Pilot Data Over 50% of reports not coded

Slides:

Advertisements

Similar presentations

We don’t want you to FALL. Illness, medicines, tests or surgery can make you dizzy or weak. You may not be as strong as you feel. IT’S OK TO ASK for help.

Advertisements

Patient Safety What is it? Why is it important? What are we doing? What is my part to play?

The Patient Safety Challenge in the UK Dr Kevin Cleary Medical Director National Patient Safety Agency.

Introduction Medication safety is a critical aspect in improving the health of individuals and increasing their quality of life. When used in the proper.

Walsall Healthcare NHS Trust Medicines Management.

How Safe is Your Hospital?

1 Our Culture of Safety Weaving Safety into Our Culture 2012.

Improving inpatient care for people with diabetes at the Royal Berkshire NHS Foundation Trust: The Think Glucose Project Naseem Sohpal.

The Nature of Errors Richard M. Satava, MD FACS Professor of Surgery University of Washington School of Medicine and Program Manager, Advanced Biomedical.

Prescription Privileges: Should Psychologists Receive Them? Hunter Olson.

Human Factors & Patient Safety

1 High 5s Project for Patient Safety: What is the Role for IHF? In support of the work of WHO Patient Safety Programme Karen H. Timmons.

Recommended by the Sentinel Event Alert Advisory Group NATIONAL PATIENT SAFETY GOALS FY 2009.

By Ruth Kavita Senior Pharmaceutical Technologist, KNH.

ACOVE 4: Continuity and Coordination of Care in Vulnerable Elders Continuity is ‘‘care over time by a single individual or team of healthcare professionals’’

National Patient Safety Goals 2011

1 Good Questions for Good Health. 2 Health Information Can Be Confusing Everyone wants help with health information You are not alone if you find health.

Preventing Surgical Complications Prevent Harm from High Alert Medication- Anticoagulants in Primary Care Insert Date here Presenter:

Educational Solutions for Workforce Development Pharmacy Significant Event Analysis Fiona McMillan Lead Pharmacist Educational Development.

The Role of The Pharmacist

The Joint Commission’s 2011 National Patient Safety Goals.

Preventing Alteration of Paediatric Prescriptions A Quality Improvement Project Dr David Grier, Consultant Paediatrician Craigavon Area Hospital, Southern.

MEDICARE Presented By WIA Warner Insurance Agency.

Managing Hospital Safety: Common Safety Concerns Part 1 of 4.

Tom Waddell Urban Health Clinic: Patients Using Controlled Medicines* If you are taking controlled medicines, your safety is our highest priority! Our.

Barcode Technology in healthcare Nowadays, published reports illustrate high rates of medical error (adverse events) and the increasing costs of healthcare.

Clinical errors - their causes and frequency in hospitals Prof Johanna Westbrook Prof Enrico Coiera Funded by: HCF Health & Medical Research Foundation.

© Copyright, The Joint Commission 2014 National Patient Safety Goals.

Medical Center Hospital is a Joint Commission Accredited Organization.

Medicare Part A and B:Basic Guide

A LINk is made up of individuals and community groups who work together to improve local Health and Social Care services. The job of a LINk is to find.

QUALITY CARE/NPSG’S NUR 152 Week 16. OBJECTIVES Define quality improvement and the methods used in health care to ensure quality care. State understanding.

Patient Safety Take a little time to read through these slides, where a question is asked stop and consider it for a few moments before going on to the.

The Joint Commission’s 2011 National Patient Safety Goals

USING MEDICINES SAFELY how carers can help

Patient Safety Overview 2014

The Joint Commission’s National Patient Safety Goals

Error Recognition, Reporting, and Reduction

STRATEGIES TO PREVENT MEDICATION ERRORS

Specialist of Clinical pathology Patient safety officer

Medication Reconciliation for SOC

علیرضا تسعیری - بیمارستان قلب و عروق جوادالائمه (ع) مشهد

Prevention of Medical Errors

OR Culture Part II If culture is the problem, what is the solution?

Incident Reporting in Paediatric Wards: A Pilot study

What are the attitudes and perceptions of Surgeons and Scrub Nurses towards Surgical Briefing and Debriefing? Pamela Firth, BSc. Golden Jubilee National.

2017 National Patient Safety Goals

Reducing Omitted Doses through Audit

Finding a doctor What kind of doctor do you need for your situation.

2.13 Copyright UKCS #

The Joint Commission’s National Patient Safety Goals

Patient Safety and Quality Improvement

MEDICATION THERAPY MANAGEMENT SERVICES

Medication Safety Dr. Kanar Hidayat

ايمني بيمار PATIENT SAFETY حق بيمار و مسئوليت ما

CITE THIS CONTENT: PETER YARBROUGH, “DIAGNOSTIC ERRORS”, ACCELERATE UNIVERSITY OF UTAH HEALTH CURRICULUM, SEPTEMBER 14, AVAILABLE AT:

ايمني بيمار evaluation PATIENT SAFETY

Patient Safety We're committed to your safety and we participate in Partnership for Patients, Team STEPPS, National Patient Safety Goals and other safety.

Identity Verification – ROP Compliance

IENE5(Intercultural Education of Nurses in Europe Project 5)

What we don’t know about your medicines can harm you.

Reducing Omitted Doses through Audit

Medicines Optimisation

Human Factors & Patient Safety

Medication Safety Dr. Kanar Hidayat

Skin in the Game: How Putting Yourself First Today Will Revolutionize Healthcare Tomorrow —John Hammergren (CEO, McKesson) & Phil Harkins.

Using Medications Wisely Consumer Education Update

“the science and technologies involved in healthcare -- the knowledge, skills, care interventions, devices and drugs – have advanced more rapidly than.

Use of Medications Safely

The Myths The Perfection Myth: If I try hard enough I will never make a mistake The Punishment Myth: If we punish those who make mistakes, they will make.

Presentation transcript:

Pilot Data Over 50% of reports not coded Large number of fields missing Large amount of data unusable Only 1 out of 20 Trusts involved in pilot – small number in each category BUT – Learning still possible.

Potassium Chloride - 31 Alerts/Reports Received Inappropriate admission processes Wrong drug 1 Incomplete prescription 3 Delay in administering of drug 2 10 Wrong dose 1 Lack of medical support 2 Error in infusion rate 2 Equipment error 2 8 Misidentification of results

Solutions Suicide prevention Medication errors – e.g. Potassium Chloride

Solutions Suicide prevention Misidentification Equipment Communications Cross infection Patient involvement Suicide prevention Medication errors – e.g. Potassium Chloride

5 Steps to Safer Health Care Speak up if you have any questions or concerns Keep a list of all the medicines you take Make sure you get the results of any test or procedure – ask what they mean for your care Talk with your doctor and health care team about your opinions if you need hospital care Make sure you understand what will happen if you need surgery

Closing Thoughts Uncharted territory – we are all pioneers Not about counting reports – about identifying vulnerabilities Prevention not punishment Cultural change takes time Safety is the foundation on which the quality of care for the patient is built.