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Measuring to Achieve Patient Safety

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1 Measuring to Achieve Patient Safety
Safety Observer’s Orientation Department of Patient Relations Measuring to Achieve Patient Safety

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Today’s Agenda Introductions. Orientation Presentation. Question & Answer Session. Measuring to Achieve Patient Safety

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Safety & U.S. Healthcare 98,000 deaths occur in the US each year due to errors in medical care. 50% of these occurrences are preventable. Healthcare industry is determined to improve and is imposing strict regulations towards patient safety. Measuring to Achieve Patient Safety

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JCAHO Joint Commission on Accreditation of Healthcare Organizations. Independent, not for profit organization. Objectively evaluates and accredits nearly 20,000 healthcare organizations and programs across the U.S. Measuring to Achieve Patient Safety

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Mission of JCAHO “ To continuously improve the safety and quality of care provided to the public through the provisions of healthcare accreditation and related services that support performance improvement in healthcare organizations.” Measuring to Achieve Patient Safety

6 UCLA Healthcare Safety Initiatives
UCLA continually assesses its present systems and implements changes to improve these systems in order to reduce patient risks. One such initiative is MAPS. Project MAPS originated from a request of UCLA’s JCAHO Core Group team, and the Hospital and Nursing teams. Measuring to Achieve Patient Safety

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MAPS Objective “To facilitate improvement of patient safety processes by observing clinical processes at UCLA Medical Center and Outpatient Clinics, and providing highly reliable feedback to the leadership and management of UCLA Healthcare”. Measuring to Achieve Patient Safety

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MAPS Overview MAPS is an observational study. The project will collect data in various clinical settings: regular floors, ICU’s and ER. The collected data is compiled monthly into a compliance report for the nurse leaders and hospital administration. Measuring to Achieve Patient Safety

9 Patient Safety Observation Tools
Based on JCAHO’s 2004 National Safety Goals. Three audit tools: Hand Washing. Medication Administration. Blood Specimen. Measuring to Achieve Patient Safety

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A Regular Day Come to Medical Center at scheduled time and sign in. Put on volunteer jacket and ID badge. Checked schedule for assigned observation area. Call up the charge nurse to give advance notification. Proceed to assign observation area. Introduce yourself to charge nurse and explain your purpose in the area. Measuring to Achieve Patient Safety

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A Regular Day … Proceed to make observations with accuracy. Make 2 copies of your observations. 1 for Charge Nurse 1 for Unit Director Take copies to Charge Nurse and Unit Director’s mail box . Fill out Tally Sheet and file original copy in your assigned folder. Sign out . Measuring to Achieve Patient Safety

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Do’s Always wear your jacket and ID Badge. Introduce yourself to both nurses and patient’s. Adhere to confidentiality standards. Conduct yourself in a professional manner. Measuring to Achieve Patient Safety

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Don’ts Do not enter a restricted area. Door signs. Do not discuss with the patient his or her diagnosis or medical condition, even if he or she initiates such a conversation. Do not purchase or give any food or drink to the patient. Try not to block traffic in patient areas since these are very busy locations. Measuring to Achieve Patient Safety

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Working As a Team MAPS is a UCLA Healthcare Initiative. We are working together with the medical staff to improve patient safety. Doctors and nurses are generally very busy, and under high stress levels. Do not take negative reactions personally. Keep a positive attitude and reiterate that we’re a team. Measuring to Achieve Patient Safety

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Monthly Data Reports Trend Lines April 2006 Report September 2006 Report Measuring to Achieve Patient Safety

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Monthly Goals 20 Hand washing observations for every floor. 10 Medication Administration observations 50 total Blood Specimen Observations. (1 phlebotomy round per month) Measuring to Achieve Patient Safety

17 Volunteer Requirements
Obtain and report accurate data. Complete training/shadowing sessions. Conduct 4 hours of observations per week. Attend Monthly Meeting. Measuring to Achieve Patient Safety

18 Volunteer Requirements
No show policy: 1st time: from the interns. 2nd time: call from interns. 3rd time: dropped from the program. Tokens of Appreciation Given to those volunteers that complete all of their assigned areas. Starbucks Cards Jamba Juice Cards Movie Tickets Measuring to Achieve Patient Safety

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Questions? Measuring to Achieve Patient Safety

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Thank You! Measuring to Achieve Patient Safety


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