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Untitled Prezi

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by

Sarah Shoyookh

on 4 December 2013

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Medical Error Story

Medical Error Story
Nurses at a hospital in Florida mistakenly gave two pregnant women a drug used to force dead fetuses out of the womb, commonly used for abortion. One woman was 5 and half months pregnant when her doctor ordered her to strict bed rest. Instead of giving her the progesterone suppositories the doctor had ordered to prevent premature labor, the nurse gave her a dosage of prostin. After 4 hours of abdominal pain, the woman gave birth to her premature daughter who suffered severe brain damage. The other woman was given the same drug and she lost two unborn twins.

Diagnostic Errors
Most common type of medical error

Most costly

Most dangerous to patient's health

Causes of Record-Keeping Errors
Medical professionals working long shifts with little rest

Inaccurate recording of test and test results

Miscommunication between workers

Confusion and record mix-ups
Quality of Healthcare
-Quality of healthcare mainly measures the outcome of health care services
-It can be measured by assessing the appropriateness of medical tests, treatment, and overall improving patients' health status.
Healthcare should be....
Safe
Effective
Patient-Centered
Timely
Efficient
Equal

Quality of Healthcare
Cynthia Lara, Olivia Mansour, Fabiola Esmerio, Sarah Shoyookh, Norma Jimenez
Learning Objectives
What is Quality of Healthcare?
How is it Measured?
Medical Error Story
What causes medical errors?
Diagnostic Errors
Impact on patients
Hospital Accreditation:
TJC, DNV, HFAP
Impact on patient
Medical errors can permanently negatively impact a patient's health.
Medical errors kill and seriously injure hundreds of thousands of Americans every year.
98,000 people die every year due to preventable medical errors.

Impact on physicians
Medical errors affect physicians emotionally.

After medical errors, physicians have reported feeling upset, guilty, self-critical, depressed and scared.

Some also feel like abandoning their career.

Errors can increase a physician's risk of depression, substance abuse, and suicide.
Impact on physicians continues..
A survey of 3,000 physicians was conducted to focus on the emotional impact that medical errors have on physicians.
61 % of physicians reported increased in anxiety about future errors.
44% reported loss of confidence
42% reported sleeping difficulties
42% reported reduced job satisfaction
13% reported harm to their reputation
Impact on the organization
Medical errors can limit the success of a health care organization.

Gives the healthcare organization a poor reputation.
Hospital Accreditation
A solution to improve quality, ensure safety, and benefit patients & healthcare professionals
What You Can Do To Stay Safe
Medicine

Hospital stays

Surgery


THE BIG 3:
Hospital Accrediting Agencies
The Joint Commission (JC)

Healthcare Facilities Accreditation Program (HFAP)

Det Norske Veritas Healthcare, Inc. (DNV), also known as the National Integrated Accreditation for Healthcare Organzations (NIAHO)
Benefits of Accreditation
-Addresses Quality Control Issues
-Commitment to High Quality performance beneficial to patients & healthcare professionals
-More options for accreditation= flexibility, tailor quality systems & develop programs focused on specific needs
The Joint Commission
Not-for-profit organization dedicated to providing the highest value service to healthcare organizations
Focus
: On safe, quality care for the American public through a voluntary independent evaluation process. Healthcare is the sole industry served
Benefits
: -Strengthen & organize patient safety efforts
-Improve risk management & risk reduction
-Provide education to improve operations
-Provide professional advice & counsel,
enhancing staff education
Healthcare Facilities Accreditation Program (HFAP)
Not-for-profit organization dedicated to helping healthcare organizations maintain the highest standards in parent care & comply with ever-changing government regulations and a constantly evolving healthcare environment
Focus: Advance high quality patient care and safety through objective application of recognized standards
Benefits: -Straightforward approach to accreditation
-Improving infection prevention
-Enhancing patient safety and treatment
-Quality improvement to avoid medical errors
-Environment Safety
Det Norske Veritas Healthcare, Inc. (DNV)
Better known as DNV Healthcare, Inc. - an operating company of Det Norske Vertas. In the United States since 1898.
Focus: DNV's corporate purpose is safeguarding life, property, & the environment
Benefits: -Improve quality & risk management
-Sustain quality performance
Unique because it uses a hospital's own practices as the basis for written policies and procedures, so hospital administrators can determine areas of focus and write individualized plans.
Integrated the ISO 9001 quality management
standards into hospital accreditation

For more information
www.jointcommission.org

www.hfap.org

www.dnv.com/industry/healthcare
Full transcript