abc patient safety hospital general 450 - institute for healthcare
TRANSCRIPT
Mesured /Data 1 ID patient to safety care 2 A read back of the clinical lab results
3 Improve the safety, verification and drug conserva-tion of High Alert Medication
4 Correct Patient = Correct Procedure
Aim To develop an QI and patient safety project in four strategic areas at the Hospital General 450:
1 Specialty Medical Services 2 Laboratory 3 Pharmacy and 4 Radiology .
Background In April 2013 staff were not trai-
ned in quality improvement and
patient safety.
Members of the board concerns
to create a culture of quality im-
provement (QI) is needed to im-
prove the reliability of health ca-
re and thereby bridge the gap
between possible STEEEP TM
care and actual usual care.
The IOM´s defined High quality
health care as care that is safe,
timely, effective, effcient, equi-
table, and patient centered.
Intervention 1 Multidisciplinary Team
Integration of leading teams in each
strategic area
2 Educate
Educate hospital staff through quality
and patient safety sessions a time prior
to the end of the workday
3 ABC HG450 Course
Training a four-month course for develo-
ping a project with rapid cycles of QI
4 Graduation
Celebrate the achievements with a gra-
duation ceremony in which staff receive
an acknowledgment of the Board and
the Department of Quality Improvement,
inspired and supported by STEEEP Aca-
demy, Baylor Health Care System.
Results: International Patient Safety Goals Im-
plementation in each strategic area :
1 Specialty Medical Services Project:
ID patient to safety care.
2 Laboratory Project:
Read back of the critical lab results .
3 Pharmacy Project:
Improve the safety, verification and
drug conservation of High Alert Medi-
cation.
4 Radiology Project :
Correct Patient = Correct Procedure
Project Design
Next Steps/ Lessons Learned 1 Capacity, assure that the policies
have been establishing.
2. Available, to train the personnel
about the changes.
3. Revenues, manage the equipment
purchase.
4. Evolution, to provide strategies
that assure the implementation
and learn new ways to do the job
Acknowledgements: We are grateful to Dr. David Ballard, Christopher Shutts MBA and the entire General Hospital 450 for
their enthusiastic participation and to Manuel Arturo González RN, Fátima Pérez Psy. for their assistance.
References:Institute of Medicine. To Err Is Human: Building a Safer Health System.Washington, DC: National Academy Press, 2000.
Development of ABC HG450 Improving Health Care
An innovative edu-cational program
that teaches health care leaders the
theory and techni-ques of rapid-
cycle QI.
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1- July 2- July 3- July 4- July 8- July 9- July 10 July 11 July 12 July 22 July 23 July 24 July 25 July
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COMPLIANCE RATECORRECT PATIENT = CORRECT PROCEDURE
JULY 2013
Not Protocol Applied
Protocol Applied
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13-Aug14-Aug15-Aug16-Aug
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COMPLIANCE RATECORRECT PATIENT = CORRECT PROCEDURE
August 2013
no aplicados
aplicados
0%
10%
20%
30%
40%
50%
60%
PSICOTROPICOS INSULINAS CITOTOXICOS RADIOACTIVOS
57%
40%
3% 2%
SALIDAS DE MEDICAMENTOS DE ALTO
RIESGO
Technical support of STEEEP Acade-my. Baylor Health
Care System
HG450 Quality Improvement Culture & ABC Patient Safety
Veronica Quiroga MD*, Armando Flores MD, Carmen Pérez RN, Karina Dominguez QE*, Hilda Flores E.H.D.L , Marco Cesar Gonzalez MD Department of Quality Improvement* General Hospital 450 Durango, Mexico Health Care Services
Contact: Veronica Quiroga MD Hospital General 450
Durango, Dgo., Mexico. Blvd. José María Patoni Zip Code 34206
