the role of the patient safety officer - health care
TRANSCRIPT
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
August 24, 2003August 24, 2003
Delanor Manson, RN, BSN, CNA, MA, CPHQDelanor Manson, RN, BSN, CNA, MA, CPHQ
The Role of the The Role of the Patient Safety Patient Safety
OfficerOfficer
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Safety is no accident (Thomas A, Faulhaber)Safety is no accident (Thomas A, Faulhaber)
Safety is no accidentSafety is no accident
Safety is no accidentSafety is no accident
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ObjectivesObjectives
Describe the culture of safety.Discuss components of the job descriptionof an effective Patient Safety Officer (PSO).Discuss resources for achieving success in the role of a PSO.Define 6 strategies for implementation of the PSO role.Discuss how to develop organization specific measures.
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Culture of Safety Culture of Safety
1. Leadership commitment to patient safety.
2. Focus on the needs of the patient.
3. Definition of and commitment to quality patient care.
4. Right care, to the right patient by the right caregiver(s).
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Culture of Safety Culture of Safety
5. An environment of openness.6. Proactive methods to evaluate the
potential safety hazards.7. Systems approach to analysis.8. Interdisciplinary approach to current
and potential problems analysis.
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Role of the Safety OfficerThe Role of the Safety OfficerEnvironmental Safety Officer (SO)
StructuresUtilities Emergency preparednessHazardous materialsWorkersEquipment Security
Environmental Safety
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Role of the Safety OfficerThe Role of the Safety Officer
Patient Safety OfficerPatients and familiesWorkersVisitors and othersRisk managementClinical Emergency preparednessSecurity
Patient Safety
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Role of the Safety OfficerThe Role of the Safety Officer
PatientEnvironmental
Patient Safety
Environmental Safety
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Patients
Staff
Others
Visitors
SPSO
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionReporting relationshipResponsibilitiesBudget and staffRole in educationEssential functionsQualifications
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionReporting relationship
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionResponsibilities
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionBudget and staff
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionQualifications
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionRole in education
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
The Patient Safety OfficerThe Patient Safety Officer
Job descriptionEssential functions
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Patient Safety Officer Models Patient Safety Officer Models
A. Urban hospital with 6 sitesB. University hospitalsC. VHA Hospitals D. Hospital corporation > 60
hospitals
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Model AUrban hospital with 6 sitesModel AUrban hospital with 6 sites
Safety Officer
Quality Department
Safety Committee
QualityCouncil
Med Exec
GoverningBoard
Clinical Safety
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Model BUniversity HospitalModel BUniversity Hospital
Safety Committee
Quality Department
PatientSafety
CommitteeChairperson
QualityCouncil
Med Exec
GoverningBoard
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Model CVeterans Healthcare AdministrationModel CVeterans Healthcare Administration
NetworkVISN
QualityELC
EH and SafetyCommittee
Central Office
PatientSafety
CommitteeHospital PSM
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Model DHospital corporation with > 60 hospitalsModel DHospital corporation with > 60 hospitals
QM/IC/RM/PSO
MedicalExecutive
Committee
Quality Council
Safety Committee
“C” Level Governing Board
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving PSO successInternalExternalPersonal
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving Success as a PSO
InternalExamine cultureEnsure patient involvementEvaluate routine processes Manage resources
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving Success as a PSO
InternalEstablish an interdisciplinary approachCultivate working relationshipsDevelop situational communication styleConsider a quality incentive program
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving PSO success
ExternalEstablish community trustShare lessons learnedBenchmark using local and national outcomes data
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving PSO successExternal
Participate in legislative effortsParticipate in researchParticipate in curriculum development for medical professionalsProvide feedback for participation efforts
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ResourcesResources
Achieving PSO successPersonal
Maintain professional expertiseExamine safety issues and solutions in non-healthcare settingsStay current on media, research and current legal issues
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Implementation StrategiesImplementation Strategies
1. Examine Mission -Vision –Goals
2. Develop a plan 3. Complete a safety
vulnerability analysis4. Establish a process for
setting priorities 5. Embrace a process
methodology6. Consider technology
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
CongressSupreme Court
Departmental Appeals
Federal Circuit Courts
Healthcare Integrity Program Contractors
Regional Offices
DME Regional Contractors
Intermediaries Carriers
PRRB
Centers for Medicare and Medicaid Services
OIG
PROs
Regional Home Health Intermediaries
FAA
DEA
SEC
FBI
OSHA
FDA
OPOs
Treasury
State Level• Survey and Certification • Courts• Attorneys General• Medicaid• Health Boards• Medical Boards• Local Governments• Licensure
DOJ
DOT
IRS
HSS/ HRSA
FCCFTC
EPA
HHS/ NIOSH
JCAHO
NRC
DOL
YOUR HOSPITAL
Challenges
Chart LegendDEA: Drug Enforcement AdministrationFAA: Federal Aviation AdministrationOPO: Organ Procurement OrganizationsSEC: Securities and Exchange CommissionIRS: Internal Revenue ServiceEPA: Environmental Protection AgencyFTC: Federal Trade CommissionFCC: Federal Commerce CommissionHHS: Health and Human ServicesHRSA: Health Resources and Services AdminCDC Centers for Disease ControlNIOSH: National Institution for Occupational Safety & Health
JCAHO:Joint Commission on Accreditation of Healthcare OrganizationsNRC: Nuclear Regulatory CommissionDOL: Department of LaborFBI: Federal bureau of InvestigationDOJ: Department of JusticeOSHA: Occupational Safety and Health AdminDOT: Department of TransportationFDA: Food and Drug AdministrationOIG: Office of Inspector GeneralPRO: Peer Review OrganizationPRRB: Provider Reimbursement Review Board
CDC
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ChallengesChallenges
Definitions of safety and qualityHealthcare culture
InternalLegal
ROI not established ResourcesReimbursement for providers is based on services providedDiscipline specific focus on care and solutions
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ChallengesChallenges
Renovation and constructionLow profit margin Staffing shortagesTechnology
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
MeasuresMeasures
Patient satisfactionStandard healthcare processes
E.g. Blood transfusions, lab data, generator failure,
Clinical practice guidelinesWork place safetyResearchRisk management trendsMedia focus
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
ConclusionConclusion
CultureEffective patient safety officerResourcesImplementation strategiesOrganization focused measures
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Patient safety is no accident (Delanor Manson)Patient safety is no accident (Delanor Manson)
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Bibliography - WebsitesBibliography - Websites
Agency for Healthcare Research and Quality -www.ahrq.govAmerican College of Healthcare Executives –www.ache.orgAmerican Hospital Association - www.aha.orgAssociation of Professionals in Infection Control and Epidemiology – www.apic.org/safetyBridge Medical – www.bridgemedical.com
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Bibliography - WebsitesBibliography - Websites
Department of Defense – www.defenselink.milInstitute for Safe Medical Practices – www.ismp.orgJoint Commission of Accreditation on Healthcare -www.jcaho.orgLeapfrog Group – www.leapfroggroup.orgNational Center for Health Care Statistics -www.cdc.gov/nchs/faststats
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
Bibliography - WebsitesBibliography - Websites
National Patient Foundation - www.npsf.orgPatient Safety Reporting System -psrs.arc.nasa.gov/pubs.htmPremier Patient Safety Programs-www.premierinc.comVA National Center For Patient Safety -www.patientsafety.gov/
The Quality ColloquiumPatient Safety Officer Training
August 24, 2003
QuestionsQuestions