[expand title=”PHM 622: Patient and Medication Safety” rel=”PHM 622: Patient and Medication Safety” tag=”h1″]
[expandsub2 title=”Creating a culture of patient safety” tag=”h2″]
[expandsub3 title=”Patient Safety Culture” tag=”h3″]
Definition: Patient safety culture is the shared values and beliefs held by individuals, teams, or organizations.
Importance: Patient safety culture contributes to patient safety:
– Determines accepted practices
– Acts as a barrier or enabler to behaviors that promote patient safety
– Errors are not due to a single action but usually many latent conditions align with each other leading to an active error (swiss cheese Model)
Components of Patient Safety Culture
Patient safety culture is multi-dimensional, consisting of many components
• Informed Culture
• Reporting Culture
• Learning Culture
• Just Culture
• Flexible Culture
Organizations support for safety culture:
- Leadership Commitment to Safety
- Effective Teamwork & Communication
- Providing Resources for Patient Safety
- Prioritizing Safety
- Engaging Patients & Families
Encourages:
• Blame and shame
• Focus on the person
• Expectation of perfection
Results in:
• Discipline determined by severity of outcome
• Apparent fixes
• Reduced reporting and weakened systems
• Increased stress and reduced job satisfaction
Actions directed at individuals
• Errors are the result of human failures
• Use re-training, and punishment to root out “bad apples
[expandsub5 title=”Individual Level” tag=”h5″]Target Content[/expandsub5] [expandsub5 title=”Group Level” tag=”h5″]Target Content[/expandsub5] [expandsub5 title=”Organizational Level” tag=”h5″]Target Content[/expandsub5][/expandsub4] [expandsub3 title=”Disclosure of Medication Incidents” tag=”h3″]Target Content[/expandsub3] [expandsub3 title=”Supporting Practitioners Involved in Medication Incidents” tag=”h3″]Target Content[/expandsub3] [expandsub3 title=”The Importance of Incident Reporting” tag=”h3″]Target Content[/expandsub3] [/expandsub2][/expand]
