1 / 12

Building a Patient Safety Mentor Program

Building a Patient Safety Mentor Program. Michele Campbell, RN, MSM, CPHQ FABC Corporate Director Patient Safety and Accreditation Christiana Care Health System. Landmark Report. Culture Survey. Focus Groups/ Culture Debriefing Sessions. Safety First Learning Report Data.

yon
Download Presentation

Building a Patient Safety Mentor Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Building a Patient Safety Mentor Program Michele Campbell, RN, MSM, CPHQ FABC Corporate Director Patient Safety and Accreditation Christiana Care Health System

  2. LandmarkReport CultureSurvey FocusGroups/ CultureDebriefing Sessions Safety First Learning Report Data Impetus for Safety Mentor Program • To Err is Human (IOM, 1999) • Nonpunitive response to error • Improvements made as a result of reporting • Reluctance to report errors • Reporting an error was difficult • Volume and severity of events and near misses

  3. Goals: Safety Mentor Program • Empower frontline staff to serve as ambassadors. • Encourage peer-to-peer feedback and communication. • Enhance and promote error reporting, including near misses. • Mitigate harm to our patients. • Facilitate learning.

  4. Design of the Safety Mentor Program • Formulate goals. • Gain organizational buy-in. • Define safety mentor role. • Identify educational and training needs. • Determine frequency and content of meetings. • Develop and implement data collection plan/tools. • Plan how to evaluate innovation.

  5. Considerations for Adopters • Select mentors carefully. • Consider protected time for data collection. • Act on front-line input. • Will it Work Here?A Decisionmaker’s Guide to Adopting Innovationshttp://www.innovations.ahrq.gov/resources/resources.aspx

  6. Validation Of Our Success

  7. Validation Of Our Success • Improved reporting ofmedication-related near misses:

  8. Validation Of Our Success • Fewer events with major outcomes • Improvements in safety culture • Dramatic decline in fearof disciplinary action • Perception of improved patient safety and learning

  9. Safe Practice Behavior Monitoring Safety First Learning Report Effectiveness of Safety Mentor meetings Focus Groups Other Uses Of Quantitative and Qualitative Data • Observations • Documentation • Interview questions • Ease of completion and navigation • Agenda items • Improvements and suggestions • Qualitative feedback on safety project design and strategies

  10. Lessons Learned • Assess baseline data to evaluate success. • Select culture survey instrument strategically. • Resources impact selection of measures. • Safety mentors’ insights and perceptions promote learning. • Recognize that safety culture is local, multidimensional, and still evolving. • Sharing data at local and organizational levels can drive improvements.

  11. Limitations • Variety of culture survey instruments utilized. • Paper surveys utilized. • Skills and understanding of staff affected data integrity. • Real time peer-to-peer feedback depended on comfort level of staff. • Pace of progress affected by turnover of front line staff who were safety mentors.

  12. Next Steps in Our Journey • Enhance “On Boarding” and formalize recognition. • Implement “Fair and Just Culture” concepts. • Assess progress using results from 2009 (AHRQ)Hospital Survey on Patient Safety Culture. • Define frequency of measures for future validation of our success.

More Related