitoring of situations actions taken

35
  • SUPPORT
  • Are families/care givers involved in process of
    patient safety improvement?
  • Is there a clear organizational policy?
  • Are there adequate resources to respond to
    identified concerns?

36
SUPPORT
  • For residents,
  • Balance
  • Patient Safety Quality of Life/
  • Independence

37
TOOL for FAMILIES HC PROVIDERS
  • Is It Safe to Ask?
  • ISTA

38
  • Its Safe to Ask
  • Offers information and tips
  • for providers and patients/families to
  • Enhance clear communication
  • Make care a more positive experience
  • Increase health literacy
  • Help reduce adverse events

39
  • Its Safe to Ask (ISTA) Target Groups
  • Public Groups in Manitoba (such as elderly, low
    literacy, people with disabilities)
  • Health care providers

40
  • Its Safe to Ask
  • What is my health problem?
  • What do I need to do?
  • Why do I need to do this?

41
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42
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43
  • What are the values behind in ISTA?
  • Know your rights as patients/families.
  • Personal Health Information Act (PHIA)
  • Right of patient to receive healthcare
    instructions and information in a way they/care
    givers can understand. (Standards for PCH 1 Pte
    Bill of Rights)
  • Ask questions.

44
  • What is MPAC telling families/care givers?
  • Communicate with HC providers
  • Ask questions
  • Learn some medical terminology
  • Seek credible resources
  • Gain support

45
  • Material translated into
  • Amharic English
  • Arabic French
  • Chinese Cree
  • Ojibway Oji-Cree
  • Eritrean German
  • Korean Punjabi
  • Russian Spanish
  • Tagalog 15 languages!

46
  • PHASE 2, ISTA
  • Medication Card

47
  • Patient Safety is
    achievable!
  • Everyone must be willing to

Support
Act
Communicate
48
Look for windows of opportunity
49
  • FAMILY STORIES

50
  • www.mbips.ca
  • www.safetoask.ca

51
COMING TOGETHER IS A BEGINNING. KEEPING TOGETHER
IS PROGRESS. WORKING TOGETHER IS
SUCCESS. Henry Ford
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