ufl shands patient safety report

by Brenda Jenkins 7 min read

UF Health Shands Hospital Patient Guide: Safety and …

10 hours ago  · 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: 1) Blood-/specimen-related — These are commonly “wrong specimen in the tube” or specimens received unlabeled by the lab. The most frequent cause was that ... >> Go To The Portal


Reporting is made simple by going to the ShandsConnect Portal, linking under “Special SHC Resources” to “Patient Safety Reports” (PSRs). 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.

Full Answer

What is it like to be a patient at UF Health?

While you are a patient at UF Health, we consider you the most important member of the health care team. We work hard to communicate clearly and keep you and your loved ones informed and engaged at every stage of your care. We also want patients to be comfortable and empowered to speak up and ask questions, and to express any concerns at any time.

How do I contact UF Health after hours or on weekends?

If you need to contact us after hours or on weekends, please ask your caregiver to contact a nursing coordinator with immediate concerns that cannot be solved by your care team. The Q Report features the latest news about how we’re improving care and enhancing quality and the patient experience at UF Health.

What is the patient safety reporting team doing?

The dedicated team carefully assesses every patient safety report and works with staff to developed procedures that prevent similar events from occurring in the future. We have an advanced patient safety reporting system that collects and analyzes safety events submitted by clinical care staff.

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.

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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.

AIM: Reduce Harm

We strictly follow practices that reduce preventable complications, improve medication safety and reduce mortality.

AIM: Reduce Variation in Care

We ensure consistency in care by following evidence-based best practices. Efforts include practices to reduce patient hospital readmissions (patients returning following treatment) and to improve performance across nationally recognized care processes, or core measures.

AIM: Enhance the Patient Experience

Everything we do is focused on patient-centered care. Efforts include our overall hospitality and behaviors, such as clear and supportive patient communication. We also ensure patients are comfortable while receiving medical treatment. Examples include managing patients’ pain control and ensuring a quiet and comfortable hospital environment.

AIM: Transform Our Culture

Every person employed or volunteering at UF Health contributes to the care and experience of our patients. We are on a journey to transform our culture through common behaviors and consistent practices that make sure everyone with whom we come into contact has their most positive encounter at UF Health.

Contact Us

The UF Health Sebastian Ferrero Office of Clinical Quality & Patient Safety Phone: 352-265-0002 Includes the following departments:

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:

MRSA infection

Staph bacteria are common in hospitals, but Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that is resistant to (cannot be killed by) many antibiotics. MRSA can be found in bed linens or medical equipment and can be spread if providers do not properly wash their hands between patients.

What safer hospitals do

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.

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Preventing Errors

  • Errors can occur during your hospital stay. 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. You can help prevent errors by taking charge of your care. Be sur…
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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.
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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.
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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…
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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…
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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: