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Introduction

The responsibility by the organization for a safe work environment is essential for the health of employees.

Patient Education

The Education of the patient and their family (drugs, procedures, follow up, warning signs) may be the most effective method to ensure patient safety.

Safety

• Clinical Diagnosis results are reported immediately to everyone responsible for the care of the patient…including referral physicians in their own clinics.

• Decision support provides what needs to be done and how it needs to be performed.

• Accurate device and equipment maintenance records.  Warnings sent directly to supervisor when schedule is not followed. Tracking Device ID and history.

• keep patients, staff and visitors safe by having systems to ensure that all reusable medical devices are properly decontaminated prior to use and that the risks associated with decontamination facilities and processes are well managed

• System to ensure that the prevention, segregation, handling, transport and disposal of waste is properly managed so as to minimize the risks to the health and safety of staff, patients, the public and the safety of the environment.

• Transfers. In transfers, the receiving unit/organization has ALL the patient's data immediately.

 The directly responsibilities of Safety are the following:

Staff Orientation program

• Security of building

• Authorized personal

• “What if” drills

• Care of violent patients

• Care of patients in isolation

Fire Safety

• Fire and hazardous materials and standards

• Staff training in use of fire extinguisher

• Staff training in evacuating patients

Radiation safety

• Accreditation of staff

• Storage and handling processes

Isolation processes

• Proper notification

• Ventilation of area

• Proper dress

Emergency and Disaster training

• Staff education for mass casualty, earthquakes, floods, hurricanes, mass epidemic

• Drills

• Communication equipment

• Additional help support and list and skills of available individuals

 Drug Safety

There are many stages in the medication Prescribing-Giving process where errors can be made.

Some of these stages are:

• Prescribing: The HCP prescribes the wrong medication because he does not have enough information concerning the patient.

• Patient: The patient may have contraindications because of allergies, gender, age, health conditions.

• Multiple Drug Interactions may occur because one drug may "react" with another. One drug may

  • Increase the activity of another

  • Decrease the activity of another

  • Mixes to cause reactions that are totally different than that expected from the drugs individually.

• Transcribing. Illegible handwriting can cause problems in the ability to understand what has been written, misreading because of abbreviations, or drug with similar names.

• Pharmacy. The pharmacy may make errors in selecting the wrong drug,  "substituting" one drug for another, Mis-Reading the order and pulling the wrong such as wrong route, abbreviations, or drug with similar names. 

• Administration. Mistakes in identification of the patient

• algorithm for anticoagulants, antibodies, renal and geriatric dosing, etc. provided base on weigh, age, gender, client profile.

Many of these errors are "just plain sloppy" and have nothing to do with a computer system. In fact, new evidence shows that computer systems increase the "sloppiness" of staff because they think..."the computer will catch any mistakes that I made..."

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