Culture of Safety - ANSCommitment to protection in any respect stages
"Blame-loose" environment encourages
reporting of errors and "near misses"
Collaboration across tiers and
disciplines
Allocation of assets to guide
safe exercise
AHRQ's 8 Common Root Causes of Medical Errors - ANS1. Communication
2. Inadequate Information Flow
three. Human Problems- r/t tactics, regulations, and strategies no longer being followed
4. Patient Related Issues- no longer figuring out patient, no longer getting suitable consent
five. Organizational Transfer of Knowledge- insufficient schooling and education of recent
employees
6. Staffing Patterns and Workflow- understaffing
7. Technical Issues- Failures of clinical gadgets
eight. Inadequate Policies- system issues
• Safe: Preventing accidents to patients from the care this is supposed to help them
• Timely: Reducing waits and occasionally dangerous delays for both folks who receive and
those who deliver care
• Effective: Providing offerings primarily based on medical know-how to all who should
advantage, and refraining from supplying offerings to the ones no longer probable to advantage
• Efficient: Preventing waste, inclusive of waste of gadget, elements, ideas, and power
• Equitable: Providing care that doesn't vary in high-quality because of personal characteristics,
inclusive of gender, ethnicity, geographic vicinity, and socioeconomic reputation
• Patient targeted: Providing care this is respectful of and aware of man or woman affected
person alternatives, wishes, and values and making sure that patient values guide all clinical
choices
, Goals of STEEEP - ANS1. Improve fitness of the population
2. Enhance experience and outcomes of sufferers
3. Reduce prices
10 Principles to Redesign Health Care - ANS1. Care is primarily based on continuous healing
relationships
2. Care is custom designed in step with the affected person desires and values
three. Patient is supply of control
4. Knowledge is shared and flows freely
five. Decision-making is proof based totally
6. Safety is a device precedence
7. Transparency is essential
8. Needs are predicted
9. Waste is constantly reduced
10. Cooperation amongst clinicians is a concern
Components of HealthCare Safety - ANS1. Leadership Commitment
2. Interdisciplinary participation
3. Evidence based
4. Education
5. Just culture
6. Patient Centered Care
Leadership dedication and healthcare safety - ANSEveryone from the top to bottom desires to
be devoted to protection
Interdisciplinary participation and healthcare safety - ANSEvery member of the team have to be
secure which include house responsibilities. Falls are a health center extensive trouble and
even home tasks can assist prevent them
Evidence primarily based and healthcare safety - ANSEBP wishes for use in developing a
safety plan for most suitable effects
Education and healthcare protection - ANSStaff want to be educated at the protection software
and updated frequently
Just subculture and healthcare protection - ANSApproach to reporting medical occasions
wherein learning and training are emphasised instead of punishment or blame. This lets in
human beings to experience more relaxed bringing to mild issues with protection.
Patient Centered Care and healthcare protection - ANSPartnership with the affected person to
improve protection. The affected person want to be knowledgeable to have the expertise to help
set goals and make decisions.
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