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Patient Safety

Transcript: caller meets the team at the south elevators, directs them to the emergency, and returns to the elevators to meet any additionally arriving team members You were handling it, but things got worse: 1 2 3 4 5 Fairview Southdale Emergency Operator What is a Medical Emergency? Patient Safety You SEND SOMEONE to call. What does the caller request? Don't freak out, severe incidents are actually quite rare. Urgent Situations No pulse, no breathing: CODE BLUE TEAM, specifying ADULT or PEDIATRIC (if patient is under 18 years regardless of size) Breathing with pulse: DENTAL RESPONSE TEAM (for more severe medical emergencies where patient is not recovering normally) Retrospective review at University of North Carolina at Chapel Hill If a dental patient is having signs or symptoms of an actual or impending medical emergency including: • Shortness of breath • Malaise or fatigue • Seizure • Wheezing, unable to get breath • Blotches on skin • Chest pain • Diminished consciousness • Loss of awareness • Aspiration of Foreign Body • Asthma attack 1. Stay with patient (keep them calm) 2. Alert faculty and clinic staff; obtain clinic emergency kit and oxygen tank 3. Continuous assessment- ABCs of BLS, blood pressure, pulse, symptoms. Be sure to document 4. Treat Emergency 5. Discharge patient 6. Record event by filling out medical emergency form (hot pink, found in clinics) within 24 hours and turn in to 8-440 School of Dentistry Moos Tower Floor the emergency is on Call back number posted on the phone You are having an emergency, what do you do? What information do you need to provide? Tiwana, K, Morton, T, & Tiwana, P S. (2004). Aspiration and ingestion in dental practice: A 10-year institutional review. The Journal of the American Dental Association, 135(9), 1287-1291. Works Cited (Tiwana et al. 2004) Found in a 10 year study where there were an average of 100,000 patient visits per year, only 36 incidents of aspiration or ingestion were reported Ingestion was more common that aspiration Most of the incidents involved fixed prosthodontic therapy, specifically the cementation of permanent crowns Can be handled without the assistance of the teams ie. blood pressure over 180/110 with no symptoms

Patient Safety

Transcript: Group F2: Noorah Khalid Al Sowaide Nehyan Qassim Shahin Tasnim Akram Alkhatib Sharifa Hussain Sulaiman Rashed Al Nooryani Noor Imad Abduljabbar Hafsa Abdiwali Ahmed Patient Safety MAY LOOK LIKE A SMALL THING BUT ITS REALLY NOT! Patients for Patient Safety (PFPS) emphasizes the central role patients and consumers can play in efforts to improve the quality and safety of health care around the world. How did it all start? "every year, 6,000 Americans die or suffer brain damage due to of anesthetic accidents" - World Health Organization "44,000 to 98,000 preventable deaths annually due to medical error in hospitals, 7,000 preventable deaths related to medication errors alone" - World Health Organization Global Patient Safety Challenges: Clean Care is Safer Care (2005) Safe Surgery Saves Lives (2008) Statistics Causes Developed Complex design technology, with inadequate training Exaggerated care / prolonged hospital stay Lack of communication & coordination Developing lack of sanitation lack of modern equipment Low standard of quality lack of awareness inadequate training understaffing Sound Alike medications, eg. Adderall and Anderal AMR contributing Factors: Irrational Drug Use Poor drug Quality Weak surveillance No Commitment Lack Of Research No Infection Control Results Patient Health Adverse drug events "Allergies" Malegnancy detection Increased Morbidity and Mortality Economic more than 25$ billion annually Psychological Anxiety Depression Sleep difficulties Distrust Actions Safety Prevention Reporting Reducing Side-effects Target Groups: Patients and the general community Prescribers and dispensers Hospitals Antimicrobials use in food-producing animals National governments and health systems Industry and research group International organizations WHO strategy: National plan Surveillance and laboratory capacity Enhancement Ensure uninterrupted access to essential medicines of assured quality Rational use of medicines, including in animal husbandry, and ensure proper patient care Enhance infection prevention and control Foster innovations and research and development for new tools Thank You Healthcare System "Don't be a Victim" V.s Reverse? Medical Errors "The Price of greatness is responsibility" "Do No Harm" Tackling Antibiotic Resistance Doctor Prevent? Patient

PowerPoint Game Templates

Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.

Patient Safety

Transcript: Harm Free Care http://www.harmfreecare.org Lamb and Nagpal, (2009) Patient safety: Importance of near misses. British Medical Journal 339, 253-256 National patient safety agency (2004) Seven steps to patient safety. An overview guide for the NHS staff (3-5) Parker, L.J., (1999) Managing and maintaining a safe environment in the hospital setting. British Journal of Nursing 9 (16), 1053 - 1066. Reason, J., (2000). Human Error; Models and management. British Medical Journal, 320 768-70 White, (2012) Understanding the role of non-technical skills in patient safety. Nursing Standard 26 (26), 43-48 Caring Environment & Safety Ways Patients Can Be Harmed What is a safe healthcare environment? Area around patient's bed -Excess furniture -Call bell -Medication Other areas to be considered -Bathrooms, corridors and floorspace Initiatives to Promote Patient Safety Human Error Unintended - forgetting and inattention AND intended - routine poor practice, mistakes. Impossible to eradicate human error but can change the environment and processes. Different models: 1.Person Approach - fault of the individual, blame culture. 2.System Approach - errors as consequences not causes. Patient Safety Harm free care: -Quest for the right NHS culture -Stop the pressure -Safety First campaign -Patient Safety thermometers Essence of Care: benchmarks for safety Learning from high reliability industries i.e. Aviation industry Improving non-technical skills References Aims of the NHS 10% of patients have experienced avoidable incidents Examples of ways patients can be harmed: -Treatment or procedures -Medications -Medical equipment -Documentation and recording

Patient Safety

Transcript: SAMPLE 5 w/o Escort when required RESOLUTIONS! 5 Cylinders <1/4 http://www.webmd.com/lung/tc/pulmonary-embolism-what-happens http://www.who.int/topics/patient_safety/en/ Young, IH (2007). "Revisiting oxygen therapy in patients with exacerbation of chronic obstructive pulmonary disease". The Medical Journal of Australia 186 (5): 239. PMID 17391085 http://allnurses.com/pulmonary-nursing/how-many-liters-258009-page4.html 5/30 Handed over Auditing patients on Oxygen - Communication - "Patient Safety Card" - Training COMMON CAUSES OF INCIDENTS & DEATH 30 FROM X-RAY Clinical Audit CONCLUSION 5/30 Expected REPEAT AUDIT WARD: X-RAY CT MRI U/S NUC MED Verbal Handover from Porter? YES NO Litres: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Cylinder over 1/4 full? YES NO Escort? YES NO Oxygen Mask Nasal Cannula Reflow bag X-RAY 30 FROM CT Audit Idea - WRONGLY PRESCRIBED - MONITORING - ADMINISTRATION ERRORS - EQUIPMENT OXYGEN & Patient Safety IMPROVE COMMUNICATION SKILLS 20/30 Expected Why is monitoring patients on oxygen important? References INCREASE PATIENT CARE RESULTS RAPID RESPONSE REPORT 2009 TEAM WORKING 13 w/o Escort when required 11/30 Handed over Please Circle 60 PATIENTS FINDINGS NOTIFY THE POWERS ABOVE 10 Cylinders <1/4 CT "Patient safety is the absence of preventable harm to a patient during the process of health care." - World Health Organisation

Patient Safety

Transcript: http://www.npsf.org/ September 10th, 2014 Prevent Infection Get important test results to the right staff at the appropriate time. Use atleast two ways to identify patients; these ways are: Patients name Date of birth Mark the correct place on the patients body where the surgery is to be done. Before a procedure label medicines that aren't labeled, do this where medicines and supplies are set up Preventing Falls and Pressure Ulcers Use Medicines Safely Sources: Prevent Mistakes in Surgery You can check this by their wrist band Patient Safety http://www.jointcommission.org/topics/patient_safety.aspx September 26, 2014 Move patient every hour to prevent pressure ulcers. Identify patients Make sure the side rails are up and the brakes are locked. Make improvements to ensure that alarms on medical equipment are heard and responded to on time. Make sure the correct surgery is performed on the correct patient and on the correct location. Improve Staff communication Wear proper PPE, such as: Gloves, Mask, Gown. Always wash hands. Use proper guidelines to prevent infection Make sure the patient is taking the right medicine at home or at the hospital Record and pass along correct information about patients. Make sure mistakes are not being made prior to surgery. Use alarms safely

Patient Safety

Transcript: (cc) photo by Metro Centric on Flickr doodles Medication Safety Video Patient Safety Answer Sheet notes Budapest San Francisco Results Allegheny Room Layout Notes Stockholm Our Patient Safety Project (cc) photo by jimmyharris on Flickr Patient Safety Answer Sheet (cc) photo by Franco Folini on Flickr Double click to crop it if necessary Hand Washing Video Entry Form Room Stations 1-3 Research outlook Tripping Hazard Perzi PowerPoint Stations 1-3 video and powerpoint photo frame Place your own picture behind this frame! (cc) photo by Metro Centric on Flickr details Patient Safety layout Assets map Important Details Entry Form Brainstorm

Patient Safety

Transcript: NMC Guidelines. Trust Policies and Guidelines. N.I.C.E guideline. Education and Guidance for all staff and students Take all measures to ensure that Patient Safety is number one at all times. Ensure all Policies are Adhered to at all times. Monitor and Manage Risks. Internal and External Audits completed. Resolve/Deal with Complaints or Issues. Education Clinical Governance How the Role of Team Leader contributes to Patient Safety in the Recovery Room Communication Effective, Credible and Visible Role Model. Consultative and Inclusive. Challenging, Correcting and encouraging. Continuing Professional Development. Mandatory Study Days. Mentor Junior staff and Students Support and encourage all staff and students in their learning. Team Leader Effective Communication Skills. Approachable. Supportive. Confidential. . Patient Safety

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