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2. . 3. Introducing the big picture of PS MagnitudeEMRO/WHO Initiatives with Member StatesWorld Alliance for Patient SafetyRegional Organizations. 4. Patient Safety How care should be properly delivered. Patient Safety: FREEDOM from Unintende
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7. 7 Health Care Errors cause Harm Patient harm – 10% admissions
Ranges from Serious. ………..Minor
Death and serious disability in 2%0
Costly : 5-10% of health expenditure (ReR, ALOS.)
Good News!
Potentially preventable in 50-80% of cases
8. 8 Range of health care errors Sentinel Events: “An unexpected occurrence involving death, serious physical or psychological injury.” wrong patient or body part ; serious neurological injury ; retained instruments ; hypoxic brain damage ; maternal death
Sentinel Events: “An unexpected occurrence involving death, serious physical or psychological injury.” wrong patient or body part ; serious neurological injury ; retained instruments ; hypoxic brain damage ; maternal death
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10. 10 10%
of 22.2 Millions of Inpatients
In 11 of our countries!
Vulnerability: Patients are more at risk than non patients.
Small error margins:
Medical interventions are, by their nature, high-risk procedures –
Medical treatment inherently risky
Things can go wrong
Complex System made up of thousands of inter-linked processes…………….. Medicine remains an inexact, hands-on endeavour Vulnerability: Patients are more at risk than non patients.
Small error margins:
Medical interventions are, by their nature, high-risk procedures –
Medical treatment inherently risky
Things can go wrong
Complex System made up of thousands of inter-linked processes…………….. Medicine remains an inexact, hands-on endeavour
11. 11 16 thousand million injections misuse and overuse of injections worldwide Slide 6:
This slide summarizes injection practices worldwide.
The X axis represent the number of injections per person and per year. The total bar represents the total number of injections and the red bar represents those injections given with reused equipment.
The graph shows clearly that injection practices vary across different world regions. While injection use is most frequent in Eastern Europe and Central Asia, unsafe injections are most common in the Middle East and South Asia.Slide 6:
This slide summarizes injection practices worldwide.
The X axis represent the number of injections per person and per year. The total bar represents the total number of injections and the red bar represents those injections given with reused equipment.
The graph shows clearly that injection practices vary across different world regions. While injection use is most frequent in Eastern Europe and Central Asia, unsafe injections are most common in the Middle East and South Asia.
12. 12 Slide 8:
The map shows the geographical distribution of the proportion of new HCV infections that may be attributed to unsafe injections worldwide. Clearly, in the Middle East and in Asia, the proportion of HCV that can be attributed to unsafe injections is high and requires public health attention.Slide 8:
The map shows the geographical distribution of the proportion of new HCV infections that may be attributed to unsafe injections worldwide. Clearly, in the Middle East and in Asia, the proportion of HCV that can be attributed to unsafe injections is high and requires public health attention.
13. 13 Patient Safety as a Public Health Risk A problem Everywhere
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Organizational: skill mix, time, outdated training
EBP standards ,protocols
poor technical design of medical equipment and packaging.
Weak safety culture: Denial & BLAME
Ineffective Communication
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16. 16 What we in WHO/EMRO Did? A long way to go….. But started with :
Integrating PS: Hospital Accreditation Guidelines 02
QUESTIONNAIRE: MOH & FACILITY
STANDARDS: Joint WHO/AL Facility Accreditation 04
CONSENSUS FRAMEWORK: Regional Patient Safety
GUIDELINES / SOPs of major health problems
CAPACITY BUILDING: Training Packages (2005)
Patient Safety Friendly Hospital Initiative ( PSFHI)
PARTNERSHIP:
World Alliance for Patient Safety
Patient Safety Centre (2004)
Joint WHO/AL Facility Accreditation 04
GCC: Glossary for PS
Countries: Joint Programming 07-08
On going : safe injections, safe blood, safe motherhood, ……
Is demonstrated thru the following efforts Is demonstrated thru the following efforts
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18. 18 Open account from 4 perspectives
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20. 20 10%
of 22.2 Millions of Inpatients
In 11 of our countries!
NOT FIGURES
BUT PEOPLE Vulnerability: Patients are more at risk than non patients.
Small error margins:
Medical interventions are, by their nature, high-risk procedures –
Medical treatment inherently risky
Things can go wrong
Complex System made up of thousands of inter-linked processes…………….. Medicine remains an inexact, hands-on endeavour Vulnerability: Patients are more at risk than non patients.
Small error margins:
Medical interventions are, by their nature, high-risk procedures –
Medical treatment inherently risky
Things can go wrong
Complex System made up of thousands of inter-linked processes…………….. Medicine remains an inexact, hands-on endeavour
