Onboarding Module - umiami.csod.com

1 Patient Safety InitiativesOnboarding Module1 Patient Safety InitiativesWelcome to the UHealth Patient Safety Initiatives 2021 Approximate Duration:40 minutesFor more information or questions about this subject, please contact the appropriate Quality Department: ABLEH/ Bascom PalmerUMHC / SylvesterUHealth PhysicianPractice Plan(UMMG)University of Miami Hospital305-326-6325305-243-3718 305-243-8423305-326-63252 Patient Safety InitiativesPatient SafetyPatient safety is a UHealth are committed to improving patient safety through: Adoption of best practices and technologies Patient involvement Timely response and communication3 Patient Safety InitiativesObjectivesAt the conclusion of this Computer-Based Learning (CBL) Module , the participant will be able to: Identify UHealth Patient Safety Initiatives Describe strategies that promote patient safety Understand interdisciplinary responsibility forpatient safety compliance Deliver safe medical practices through medical error prevention4 Patient Safety InitiativesPatient Safety The UHealth Patient Safety Program has several components.

2 OThe Joint Commission National Patient Safety Goals oFacilities Safety refer to the "Environment-of-Care" CBL oRisk Management Program refer to the Risk Management CBL 5 Patient Safety InitiativesPatient Safety Employees are encouraged to report safety or quality of care concerns to their immediate supervisor, the Patient Safety Officer, or the Environment-of -Care Safety Officer. Employees can also report safety/quality concern(s) to the Joint Commission (TJC) call toll free: (800) 994-6610, without fear of disciplinary/punitive action from the organization. 6 Patient Safety Initiatives7 Patient Safety InitiativesNational Patient Safety Goals (NPSG) Are based on shared responsibility among clinical departments for compliance Are based on many years of analyzing patient-related injuries or deaths Are the result of feedback from many clinical disciplines, including Pharmacy, Medicine, Nursing, Laboratory andRadiology 8 Patient Safety InitiativesNational Patient Safety Goals (NPSG)

3 Reduce errors in patient care Result from many years of analyzing patient-related injuries or deaths Foster a culture of safety Support a shared responsibility among clinical departments9 Patient Safety InitiativesNational Patient Safety Goal Components Identify patients correctly Improve staff communication Use medicines safely Use alarms safely Prevent infections Identify patient safety risks Prevent mistakes in surgery Prevent mistakes in invasive procedures10 Patient Safety InitiativesNational Patient Safety Goal Identify Patients two patient identifiers: Patient Name Date-of-BirthWhen administering medications, blood, or blood components, collecting blood samples or other specimens for clinical testing, and providing treatments or procedures.

4 Please Note: For Blood Administration, Patient Name and Medical Record Number are used for patient Safety InitiativesNational Patient Safety Goal Identify Patients Correctly2. Label containers used for blood and other specimens in the presence of the patient. The patient s room number or physical location is NOTused as an identifier. 12 Patient Safety InitiativesNational Patient Safety Goal Identify Patients Correctly13 Patient Safety InitiativesNational Patient Safety Goal Identify Patients transfusion errors related to patient misidentification. Before initiating blood or blood component transfusion: the blood or blood component to the order. the patient to the blood or blood component. a two-person verification process.

5 The second individual in the identification verification is qualified to participate in the process. 14 Patient Safety InitiativesNational Patient Safety Goal Improve Staff CommunicationReport critical results of tests and diagnostic procedures in a timely basis. Communicating critical results in a timely manner decreases the risk of serious harm or even death related to: Abnormal radiology results Abnormal levels of laboratory tests Significant pathology results 15 Patient Safety InitiativesNational Patient Safety Goal Improve Staff CommunicationCommunication breakdown, whether between care providers or between care providers and their patients, is the primary root cause of nearly 3,000 sentinel events (unexpected deaths and catastrophic injuries) reported to The Joint Commission.

6 16 Patient Safety InitiativesNational Patient Safety Goal Use Medicines all medications, medication containers, and other solutions, on-and-off the sterile field, in the perioperative and procedural settings, that are: transferred from the original packaging to another container not administered immediately Note: An immediately administered medication is one that an authorized staff member prepares or obtains, takes directly to a patient, and administers to that patient without any break in the Safety InitiativesNational Patient Safety Goal Use Medicines Safely2. Label all medications/solution, medication containers, and other solutions, on-and-off the sterile field, in the perioperative and procedural settings, with the: Medication name, strength, quantity, diluent and volume Expiration date when not used in 24 hours Expiration time when expiration occurs in less than 24 hours.

7 3. Verify all medication or solution labels both verbally and visually. Verification is done by two individuals qualified to participate in the procedure, whenever the person preparing the medication or solution is not the person who is administering it. 18 Patient Safety InitiativesNational Patient Safety Goal Use Medicines Safely4. Label each medication as soon as it is prepared, unless it is immediately administered. 5. Immediately discard any medication or solution found Remove all labeled containers on the sterile field and discard their contents at the conclusion of the procedure. 7. All medications and solutions, both on-and-off the sterile field and their labels, are reviewed by entering and exiting staff responsible for the management of medications.

8 19 Patient Safety InitiativesNational Patient Safety Goal Use Medicines SafelyReduce the likelihood of patient harm associated with the use of anticoagulant therapy. only oral unit-dose products, pre-filled syringes, or pre-mixed infusion bags when these types of products are available. approved protocols for the initiation and maintenance of anticoagulation therapy. starting a patient on warfarin, assess the patient s baseline coagulation status and use the INR to adjust this therapy. The baseline status and current INR are documented in the medical potential food and drug interactions for patients receiving is administered intravenously and continuously; use programmable pumps in order to provide consistent and accurate dosing.

9 And on-going laboratory tests are required for education regarding anticoagulation therapy to patients and families, including the importance of follow-up monitoring, compliance, drug-food interactions, and the potential for adverse drug reactions and Safety InitiativesNational Patient Safety Goal Use Medicines Safely: Medication ReconciliationMaintain and communicate accurate patient medication information on the medications the patient is currently taking when admitted to the hospital or seen in an outpatient setting. the medication information the patient brought to the hospital with the medications ordered for the patient while in the hospital, in order to identify and resolve discrepancies. the patient and/or family with written information regarding the importance of managing the medications, when patient is discharged from the hospital or at the end of an outpatient encounter.

10 The patient to bring their up-to-date medication list at every visit to a doctor. 21 Patient Safety InitiativesNational Patient Safety Goal Use Alarms Safely Monitor patients through the appropriate use of clinical alarms Respond to clinical alarms, in a timely manner Ensure that clinical alarms on medical equipment are heard and responded to, on timeRefer to Environment of Care Module22 Patient Safety InitiativesPurpose:To promote the monitoring of patients through the appropriate use and timely response to clinical alarms National Patient Safety Goal Use Alarms SafelyDefinition:Components of the medical devices used for physiological evaluation of the patient that provide essential warnings (visible/audible) to alert caregivers of changes in patient condition.