2013 patient safety report

What is a patient safety report?

Patient Safety Reporting (PSR) gives military treatment facility personnel the ability to anonymously report medical events that impact the safety of patients.

What are the 6 patient safety goals?

2017–2021 versionsGoal 1: Identify patients correctly.Goal 2: Improve effective communication.Goal 3: Improve the safety of high-alert medications.Goal 4: Ensure safe surgery.Goal 5: Reduce the risk of health care-associated infections.Goal 6: Reduce the risk of patient harm resulting from falls.

What are 5 safety concerns in healthcare?

Patient safety issues and concernsMedication/drug errors. ... Healthcare-associated infections. ... Surgical errors and postoperative complications. ... Diagnostic errors. ... Laboratory/blood testing errors. ... Fall injuries. ... Communication errors. ... Patient identification errors.

What are the top 3 incidents reported by the NPSA?

The top four most commonly reported types of incident have remained the same: patient accidents (20.9%), implementation of care and ongoing monitoring/review incidents (11.4%), treatment/procedure incidents (11.3%), and medication incidents (10.7%).

What are the 2021 National Patient Safety Goals?

The Joint Commission's 2021 national patient safety goals for hospitals are:Improve the accuracy of patient identification.Improve staff communication.Improve the safety of medication administration.Reduce patient harm associated with clinical alarm systems.Reduce the risk of healthcare-associated infections.More items...•

What is an example of a patient safety goal?

Prevent mistakes in surgery For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up. Take extra care with patients who take medicines to thin their blood. Record and pass along correct information about a patient's medicines.

What are the top patient safety issues?

Bias and racism in addressing patient safety. Vaccine coverage gaps and errors. Cognitive biases and diagnostic error. Nonventilator healthcare-associated pneumonia.

What are the key elements of patient safety?

The key elements of a culture of safety include (1) a shared belief that although health care is a high-risk undertaking, delivery processes can be designed to prevent failures and harm to participants; (2) an organizational commitment to detecting and analyzing patient injuries and near misses; and (3) an environment ...

What are the 3 major safety concerns for health care workers?

Healthcare workers face a wide range of hazards on the job including: Sharps injuries. Chemical and drug exposure. Back injuries.

What is the NPSA now called?

On 1 June 2012, the key functions of the NPSA were transferred to the NHS Commissioning Board Special Health Authority., later known as NHS England.

What is a datix NHS?

Datix is the Trust's electronic incident reporting system. Local training on Datix as part of your local induction to where you work.

What is NRLS reportable?

Welcome to NRLS Reporting The National Reporting and Learning System (NRLS) is a central database of patient safety incident reports. Since the NRLS was set up in 2003, the culture of reporting incidents to improve safety in healthcare has developed substantially.

What was the HSE in 2013?

2013 has been a year of significant change within the HSE with the establishment of the HSE Directorate, the set up of the five service divisions (Acute services, primary care, health and wellbeing, mental health and social care) and the establishment of the first hospital groups.

When was the National Policy and Procedure for Safe Surgery launched?

The working group completed its work in 2013 and the National Policy and Procedure for Safe Surgery was launched by Minister for Health in July. This is an important policy that will help to reduce the incidence of wrong site surgery in our services.

What was the progress made in 2013?

The progress made in 2013 is a reflection on the contribution from staff all across the service delivery system to the Quality and Patient Safety agenda. This contribution included chairing/membership of committees, workgroups, advisory groups; reviewing documents and processes and providing good feedback; partaking in pilots and evaluations; implementing new policies and work practices; providing training and support to colleagues; and sharing learning and good practice.

What is the National Office of Clinical Audit?

The establishment of the National Office for Clinical Audit (NOCA – www.noca.ie) Through collaborative agreement between the Quality and Patient Safety Directorate of the Health Service Executive (HSE) and the Royal College of Surgeons in Ireland (RSCI), RSCI is providing administrative and operational support to the National Office of Clinical Audit. NOCA functions through an Executive Team which provides managerial and operational support to deliver the objectives of the NOCA Governance Board. The NOCA Governance Board is an independent voluntary Board, which oversees the establishment of sustainable clinical audit programmes in agreed specialties. The central aim of all NOCA audit streams is to improve clinical services for patients in Ireland.

What is the role of QPS?

The role of the QPS Division is to provide leadership, and be a driving force, in quality and patient safety by supporting the statutory and voluntary services of the HSE in providing high quality and safe services to patients their families and members of the public.

What is QA+I in healthcare?

Part of this work has been to develop a Quality Assessment and Improvement (QA+I) Tool to support services to assess against the Standards. This tool has been developed in collaboration with service providers across the system. It is available as a web enabled tool and is complemented by eight individual workbooks which reflect the themes of the National Standards.