Intro to Health Care & Patient Safety
Questions and answers
To Err is Human - ✅✅IOM study says 44,000-98,000 patients die each year as a result of errors in
their care
1. there is a serious problem 2. its not the work force 3. we can fix it
Transparency , Compassion & Truth in Med. Errors - ✅✅Leilani Schweitzer
Serious Reportable Events - ✅✅1. Surgical events (wrong body part or patient)
2. Product or Device Events (alarms)
3. Patient Protection (suicide in hospital...wrong baby to family)
4. Care Management (medication error)
5. Environmental Events (electric shock, fire)
6. Criminal Events ( harms patient purposely)
Preventable Adverse Events - ✅✅1. Wrong surgery (site, patient, procedure)
2. Retained foreign body left at surgery
3. Surgical site infection without indicated antibiotic prophylaxis
4. Blood or transplant organ incompatibility
5. Transmission of an infection agent to a patient (MRSA)
6. Administering incorrect medication or dosage
7. In-hospital trauma (falls...burns)
8. Deep venous thrombosis or pulmonary embolus without appropriate prophylaxis
9. Pressure ulcers
10. Catheter-acquired infections
What is patient safety? - ✅✅-developing active networks of patients & providers
- sharing experiences
-learning from failure and pro-active risk assessments
-facilitating effective evidence-based care
Questions and answers
To Err is Human - ✅✅IOM study says 44,000-98,000 patients die each year as a result of errors in
their care
1. there is a serious problem 2. its not the work force 3. we can fix it
Transparency , Compassion & Truth in Med. Errors - ✅✅Leilani Schweitzer
Serious Reportable Events - ✅✅1. Surgical events (wrong body part or patient)
2. Product or Device Events (alarms)
3. Patient Protection (suicide in hospital...wrong baby to family)
4. Care Management (medication error)
5. Environmental Events (electric shock, fire)
6. Criminal Events ( harms patient purposely)
Preventable Adverse Events - ✅✅1. Wrong surgery (site, patient, procedure)
2. Retained foreign body left at surgery
3. Surgical site infection without indicated antibiotic prophylaxis
4. Blood or transplant organ incompatibility
5. Transmission of an infection agent to a patient (MRSA)
6. Administering incorrect medication or dosage
7. In-hospital trauma (falls...burns)
8. Deep venous thrombosis or pulmonary embolus without appropriate prophylaxis
9. Pressure ulcers
10. Catheter-acquired infections
What is patient safety? - ✅✅-developing active networks of patients & providers
- sharing experiences
-learning from failure and pro-active risk assessments
-facilitating effective evidence-based care
