PPT-Some history on patient safety

John D Banja PhD Center For Ethics Emory University jbanjaemoryedu 2020 Special in 1982 on lethal anesthesia errors Resulted in creation of Anesthesia Patient Safety Foundation in 1985 Pulse oximetry and electronic monitoring became standardized . Safety Break Safety Break Safety Break Safety Break Safety Break Safety Break Lap Swim (2) Open Swim (2) Lap Swim (2) 10:00am-4:25pm Open Swim (2) 12:10pm-2:30pm Safety Break Safety Break Safety Bre Assistant Utilization. Members. Christine Andre. , MD, Assistant Professor, Division of Hospital Medicine . Michelle Ryerson. , DNP, RN, NEA-BC, VP of Clinical Operations, University Health System. David Paul. April 11, 2016. CRICO- . Barbara . Szeidler, RN, BS, LNC, . CPHQ. Cambridge Health Alliance- Lorraine Murphy, MS, RN. Atrius Health - Beverly . Loudin, MD, MPH, FACOG. Brigham and Women’s Hospital –Karen Fiumara, PharmD, BCPS. “. TieredSTEPPS. ”: A Commitment to Address Behaviors that Undermine a Culture of Safety. Gerald B. Hickson, MD. Assistant Vice Chancellor for Health Affairs. Associate Dean for Faculty Affairs. Joseph C. Ross Chair in Medical Education & Administration. Rev. 7.30.12. Contact. Beth Chrismer: Executive Director Risk Management (1298). Tina Collins: Patient Safety Officer (1915). National Focus on Patient Safety. Institute of Medicine report –. “To Err is Human” (Nov. 1999). Leader in Patient Safety or . Apologist for the Status Quo. Outline of Presentation. Mcare. Law of 2002. Formation of the Patient Safety Authority (PSA). Development of PA Patient Safety Reporting System. Part II - Resources. Goal of Patient Safety. to identify . and eliminate . errors. Addressing Patient Safety. Legislation. Research . Recognition. Education. Patient Involvement . Library Connections & Advocacy. Patient Safety and Quality Improvement Act of 2005. Confidentiality Training. www.marylandpatientsafety.org. . 2. Training Overview. . The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) encourages health care providers to share quality and . Dr. Sukhen Dey. Indianan University Southeast. Let’s Define Patient Safety and Informatics. Patient safety is “the environment, infrastructure and technology emphasizing the reporting, analysis and prevention of medical error and adverse events that might case a patient ‘harm’ “. . Patient Safety You Can Make a Difference 2016 Patient Safety is in the News HEADLINES … Doctor…cut off wrong l eg Sponge left in woman’s body One in six NHS patients misdiagnosed Blogs Tweets Patient Safety in Canada The International System Safety Society Canada Chapter Thursday, March 25, 2010 Botched tests cast doubts on cancer screening Beverly is one of the first patients lined up to testify at the inquiry. She found a small lump in her breasts in early 2001. At the time, she was told she tested negative for a hormonal treatment that can drastically reduce chances of cancer's reoccurrence in eligible patients. By the time she learned her test results were wrong - .. Avoidable . harm occurs in patients requiring tracheostomies. Most studies are performed in the hospital setting and have identified recurrent themes including . deficiencies in staff . education, training and competency, and . . Ron D. Hays, Ph.D.. October 21, 2014 (12:00 – 1:00). 44. th. Presentation of the UCLA Center for Maximizing . Outcomes and Research on Effectiveness (C-MORE). Live Webinar at: . https://uclahs.webex.com/. Acetone in the anaesthetic room – time for a change. Through its core work to review recorded patient safety events the NHSE National Patient Safety Team identified a risk involving a LASA (Look Alike Sound Alike) error involving acetone and sodium citrate..