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Introduction

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

 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

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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