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SIH Safety Top News: Happy Safe SIH… By Dolores Bayan Bularon, Safety Officer ------------------------------------------------------------------------- Awareness is a key to success of every program, but this is a world- wide struggle with safety as people keep it as least priority while happiness is the topmost priority. Yes, of course each of us wanted happiness but, it will be happier if we are equally safe. Hopefully everybody agrees with me, being safe is not only being free from accident (most of us define safety as no physical injuries from an accident), but being safe holistically. Undeniably, safety is part of our day to day activities, people uncon- sciously wish for it for everybody. “Happy and safe” are always in a well-wisher’s words, be it for parting words at work, dine out, online chit-chat, call, travel and even after giving an advice to com- fort someone. The words became “comfort” words to show our care and concern to an individual. However, safety tend to be neglected when people are very happy therefore, safety advocates find ways to keep the two going side-by-side by trying to keep awareness- raising campaign through celebrations be an international trend. More organizations are formed and more programs are initiated; World Safety Month wherein celebration intends to focus on Occu- pational Safety and Health, and World Quality Month which focuses on Patient and Medication Safety, are just two of the numerous safety awareness campaign celebrations emerging worldwide. As a safety advocate, I strongly support this international call for safety awareness-raising campaign and so fortunate that Al Salam International Hospital (SIH) strongly aspires for excellence through Safety and Quality. SIH continuously launching and supporting projects to enhance its service towards its mission, excellent quality and safe service; pro- grams which I personally tagged as “Happy Safe” programs. Accreditation: Now on its 3 rd cycle, and each member of the teams are rallying to deliver and achieve the set standards that are based on quality and safety. Achieving these standards will truly bring SIH clients, internal and external, a happy safe place. To cele- brate the program’s success, incentives to members are being doled out, which motivate the members to continuously achieve. Community Marketing Programs: Several programs launched involving community such as blood donation, BLS for community and First Aid Camp for kids, breastfeeding education, oral hygiene education for school kids SIH Safety Top News: Happy Safe SIH 1 A Road to Medicaon Safety (Part II)… 3 Internaonal Trends Special Ingredients for Enhancing and Sustaining Paent Safety 3 SHE cares… Hand Hygiene 2 Staff Forum 7 Knowledge is Safety Issue 2 Quizzes Answers and Winners 4 Safety Scramble Word Search Safety Crossword Puzzle 4 6 What’s Up? 8 Arcle Contributor Invitaon Contributors for this Issue Volume III Issue 3 (follow @ page 2)

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SIH Safety Top News:

Happy Safe SIH… By Dolores Bayan Bularon, Safety Officer -------------------------------------------------------------------------

Awareness is a key to success of every program, but this is a world-wide struggle with safety as people keep it as least priority while happiness is the topmost priority. Yes, of course each of us wanted happiness but, it will be happier if we are equally safe. Hopefully everybody agrees with me, being safe is not only being free from accident (most of us define safety as no physical injuries from an accident), but being safe holistically. Undeniably, safety is part of our day to day activities, people uncon-sciously wish for it for everybody. “Happy and safe” are always in a well-wisher’s words, be it for parting words at work, dine out, online chit-chat, call, travel and even after giving an advice to com-fort someone. The words became “comfort” words to show our care and concern to an individual. However, safety tend to be neglected when people are very happy therefore, safety advocates find ways to keep the two going side-by-side by trying to keep awareness-raising campaign through celebrations be an international trend. More organizations are formed and more programs are initiated; World Safety Month wherein celebration intends to focus on Occu-pational Safety and Health, and World Quality Month which focuses on Patient and Medication Safety, are just two of the numerous safety awareness campaign celebrations emerging worldwide. As a safety advocate, I strongly support this international call for safety awareness-raising campaign and so fortunate that Al Salam International Hospital (SIH) strongly aspires for excellence through Safety and Quality. SIH continuously launching and supporting projects to enhance its service towards its mission, excellent quality and safe service; pro-grams which I personally tagged as “Happy Safe” programs. Accreditation:

Now on its 3rd cycle, and each member of the teams are rallying to deliver and achieve the set standards that are based on quality and safety. Achieving these standards will truly bring SIH clients, internal and external, a happy safe place. To cele-brate the program’s success, incentives to members are being doled out, which motivate the members to continuously achieve.

Community Marketing Programs: Several programs launched involving community such as blood donation, BLS for community and First Aid Camp for kids, breastfeeding education, oral hygiene education for school kids

SIH Safety Top News:

•Happy Safe SIH 1

•A Road to Medication Safety (Part II)… 3

International Trends

•Special Ingredients for Enhancing and Sustaining

Patient Safety 3

SHE cares…

•Hand Hygiene 2

•Staff Forum 7

Knowledge is Safety

•Issue 2 Quizzes Answers and Winners 4

•Safety Scramble Word Search

•Safety Crossword Puzzle

4 6

What’s Up? 8

•Article Contributor Invitation

•Contributors for this Issue

Volume III Issue 3

(follow @ page 2)

SIH Safety Top News (cont.)

Happy Safe… (from page 1) -------------------------------------------------------------------------

and more… Obviously, the programs are basically of promoting health and safety and after each program session, participants are so happy with their learning and experiences.

Safety Week: This year , we will be celebrating the program’s 5th year of success. The program promotes quality and safety awareness by introducing patient and med-ication safety to community on gaily environment, appreciating the safety “champions”, and enhanc-ing and promoting teamwork through fun. While participants prepare for fun battle activities for great rewards, they get the chance of reviewing the SIH safety programs and emergency plans, discuss the points which are more effective (than just sitting for a lecture) as they put much effort to understand every detail, and reenact their inter-pretation of the processes, which give us the op-portunity to “hit two birds with one stone” - as-sessing understanding on the process and educat-ing with the process while realizing the areas for improvement.

Hand Hygiene “Germs”: In support of the WHO hand hygiene program and as one of Accreditation Canada’s Required Organizational Practices (ROPs), the Infection Control Unit guided by the Infection Control Com-mittee and Nursing Department launched their “GERMS”, who are on “masks” to promote aware-ness on hand hygiene while entertaining their tar-get audiences.

Annual Emergency Drill: This is one of the most exciting “Happy Safe” pro-grams as we collaborate closely with external agencies. Like the Safety Week program, we have fully launched this 5 years ago (we are on our 5th this year) and for the past 4 years, we collaborated with the government’s Ministry of Interior-Civil Defense, Fire Brigade, and each year’s experience was unique for every participants. With the most recent year, similar organization had joined and observed upon our invitation. We have shared them what we are doing and how we are doing it. Afterwards, we as well were invited to their own drill to participate and observe. The process was successful as we share ways to improve the emer-gency preparedness. Emergency drill is now a sta-ple safety program for every institution and in partnership with other institutions. With the numerous natural disasters which peril thousands or millions of lives and properties world-wide, it is very important for all of us to take this emergency preparedness program more serious. Those are just few of the SIH programs that basi-cally promote safety and quality, and still into

SHE cares:

Hand Hygiene By Jane Ann Capinding, Infection Control Nurse ------------------------------------------------------------------

Hand Hygiene is the most essential measure to prevent health care associated infection and community acquired infection. Having deep understanding on its purpose and learning the proper technique are essentials to a health care practitioner as well as to the community. Controlling cross contamination from potentially contam-inated hands of workers or individuals is a significant intervention in order to minimize or prevent the spread of infectious diseases from one person to another.

World Health Organization (WHO) launched a program that enables organization to take part in strengthening health care system. “Clean Care is safer care” and re-launched their campaign “Save Lives: Clean your Hands,”

With Al Salam International Hospital (SIH) dedication to providing optimum health to its clients and workers, the organization supports the WHO program by encouraging its frontline personnel to improve their hand hygiene performance for their self and patient protection. With this, it is expected that it will resonate through the organization that may as well encourage the observing clients that would bring on the practice to the community.

On May 05, 2015 during the celebration of World Hand Hy-giene Day, the SIH Infection Control Nurses and “GERMS” team con-ducted hand hygiene awareness throughout the hospital highlighting the importance of hand hygiene and encouraging everyone to adopt the habit of having clean hands for a “Clean Care is Safer Care”… #Safehands

The organization believes that this is an easy and simple way of “hand hygiene practice” that will make a “big difference” in the health care industry.

Let’s continue supporting the program by making the “Hand Hy-giene” a habit and help in disseminating the knowledge and practice to end the spread of infections. Have the freedom of saving lives by having your hands a “#Safehands”. ●

(follow @ page 8)

SIH Safety Top News (cont.)

A Road to Medication Safety (Part II)… By Ph. Al-Maysaa Shaheen, Sr. Clinical Pharmacist --------------------------------------------------------------- Incident & Adverse Drug Reactions Reporting Incident is any specific, identifiable, unexpected, unusual, unwanted and unintended event or series of events that resulted in a loss. Loss can be injury, waste of time, dam-aged equipment, spoiled material, environmental harm or a combination of any of the mentioned. Reporting is need-ed when an actual incident occur causing injury (accident/error) or has the potential to cause injury (near miss), or cause severe harm (sentinel event). SIH has a reporting system in place with both a policy and bilingual forms. On monthly bases, the reports are gath-ered, investigated and aggregated accordingly. Final report with summary data and analysis together with recommen-dations is circulated to all users. This reporting system adds to the safety culture promoted by the hospital. It assures identifying and correcting underlying causes in a timely manner. Corrective measures are taken to prevent recur-rence. Focusing on medication safety, we will talk elaborately about medication errors. It is an event that results in a patient receiving inappropriate medication therapy or fail-ing to receive it as prescribed or intended. Failing to fol-low the six rights of medication administration is probably the most basic cause. Whether or not the pa-tient was harmed or had an adverse reaction as a result of the error, all medication errors must be reported, not only for patient safety but for quality-improvement purposes. When you or a colleague makes a medication error, the patient’s safety and well-being are your first priority. Moni-tor the patient closely and notify the provider and your nurse manager as soon as possible. Once the patient is sta-ble, the person who made the error must complete an inci-dent report as soon as possible, but generally within 24 hours of the incident. The report should include the follow-ing information and any additional information required by SIH policy: patient information, the location and time of the incident, a description of what happened and what was done about it, the condition of the patient, and the nurse’s signature. Depending on the error that occurred and the outcome, the facility may be required to report the incident to the Ministry of Health. Health care professionals should feel comfortable reporting a medication error and not fear disciplinary action. Incident reports should not be used for disciplinary purposes but to improve systems and processes.

(follow @ page 6)

International Trends (cont.)

Special Ingredients for Enhancing and Sustaining Patient Safety By Immaculate Picardo, Quality Officer ---------------------------------------------------------------------

Patient safety has taken a toll on the world of healthcare as it’s one of the most burning topics in today’s emerging era. Have we ever given a thought to what patients think about a hospital? Well the journey begins like this- “Yes, I guess it’s time to go to the Hospital to get myself treated. It’s a place well trusted where highly qualified physicians will perform the required proce-dures, soft caring touch of the nurses will do wonders to improving my health, and the food served is going to be alluring to my taste. I have full trust in them not to suffer any complications and believ-ing that ALL WILL BE WELL!” But the questions to us as healthcare professionals are ‘are we looking at this as a cru-cial issue? What does it take to be safe in the hospital?’ Various hospitals use approaches such as client verification, docu-mentation, medication safety, control of all high risk medication, hand hygiene, prevention of falls, venous thromboembolism prophylaxis, preventing HAI’ and the list goes on. How well do these ingredients get along, though independent, yet interdepend-ent on each other? As our clients are the bread-and-butter for our daily living, why not gratify by keeping them safe in our custody in every possible way? In order to boom with safety and sustain its effects, below special ingredients may have to be incorporated at each level of care possessing risk for our own pa-tients. I. PARADE : LEADERSHIP

Patient safety culture is a high priority issue. It always starts from the top: the vision, mission, values, and resources in terms of 5 M’s: manpower, materials, minutes, money and machin-ery. Consistent and continuous aid from the top leaders of the organization is the building block to patient safety. Having the topic on the floor during every meeting and discussion allows for patient safety to be a prime aspect for the agenda and for strategic planning. II. HIT THE DART: TEAMWORK

The name says it all. “A Team really works”! A hospital is an area where people from diverse cultures, professions, and tem-perament work together to create a benchmark hospital adhering to patient safety as the goal. Working with a team doesn’t just imply collecting a handful of people to satisfy the crite-ria of a team. Instead it is a collection of willing, determined and high performing members to attain the specific aim being laid down. In this way everyone achieves more. Heart, mind and soul are the vital constituents that the interdisciplinary members put in together bringing out the best actions to be implemented.

Each member has unique roles and responsibilities, working with independent accountability but in-line with the teams’ goals and objectives to achieve the best care for their patients. Measur-ing and monitoring teamwork is as vital as forming one. A fruitful team is open to challenges, readily able to rectify their mistakes, and take prompt actions in improving them. “Let’s do it” is more powerful than “I do it” or “you do it”. It just takes simple five ingre-dients to bake a cake i.e. flour, chocolates, sugar, butter and eggs, in the same way it takes a small handful of dedicated people to create wonders in patient safety.

(follow @ page 5)

Knowledge is Safety:

Issue 2 Quizzes Answers and Winners ------------------------------------------------------- Safety Crossword Puzzle Answers: Across: Down: 1. Hygiene 1. Hazards 3. ABC 2. GO 6. Awareness 3. Acts 7. Report 4. Cover 8. Shortcuts 5. Inspect Winners (100% correct answers):

Mary Ann Moncada– OPD Nurse Christine Rago – OPD Nurse Jenella Marie Ocampo – OPD (Al Messila) Nurse Rolando Martinez – OPD Nurse Rosemarie Andres– OPD (Al Messila) Head Nurse Binsha Mathew - Laboratory Technician (Al Messila) Randall Magsino - Customer Service (Al Messila) Safety Scramble Word Search Answers: 1. Training 2. Fire Extinguisher 3. Dangerous 4. Risks 5. Follow 6. Hand Washing 7. Clear 8. Incident 9. Germs 10. Listen 11. Healthy 12. Communication 13. Chemicals 14. Seat Belt 15. Rules Winners (100% correct answers): Mary Ann Mira - OPD Nurse Lorence Gen Magbitang - OPD Nurse Ivonne Villanueva - OPD Nurse Jenella Marie Ocampo - OPD (Al Messila) Nurse Jennifer Ventura - OB-ER Nurse Babitha Chandrika –Inpatient (5th floor) Nurse Evelyn Mara - OB-ER Nurse Ma. Cecilia Diamante - OPD Nurse Rolando Martinez – OPD Nurse Rosemarie Andres - OPD (Al Messila) Head Nurse Binsha Mathew - Laboratory Technician (Al Messila) Randall Magsino - Customer Service (Al Messila) Janice Mara - Clinical Assistant (Al Messila) Lily Rose Tapang - OPD (Al Messila) Nurse Shaza Mohammed Al Coaly - Customer Service (Al

Messila) Francine Marie Cabale - OPD (Al Messila) Nurse Usha Kanthi D’Souza - OPD (Al Messila) Nurse Lea Liz Cabardo - OPD Nurse Mary Ann Moncada - OPD Nurse Christine Rago – OPD Nurse Crezaida Clarese Recaῆῆa a -- OPD (Al Messila) NurseOPD (Al Messila) Nurse Jenny May Badad - OPD (Al Messila) Nurse Jancy Rani Gunaseelan - OPD (Al Messila) Nurse Joan Barbosa - Customer Service (Al Messila)

Safety Scramble Word Search By Dolores Bayan Bularon, Safety Officer ————————————————————————————————- Instruction: Unscramble the letters in each number below to form a safety

word. Fill in the blank with the formed word Search each word formed from the word search box then en-

circle. 1. ATFYES _ _ _ _ _ _ 2. GENERMCEY _ _ _ _ _ _ _ _ _ 3. RTUKFRCIE _ _ _ _ _ _ _ _ _ 4. PACEES _ _ _ _ _ _ 5. NPAL _ _ _ _ 6. MARLA _ _ _ _ _ 7. OLRE _ _ _ _ 8. NDORSEP _ _ _ _ _ _ _ 9. ODRP _ _ _ _ 10. RAEPREP _ _ _ _ _ _ _ 11. YRADE _ _ _ _ _ 12. EAWRA _ _ _ _ _ 13. RELTA _ _ _ _ _ 14. TEXI _ _ _ _ 15. APM _ _ _ 16. GSIN _ _ _ _ 17. ASPS _ _ _ _ 18. RSCEEU _ _ _ _ _ _ 19. ENMA _ _ _ _ 20. PEROTR _ _ _ _ _ _

“Beware of false knowledge; it is more dangerous than ignorance.” - George Bernard Shaw

(follow @ page 6) (follow @ page 7)

SIH Safety Top News (cont.)

A Road… (from page 6) ------------------------------------------------------------------------ prescribing information provided by the manufacturer. Symptoms and signs may manifest soon after the first dose or only after chronic use. They may obviously result from drug use or be too subtle to identify as drug-related. In the elderly, subtle ADRs can cause functional deterioration, changes in mental status, failure to thrive, loss of appetite, confusion, and depression. Allergic ADRs typically occur soon after a drug is taken but general-ly do not occur after the first dose; typically, they occur when the drug is given after an initial exposure. Symptoms include itching, rash, fixed-drug eruption, upper or lower airway edema with diffi-culty breathing, and hypotension. Idiosyncratic ADRs can produce almost any symptom or sign and usually cannot be predicted. Symptoms that occur soon after a drug is taken are often easily connected with use of a drug. However, diagnosing symptoms due to chronic drug use requires a significant level of suspicion and is often complicated. Stopping a drug is sometimes necessary but is difficult if the drug is essential and does not have an acceptable substitute. When proof of the relationship between drug and symp-toms is important, re-challenge should be considered, except in the case of serious allergic reactions. Physicians, nurses, pharmacists, and other health care practitioners should report ADRs as an early alert system. Only through such reporting can unexpected ADRs be iden-tified and investigated.

(follow @ page 7)

International Trends (cont.)

Special… (from page 3) -----------------------------------------------------------------——— III. SOAR LIKE AN EAGLE: MOTIVATION

It is an art of helping others to get what one internally wants. It truly holds a positive outlook in eve-ry way. First and foremost, we as an organization need to understand our staff therefore, we need to capitalize on their energy and motivate them. When healthcare workers are internally highly motivated, patient safety goes where we want it to reach: “Beyond the par of excellence.” A little dose of motivation for each and every task performed by the healthcare worker will lead them towards persever-ance, non-stop application of efforts, increasing the level of confidence, building up inquisitiveness, urge for open-mindedness, and always wanting to do more and more. IV. TRANSPARENTLY SIMPLE : COMMUNICATION

Communication is an essence that all humans inherit even before they are born. But how to make it effective is one’s choice. Communicating is a 24 hour process when it comes to safety of patients because, it is as vital as one’s life. Hence, all the authentic information about the client should be delivered in a transparent manner or “Five C” i.e. Clear-ly, concisely, completely, considerately, and coherently to avoid any critical information being missed. Making sure every voice is heard is the first step to true patient safety. V. ELEVATE GROUNDS OF SAFETY: EDUCATION

AND TRAINING Education is a light in the darkness. It a catalyst to

bring about a change that once was never thought could have been made. The most populous quotes stated by Mr. Nelson Mandela “Education is the most powerful weapon which can be used to change the world”. Continuously edu-cating and training the healthcare workers in patient safety brings about an enormous magnetic effect to the area of hospital care. Well-trained healthcare workers tend to become more accountable in safeguarding pa-tients and improving their experience in the hospital. Not missing out on our clients, they too have to be thoroughly educated in simple non-medical jargon, involving them in making decisions for their own care. Disseminating by edu-cating the 5 W’s of patient safety i.e. What, Why, Where, Which and When to be asked is an effective measure to ensure their own safety. VI. RIDE THE QUALITY JOURNEY: QUALITY IM-

PROVEMENT The term “Quality” delivers a fragrance of satisfaction. Quality and safety go hand in hand, “just like a Frappucci-no with caramel topping”. That’s the delicacy about both being together. Introducing new measures and revising old ones is an effective approach.

Consistent improvement leads to better quali-ty aspects. It relives one from a jaded routine of things that once were inconsistent and misaligned. Advanced quality tools and techniques should be incorporated to be at par with the trending healthcare world simultaneously benchmarking at local levels. Furthermore, regular audit-ing, monitoring, projecting out

(follow @ page 7)

SIH Safety Top News (cont.)

A Road… (from page 3) -------------------------------------- Managers who use incident reports for disciplinary purposes run the risk of increased failure to report errors and of the same mistakes being made again and again. Adverse drug reaction (ADR) is a broad term referring to unwanted, uncomfortable, or dangerous effects that a drug may have. ADRs can be consid-ered a form of toxicity; however, toxicity is most commonly applied to effects of over-ingestion, or to elevated blood levels or enhanced drug effects that occur during appropriate use. Side effect is an imprecise term often used to refer to a drug’s unintended effects that occur within the therapeutic range. Incidence and severity of ADRs vary by patient char-acteristics (e.g., age, sex, ethnicity, coexisting disor-ders, genetic or geographic factors) and by drug fac-tors (e.g., type of drug, administration route, treat-ment duration, dosage, and bioavailability). Inci-dence is probably higher and ADRs are more severe among the elderly, although age per se may not be the primary cause. Most ADRs are dose-related; others are allergic or idiosyncratic. Dose-related ADRs are usually predict-able; ADRs unrelated to dose are usually unpredicta-ble. Dose-related ADRs are particularly a concern

when drugs have a narrow therapeutic index (e.g., hemorrhage with oral anticoagulants). ADRs may result from decreased drug clearance in patients with impaired renal or hepatic func-tion or from drug-drug interactions.

Allergic ADRs are not dose-related and re-quire prior exposure. Allergies develop when a drug acts as an antigen or allergen. After a pa-tient is sensitized, subsequent exposure to the drug produces one of several different types of allergic reaction. Clinical history and appropriate skin tests can sometimes help predict allergic ADRs.

Idiosyncrasy is an imprecise term used to clas-sify unexpected ADRs that are not dose-related or allergic. They occur in a small percentage of patients given a drug. Idiosyncrasy has been defined as a genetically determined abnormal response to a drug, but not all idiosyncratic re-actions have a pharmacogenetic cause. The term may become obsolete as specific mecha-nisms of ADRs become known.

ADRs are usually classified as mild, moderate, severe, or lethal. Severe or lethal ADRs may be specifically mentioned in black box warnings in the physician

(follow @ page 5)

Knowledge is Safety (cont.)

Safety Cross Word Puzzle By Dolores Bayan Bularon, Safety Officer ----------------------------------------------------------

Instruction: Fill in the boxes below with your answers following each number

in ACROSS and DOWN.

ACROSS

1 - A good leader is great with it

3 - Use to alert

5 - Requires urgency

8 - First thing you need to search during an earthquake

11 - One of your actions to get to # 8

12 - Same with # 9 (Down)

13 - One of your actions to get to # 8

14 - Important to light and to move

DOWN

2 - You have to know for things you do

4 - Things are kept to avoid reaching

5 - You have to avoid doing in an unsafe area

6 - Best reference to check history

7 - Best thing to do to have your number

9 - You should say so when you are unsafe

10 - You have to use to get paging announcement clearly

Knowledge is Safety (cont.)

Issue 2 Quizzes… (from page 4) ----------------------------------------------————————— Safety Scramble Word Search Winners (cont.) Jennifer Salas - Customer Service (Al Messila) Sheeba Jose - OPD (Al Messila) Nurse Annama Joseph - OPD Nurse Congratulations to All the WINNERS! To ALL the participants, THANK YOU VERY MUCH… keep on joining…

Please submit your answers on “Knowledge is Safety” to Quality Management Department. First 10 participant/s (for each quiz) with perfect scores and who will be able to submit within 24 hours from communication of this issue will be published in the next issue, and will have a surprise gift during the next Safety Week—Grand day! So HURRY, Join NOW!!!●

“Never MISS an opportunity to compliment outstanding work or EFFORT” - unknown

International Trends (cont.)

Special… (from page 3) -----------------------------------------------------------------——— “quality and safety solutions” and preventing to repeat errors help the patients to board the hospital, stay in the room and land at home safely.

VII. OWN IT: ACCOUNTABILITY

Accountability is one of the principles for delegation. Af-ter being delegated with a task with full responsibility, the healthcare workers advance to safeguard their patients’ interest in the hospital as well as build trust in them. No patient will ever be satisfied having another condition being piled on him due to negligence of the healthcare worker just because they didn’t perform hand washing or used aseptic measures. No patient would ever like to enter a hospital whose reputation is com-pletely destroyed. No patient would ever mention to any of his colleagues the benefit of the hospital where once he suffered a wound infection irrespective of his successful and eventful sur-gery. The Heads of the Department should take extreme measures to create paths for building a sense of ac-countability in the healthcare workers by making them more competent to learn, perform, and indulge in criti-cal thinking to bring about the best in patient safety. Patient safety is a global priority and must be executed at all Local levels as well. Therefore, combining these special ingredi-ents will triumph and accomplish what holds true for all patients and that is SAFETY! ●

SIH Safety Top News (cont.)

A Road… (from page 5) —————————————————————————————— The incidence of severe or fatal ADRs is very low (typically < 1 in 1000) and may not be apparent during clinical trials, which are typically not powered to detect low-incidence ADRs. Thus, these ADRs may not be detected until after a drug is released to the general public and is in widespread use. Clinicians should not assume that because a drug is on the market that all ADRs are known. Post-marketing surveillance is extremely important for tracking low-incidence ADRs. For dose-related ADRs, modifying the dose or eliminating or reducing precipitating factors may suffice. Increasing the rate of drug elimination is rarely necessary. For allergic and idiosyn-cratic ADRs, the drug usually should be discontinued and not tried again. Switching to a different drug class is often required for allergic ADRs and sometimes required for dose-related ADRs.●

SHE cares…

Staff Forum… ----------------------------------------------- What can you say about your working environment/ condition? Staff 1 – Admin Staff: “At the moment, working environment is quite challenging, not only with the tasks I do but, also with the people and systems. Being adaptable is a boon and definitely each experiencing moment is going to be a learning process that would surely form me to be better and stronger ...”

Staff 2 – Clinical Staff: “All workplaces are the same, there are negative and positive sides. It is up to you where to cling with...”

How do you feel working in SIH? Staff 1 – Admin Staff: “SIH is one of the eminent organizations to work in State of Kuwait. It is gifted with highly qualified pro-fessionals, technology and systems that bring it to the top of qual-ity and safe services… However, like any other organizations there are gaps between teamwork and communication that need to be worked upon.”

——————————————————————————————————

“Effective teamwork begins and ends with communication .” - Mike Krzyzewski

——————————————————————————————————

------------------------------------------------------------------- We are inviting interested staff/ department as article contrib-utors for our next issue – please approach our Safety Officer for enquiry and submission of articles. __________________________________________________________________________ We’ll be glad to hear your insights on topics in this issue or on previous issues. Please send through the Safety Officer and we will publish in the next issue. __________________________________________________________________________

Participate, enjoy, learn and have the chance to be the next

winner of Knowledge is Safety… Good luck!

------------------------------------------------------------------- For this Issue:

Special thanks to: The Management for continuous support. To staffs who participated in the Issue 2’s:

Knowledge is Safety Section SHE cares Staff Forum

Contributors: Ph. Al-Maysaa Shaheen, Senior Clinical Pharmacist Ms. Immaculate Picardo, Quality Officer Ms. Jane Ann Capinding, Infection Control Nurse Editor: Dolores Bayan Bularon, Safety Officer ————————————————————————————————- “The land of OPPORTUNITY lies under your hat.” - unknown “When you get an INSPIRING thought, WRITE it down

immediately.” - unknown

“WINNERS are NOT people who never FAIL, but peo-

ple who NEVER quit!” - unknown

SIH Safety Top News (cont.)

Happy and Safe… (from page 2) -------------------------------------------- continuous process of innovations to elevate “happy safe” awareness programs. Below are some pictures during the 4th Annual Emergency Drill in December 2014. Be “HAPPY SAFE”!!! ●

“The ultimate value of life depends upon awareness and the power of contemplation rather than mere survival.” - Aristotle

Post drill meeting pose with the internal and external partners

Our partner from Fire Brigade sharing their drill observations.

Triage team-ER, in action with the “victims”.