patient safety report uf shands iv infiltration

by Danika Wilkinson 9 min read

UF Health Shands Hospital Patient Guide: Safety and …

33 hours ago  · Patient Advocate Services(352) 265-0123. If you are a patient or a family member and wish to contact us about care at UF Health, please contact us. Our office is open from 8-4:30 p.m., Monday-Friday. >> Go To The Portal


What is UF Health doing to improve patient-centered care?

Faculty and staff from throughout UF Health regularly engage in interdisciplinary quality-improvement initiatives, reflecting our commitment and ongoing progress in patient-centered, safe practices. We encourage patients to partner with their health care teams and become active participants in their care to achieve the best possible outcomes.

How are the grades for hospital safety measures derived?

The grades are derived from expert analysis of publicly available data using up to 27 evidence-based, national measures of hospital safety.

How can hospitals improve patient safety?

The hospital should also budget money towards improving safety. Hospitals can earn up to 120 points for having leadership structures that increase awareness of patient safety issues and holding leadership accountable for improvements. For details on sources, click here.

What is your patient safety reporting system?

We have an advanced patient safety reporting system that collects and analyzes safety events submitted by clinical care staff. Our clinical risk management team uses this system to help identify underlying factors that cause errors and mitigate future risk to patients through process-improvement efforts.

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Know about your care

You and your doctor should agree on what will happen during your hospitalization.

Be Informed

Ask your health care providers whatever questions you have. If you don’t understand the answer, ask again.

Know your surroundings

Become familiar with your room and nursing unit. Ask about unfamiliar equipment.

Know your medications

Tell your health care team about every prescription and non-prescription medication or supplement you are taking.

Speak up

Voice any questions or concerns about your care to any member of your health care team.

If you need us

Just ask if you need help getting out of bed. Help prevent fall injuries by following your health care team’s instructions regarding walking or using equipment.

Enlist family and friends

Bring along a trusted family member who can act as your advocate and health care partner.

What is the ID band for hospital admission?

For your safety, upon admission to the hospital, a patient identification band will be placed on your wrist that includes your name, date of birth, gender and medical record number, which you will need to wear at all times. Please check your ID band for accuracy to make sure your name is spelled correctly and your birthday is accurate.

What is the University of Florida Health?

At University of Florida Health, quality is Job 1. Our goal is to provide you and your family with the highest level of quality medical care and the best possible patient experience. We strive to consistently meet and exceed national standards for clinical care, patient safety, outstanding service and patient satisfaction.

What are some examples of errors in hospital?

They can involve medications, procedures or paperwork — for example, being given salt with a meal when you’re on a salt-free diet, or receiving someone else’s medical forms.

What happens if you remove your ID band?

If for some reason your ID band has to be removed, it will be replaced by the staff member who removed it as soon as possible. Clinicians will consistently check and re-check your identification band throughout your stay to be sure they are providing the services and treatments ordered for you by your physician.

Know about your care

You and your doctor should agree on what will happen during your hospitalization.

Be Informed

Ask your health care providers whatever questions you have. If you don’t understand the answer, ask again.

Know your surroundings

Become familiar with your room and nursing unit. Ask about unfamiliar equipment.

Know your medications

Tell your health care team about every prescription and non-prescription medication or supplement you are taking.

Speak up

Voice any questions or concerns about your care to any member of your health care team.

If you need us

Just ask if you need help getting out of bed. Help prevent fall injuries by following your health care team’s instructions regarding walking or using equipment.

Enlist family and friends

Bring along a trusted family member who can act as your advocate and health care partner.

What happens when a PSR is entered?

The Shands at UF Quality Department, senior management, and your managers and supervisors are made aware of patient events that harmed or could have harmed a patient. Analysis is done to identify trends, system issues and areas for improvement. We may form a Performance Improvement Team to address identified trends.

What benefit do we get from the PSR system?

Our PSR system allows managers and supervisors to analyze data to better understand patterns and determine what improvements are needed to decrease patient safety risks hospital-wide. Proactive reporting of situations that may have caused harm to one patient may help us prevent actual harm to the next patient.

Our data

A review of our data from July through September 2010 shows a high level of participation in reporting patient safety events at Shands. Most fell within these three categories:

Why do hospitals clean their catheters?

Hospital staff regularly clean and maintain urinary catheters to prevent infection. They also know when and how to safely remove a catheter.

How does a hospital count sponges?

The hospital team follows a strict procedure to count sponges and tools in the operating room. The hospital may use an electronic scanning system where each object is scanned before and after surgery to ensure they haven’t left any objects inside the patient.

What does a lower number mean after colon surgery?

A number lower than one means fewer infections than expected; a number more than one means more infections than expected. For details on sources, click here.

How many points can a hospital earn for CPOE?

Hospitals can earn up to 100 points for using a well-functioning CPOE system in most areas of the hospital. For details on sources, click here.

How can healthcare workers help prevent infection?

Healthcare workers can help stop infection and illness by carefully cleaning their hands. When hospital staff does not carefully wash their hands, they can spread germs from one patient to another and cause someone to become seriously ill.

Do nurses clean their hands?

Doctors and nurses should clean their hands after caring for every patient. Hospital rooms and medical equipment should be thoroughly cleaned often. Safer hospitals will also keep MRSA patients separate from other patients and require providers and visitors to wear gloves and gowns around these patients.

How to contact Shands admission?

Contact the Shands admission department at 352-265-0477 and ask an admission staff member to Set Up a Inpatient Pending Preadmission for a Research Encounter and Create a Hospital Account for the Research Patient.

What happens if a study participant is already set up for a standard of care inpatient admission?

If the study participant is already set-up for a “standard of care” inpatient admission, and the participant will receive some research services during this stay, the study team must

Does UF Health Shands Hospital have medication orders?

All standard medication and other hospital policies apply to research participants admitted to UF Health Shands Hospital. Concomitant medication orders must be written upon admission and these medications are generally supplied by the Hospital.

Can you use your own medication in UF?

All medications used for patient care must be issued or verified by the UF Health Shands Pharmacy department. Inpatients may not use their own medications if the medications are listed in the Hospital Formulary. These medications must be supplied by the hospital for inpatient care. Non-formulary medications may – in very limited circumstances – be obtained from patients’ own supply. Additional restrictions apply to other medications such as controlled substances and topical preparations, additional details of which are described in Shands Core Policy 02.077.

Do you have to submit a study to Shands?

Prior to starting your study in a UF Health Hospital Inpatient GNV location, you may be required to submit your study to various review committees to ensure that your study details are communicated to Shands staff and that research workflows are followed. See Human Subjects Research Reviews for more details.

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Preventing Errors

ID Bands

Allergies

  • The staff will ask you about any allergies you have. If you have any allergies to food, medication, tape, latex, etc., staff will place a red armband on you to make sure staff is aware of your allergies.
See more on ufhealth.org

Devices/Equipment

  1. Make sure you are familiar with the operation of any medical device or equipment, such as walkers, that you may be given.
  2. Do not turn off or modify alarms for equipment. The alarm is intended to notify staff.
  3. Most medical equipment from home can’t be used in the hospital. If you are allowed to bring your own medical equipment from home, make sure it is labeled with your name and address.
See more on ufhealth.org

DVT: Lower Your Risk

  • Deep-vein thrombosis (DVT)occurs when blood clots form in the legs and block circulation. The clots can lodge in the brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your s…
See more on ufhealth.org

Falls

  • Falls are a significant cause of patient injury. If you are deemed to be at risk for falls, the staff will apply a yellow armband to your wrist. It is also important to wear this band so staff know about your risk and take extra care to prevent you from falling. Please follow any instructions regarding getting out of bed. To keep you safe from falling, “Call, don’t fall” is a slogan used to remind you t…
See more on ufhealth.org

Surgery

  1. You and your surgeon should agree on exactly what will be done during your operation.
  2. Tell the nurses, anesthesiologist and surgeon if you are allergic to any medication and if you have ever had a reaction to any form of sedation or anesthesia.
  3. Make sure the surgical site is clearly marked with a permanent marker with a “YES,” on the correct site. Make sure you take an active part in identifying the site of surgery and the proce…
  1. You and your surgeon should agree on exactly what will be done during your operation.
  2. Tell the nurses, anesthesiologist and surgeon if you are allergic to any medication and if you have ever had a reaction to any form of sedation or anesthesia.
  3. Make sure the surgical site is clearly marked with a permanent marker with a “YES,” on the correct site. Make sure you take an active part in identifying the site of surgery and the procedure or su...
  4. Ask questions about your surgery such as:

Preventing Errors

ID Bands

Allergies

  • The staff will ask you about any allergies you have. If you have any allergies to food, medication, tape, latex, etc., staff will place a red armband on you to make sure staff is aware of your allergies.
See more on ufhealth.org

Devices/Equipment

  1. Make sure you are familiar with the operation of any medical device or equipment, such as walkers, that you may be given.
  2. Do not turn off or modify alarms for equipment. The alarm is intended to notify staff.
  3. Most medical equipment from home can’t be used in the hospital. If you are allowed to bring your own medical equipment from home, make sure it is labeled with your name and address.
See more on ufhealth.org

DVT: Lower Your Risk

  • Deep-vein thrombosis (DVT)occurs when blood clots form in the legs and block circulation. The clots can lodge in the brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your s…
See more on ufhealth.org

Falls

  • Falls are a significant cause of patient injury. If you are deemed to be at risk for falls, the staff will apply a yellow armband to your wrist. It is also important to wear this band so staff know about your risk and take extra care to prevent you from falling. Please follow any instructions regarding getting out of bed. To keep you safe from falling, “Call, don’t fall” is a slogan used to remind you t…
See more on ufhealth.org

Surgery

  1. You and your surgeon should agree on exactly what will be done during your operation.
  2. Tell the nurses, anesthesiologist and surgeon if you are allergic to any medication and if you have ever had a reaction to any form of sedation or anesthesia.
  3. Make sure the surgical site is clearly marked with a permanent marker with a “YES,” on the correct site. Make sure you take an active part in identifying the site of surgery and the proce…
  1. You and your surgeon should agree on exactly what will be done during your operation.
  2. Tell the nurses, anesthesiologist and surgeon if you are allergic to any medication and if you have ever had a reaction to any form of sedation or anesthesia.
  3. Make sure the surgical site is clearly marked with a permanent marker with a “YES,” on the correct site. Make sure you take an active part in identifying the site of surgery and the procedure or su...
  4. Ask questions about your surgery such as: