Keterangan
Patient Safety is a medical speciality that has risen as a result of the healthcare systems' increasing complexity and the consequent rise in patient injuries in healthcare facilities. It tries to avoid and minimize risks, mistakes, and harm to patients throughout the delivery of healthcare. The development of adverse outcomes owing to improper care is likely one of the 10 major causes of mortality and disability . Upto 4 out of 10 patients experience injury when receiving primary and outpatient care globally. Up to 80% of injury is avoidable.
The provision of top-notch, critical healthcare services depends on maintaining patient safety. Indeed, there is broad agreement that effective, secure, and person-centered health care should be provided everywhere.
Ringkasan
- Patient safety is defined as preventing errors and adverse effects associated with healthcare. While complete error elimination may be impossible due to the labor-intensive, multi-disciplinary nature of healthcare, systematic prevention is crucial. Errors should never be acceptable.
- Safe surgical procedures are a key area of focus. Wrong-site surgeries remain a significant problem, even in developed countries. Universal Protocol addresses this with preoperative verification, surgical site marking, timeout procedures, and sign-out protocols.
- Preoperative verification involves confirming the patient, procedure, and site with the patient or by checking the wristband. It also ensures required documents, studies, blood products, medical equipment, and implants are readily available for the surgeons. Surgical site marking includes the site, an unambiguous symbol and that the person performing the procedure is the one marking the site.
- The timeout happens immediately before the incision; the operating team listens to the circulating nurse, and they confirm the patient, procedure, and the side. Sign out happens when the procedure is completed; the name and completion of the procedure is read out to the medical team and all specimens are labeled with the name and confirmed with the team.
- Culture of safety fosters mutual trust, allowing staff to discuss and solve safety problems without fear of reprisal. It contrasts with a "culture of blame," where fear inhibits open communication. In an organization with a culture of safety when something goes wrong, the goal is to remain calm and not panic, they focus on what can be done to mitigate the problem and not what has already happened.
- Just culture acknowledges human error and addresses reckless behaviors. It differentiates between unintentional mistakes and willful disregard for safety protocols and this type of culture promotes continuous learning from mistakes. A survey that can be given to medical staff to assess the culture of safety in the organization, and they will give a rating and comments.
- Continuous monitoring is essential for improvement. Dr. Ducker's quote states "you can't improve what you don't measure". Monitoring can start with patient safety solutions. It is very important to validate the data to make sure it is correct and accurate.
- Patient safety is a continuous journey, not a one-time activity. The dynamic nature of healthcare demands constant improvement in processes and systems to prevent patient harm. It is crucial to keep in mind the diversity and continuous change of the healthcare industry.
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