PATIENT SAFETY Dr Desalegn Addisu Alemu Sandra Kemp

AFRICAN PARTNERSHIPS FOR PATIENT SAFETY 2009 – The World Health Organisation met with the Ministers of Health of 46 African Countries and agreed to take action on Patient Safety – Gondar University Hospital and the University Hospitals of Leicester were chosen as partners to become first wave implementers.

PATIENT SAFETY ACTION AREAS There were 12 action areas and Gondar selected 5 priorities: 1.IPC – Hand Hygiene 2.Safe Surgical Care 3.Health Care Worker Protection 4.Health Care Waste Management 5.Research

IPC HAND HYGIENE WHAT DO WE DO WELL? Staff training 2 x Pharmacists went to Malawi to learn how to make Alcohol Based Hand Rub. Small manufacturing unit established at Gondar Hospital Appointed full time IPC Nurse Obtained appropriate equipment CLINICAL AUDIT

IPC HAND HYGIENE HOW CAN WE IMPROVE? Team Working Training All Health Care staff involvement Reminders in the Workplace Perform evidence based practice. Share our knowledge

SAFE SURGICAL CARE WHAT DO WE DO WELL? Train appropriate staff Put experience and learning into the context of Gondar from UK experience Encourage staff to take responsibility for the implementation Encourage sharing of experience Encourage ownership of future progress

SAFE SURGICAL CARE HOW CAN WE IMPROVE? 2 way communication between Gondar and UK Team Working Share evidence based practice Involve appropriate staff Commitment from all staff – short, medium and long term

HEALTHCARE WORKER PROTECTION WHAT DO WE DO WELL? Train 1 x Doctor Support for 1 x Nurse and 2 x Health and Safety Officers Introduce Hepatitis B Vaccinations for all Hospital staff Appoint a full time Occupational Health Nurse. Work as a team

HEALTH CARE WORKER PROTECTION WHAT CAN WE IMPROVE? Share Information and knowledge Communication to all staff Improve Sharps Safety Work in partnership with the Health and Safety team Involve all staff

HEALTH CARE WASTE MANAGEMENT WHAT DO WE DO WELL? Trained staff in the UK Improved the environment Improved some waste disposal Involved patients and their carers in safe disposal of waste e.g. food, dressings, etc

HEALTH CARE WASTE MANAGEMENT HOW CAN WE IMPROVE? Team Working Sharing good practice Policies and guidelines Sharing information and knowledge

HAND HYGIENE AND OCCUPATIONAL HEALTH THET GRANT OF £ / BIRR 15 MONTH TIMESCALE PARTNERSHIP WORKING INVOLVES THE WHOLE HOSPITAL MANAGEMENT SUPPORT GOOD COMMUNICATION CELEBRATE SMALL SUCCESSES