Objective
and measure a change;
-To describe the importance of patient safety approach
-Focus on the following issues :
=Infection control
=Perioperative procedure and assesment
=Risk of fall
Background
There is now overwhelming evidence that significant numbers
of patients are harmed from their health care either resulting in
permanent injury, increased length of stay (LOS) in hospitals and
even death
When so many people and different types of health-care
providers (doctors, nurses, pharmacists, social workers,
dieticians and others) are involved this makes it very difficult to
ensure safe care, unless the system of care is designed to
facilitate timely and complete information and understanding by
all the health professionals.
Emanuel and other patient safety leaders defined patient safety
as follows:
“A discipline in the health-care sector that applies safety science
methods towards the goal of achieving a trustworthy system of
health-care delivery. Patient safety is also an attribute of health-
care systems; it minimizes the incidence and impact of, and
maximizes recovery from adverse events [49].”
This model shares fifty similar features with other models of
quality design including:
-understanding the system of health care;
-recognizing that performance varies across services;
-the methods for improvement including how to implement
-understanding the people who work in the system and their
relationships with one another and the organization
Infection control
Infection control practices can be grouped in two categories :
1. Standard precautions;
2. Additional (transmission-based) precautions
Standard precautions:
Treating all patients in the health care facility with the same
basic level of “standard” precautions involves work practices
that are essential to provide a high level of protection to
patients, health care workers and visitors.
These include the following:
-Hand washing and antisepsis (hand hygiene);
-Use of personal protective equipment when handling blood,
body substances, excretions and secretions;
-Appropriate handling of patient care equipment and soiled
linen;
-Prevention of needlestick/sharp injuries;
-Environmental cleaning and spills-management; and
-Appropriate handling of waste.
Who Recommendation for save injections
INJECTION DEVICE SECURITY
• In curative and preventive services, ensuring
injection device security implies appropriate
forecasting, nancing, procurement and supply
management so that the following items are
available in adequate quantities:
• Injectable products (AD/RUP/SIP);
• Appropriate single dose diluents;
• Single use injection devices for injection
and reconstitution;
• Safety bxoxes.
The Safe Surgery Saves Lives programme aims to improve
surgical safety and reduce the number of surgical deaths and
complications in four ways:
(1) by giving clinicians, hospital administrators and public health
officials information on the role and patterns of surgical safety in
public health;
(2) by defining a minimum set of uniform measures or ‘surgical
vital statistics’, for national and international surveillance of
surgical care;
(3) by identifying a simple set of surgical safety standards that
can be used in all countries and settings and are compiled in a
‘surgical safety check-list’ for use in operating rooms; and
(4) by testing the checklist and surveillance tools at pilot sites in -Use of psychoactive medications
all WHO regions and then disseminating the checklist to
hospitals worldwide. -Postural dizziness

The Australian Commission on Safety and Quality in -Poor vision

Healthcare uses a five-step process similar to the Universal
Protocol to prevent wrong site surgery: -Problems with feet and/or shoes

Step 1: Check that the consent form or procedure request form -Home hazards
is correct.

Step 2: Mark the site for the surgery or other invasive

procedure.

Step 3: Confirm identification with the patient.

Step 4: Take a ‘team time out’ in the operating theatre,

treatment or examination area.

Step 5: Ensure appropriate and available diagnostic images.

Risk Of fall

Prevention of falls

Assess FIRST on these modi able risk factors:

-Lower body weakness

-Diffculties with gait and balance