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    Patient Safety

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    viola septina
    Patient safety is a complex topic that is essential for medical students to understand. [1] Studies show that medical errors are prevalent worldwide and result in thousands of unnecessary deaths and injuries each year, costing countries billions of dollars. [2] Many errors stem from prescribing antibiotics without considering the patient's condition or overprescribing multiple drugs, which can cause adverse reactions. [3] Managing patient safety risks requires establishing a culture of safety throughout the healthcare system, from redesigning processes to training competent clinicians.

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    Patient Safety

    Uploaded by

    viola septina
    336 views16 pages
    Patient safety is a complex topic that is essential for medical students to understand. [1] Studies show that medical errors are prevalent worldwide and result in thousands of unnecessary deaths and injuries each year, costing countries billions of dollars. [2] Many errors stem from prescribing antibiotics without considering the patient's condition or overprescribing multiple drugs, which can cause adverse reactions. [3] Managing patient safety risks requires establishing a culture of safety throughout the healthcare system, from redesigning processes to training competent clinicians.

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    Patient safety is a complex topic that is essential for medical students to understand. [1] Studies show that medical errors are prevalent worldwide and result in thousands of unnecessary deaths and injuries each year, costing countries billions of dollars. [2] Many errors stem from prescribing antibiotics without considering the patient's condition or overprescribing multiple drugs, which can cause adverse reactions. [3] Managing patient safety risks requires establishing a culture of safety throughout the healthcare system, from redesigning processes to training competent clinicians.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    336 views16 pages

    Patient Safety

    Uploaded by

    viola septina
    Patient safety is a complex topic that is essential for medical students to understand. [1] Studies show that medical errors are prevalent worldwide and result in thousands of unnecessary deaths and injuries each year, costing countries billions of dollars. [2] Many errors stem from prescribing antibiotics without considering the patient's condition or overprescribing multiple drugs, which can cause adverse reactions. [3] Managing patient safety risks requires establishing a culture of safety throughout the healthcare system, from redesigning processes to training competent clinicians.

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    Patient Safety

    Fury Maulina
    Prescribing antibiotics without regard for the
    patient’s underlying condition and whether
    antibiotics will help the patient, or administering
    multiple drugs  potential for adverse drug reactions
    Many studies confirm  medical error is prevalent in our
    health system and that the costs are substantial

    • 18 000 unnecessary deaths/year


    Australia • > 50 000 disabled patients/ year

    • 44 000 (perhaps 98 000) unnecessary deaths/ year


    US • 1 million excess injuries

    Studies show  additional hospitalization, litigation costs,


    infections acquired in hospitals, lost income, disability and
    medical expenses have cost some countries between
    US$ 6 billion and US$ 29 billion/year
    • Many studies highlight that alongside the
    enormous benefits of medical care 
    significant risks for patients

    • Managing these risks is a great challenge that


    requires a culture of safety to be established
    throughout medicine, from redesigning health
    systems to training doctors competent in both
    the clinical sciences and safety sciences.
    Why do medical students need to know
    about patient safety?

    • They need underpinning knowledge about


    patient safety as well as know how to apply the
    principles and concepts at the bedside
    • They must be aware of the multiple factors
    that influence healthcare outcomes and act to
    reduce the opportunities for errors
    • They need to know how the system of
    healthcare operates and impacts on the
    quality and safety of healthcare
    • Patient safety  a complex topic which
    includes new areas of knowledge such as
    human factors, systems, root cause
    analysis and risk reduction
    The Australian Patient Safety Education
    Framework (APSEF), published in 2005 
    knowledge, skills and behaviours

    WHO Patient Safety Curriculum Guide for


    Medical Schools  was developed by a team
    from the University of Sydney and Monash
    University and assisted by an Expert Consensus
    Working Group with representatives
    from the six WHO regions  + APSEF
    • Patient safety is the freedom for a patient from
    unnecessary harm or potential harm
    associated with healthcare  refocuses
    learning on the patient and the multiple
    interactions that can either heal or harm them

    • Flexner, early 20th century  recognised


    attributes such as ethical practice,
    professionalism, population health,
    compassion and integrity  equally important
    New framework

    Ethical codes 
    (perspective of
    the doctor) complex
    environment and
    the needs of
    Patient safety  patients
    (perspective of
    the patient)
    The significant number of studies 
    most adverse events are preventable

    28%: negligence
    In a landmark of a health
    study by Leape professional • Poor medical
    et al. (1993): Management
    > 2/3 adverse
    events  • Substandard
    preventable care
    42%: other factors
    not related to such
    negligence
    Swiss Cheese Model

    Source: Coombes ID et al. Why do interns make prescribing errors? A qualitative study, Medical
    Journal of Australia, 2008, 188(2): 89–94. Adapted from Reason’s model of accident causation
    What need to do?

    • Apply patient safety thinking in all clinical


    activities
     Relationships with patients
    • Understand the multiple factors involved in failures
     The five “whys”
    • Avoid blaming when an error occurs
    • Practise evidence-based care
    • Maintain continuity of care for patients
    • Student awareness of the importance of self-care
    • Act ethically everyday
    Multumesc!

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