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Measuring to Achieve Patient Safety

Learn about MAPS, a observational study enhancing patient safety at UCLA Healthcare through volunteer efforts. Get involved today!

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Measuring to Achieve Patient Safety

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  1. Measuring to Achieve Patient Safety Safety Observer’s Orientation Measuring to Achieve Patient Safety

  2. Today’s Agenda • Introductions. • Orientation Presentation. • Question & Answer Session. Measuring to Achieve Patient Safety

  3. Safety & U.S. Healthcare • 98,000 deaths occur in the US each year due to errors in medical care. • 50% of these occurrences are preventable. • Healthcare industry is determined to improve and is imposing strict regulations towards patient safety. Measuring to Achieve Patient Safety

  4. JCAHO • Joint Commission on Accreditation of Healthcare Organizations. • Independent, not for profit organization. • Objectively evaluates and accredits nearly 20,000 healthcare organizations and programs across the U.S. Measuring to Achieve Patient Safety

  5. Mission of JCAHO “ To continuously improve the safety and quality of care provided to the public through the provisions of healthcare accreditation and related services that support performance improvement in healthcare organizations.” Measuring to Achieve Patient Safety

  6. UCLA Healthcare Safety Initiatives • UCLA continually assesses its present systems and implements changes to improve these systems in order to reduce patient risks. • One such initiative is MAPS. • Project MAPS originated from a request of UCLA’s JCAHO Core Group team, and the Hospital and Nursing teams. Measuring to Achieve Patient Safety

  7. MAPS Objective “To facilitate improvement of patient safety processes by observing clinical processes at UCLA Medical Center and Outpatient Clinics, and providing highly reliable feedback to the leadership and management of UCLA Healthcare”. Measuring to Achieve Patient Safety

  8. MAPS Overview • MAPS is an observational study. • The project will collect data in various clinical settings: regular floors, ICU’s and ER. • The collected data is compiled monthly into a compliance report for the nurse leaders and hospital administration. Measuring to Achieve Patient Safety

  9. Patient Safety Observation Tools • Based on JCAHO’s 2004 National Safety Goals. • Three audit tools: • Hand Washing. • Medication Administration. • Blood Specimen. Measuring to Achieve Patient Safety

  10. A Regular Day • Come to Medical Center at scheduled time and sign in. • Put on volunteer jacket and ID badge. • Checked schedule for assigned observation area. • Call up the charge nurse to give advance notification. • Proceed to assign observation area. Introduce yourself to charge nurse and explain your purpose in the area. Measuring to Achieve Patient Safety

  11. A Regular Day … • Proceed to make observations with accuracy. • Make 2 copies of your observations. • 1 for Charge Nurse • 1 for Unit Director • Take copies to Charge Nurse and Unit Director’s mail box . • Fill out Tally Sheet and file original copy in your assigned folder. • Sign out . Measuring to Achieve Patient Safety

  12. Do’s • Always wear your jacket and ID Badge. • Introduce yourself to both nurses and patient’s. • Adhere to confidentiality standards. • Conduct yourself in a professional manner. Measuring to Achieve Patient Safety

  13. Don’ts • Do not enter a restricted area. • Door signs. • Do not discuss with the patient his or her diagnosis or medical condition, even if he or she initiates such a conversation. • Do not purchase or give any food or drink to the patient. • Try not to block traffic in patient areas since these are very busy locations. Measuring to Achieve Patient Safety

  14. Working As a Team • MAPS is a UCLA Healthcare Initiative. We are working together with the medical staff to improve patient safety. • Doctors and nurses are generally very busy, and under high stress levels. Do not take negative reactions personally. • Keep a positive attitude and reiterate that we’re a team. Measuring to Achieve Patient Safety

  15. Monthly Data Reports • Trend Lines • April 2006 Report • September 2006 Report Measuring to Achieve Patient Safety

  16. Monthly Goals • 20 Hand washing observations for every floor. • 10 Medication Administration observations for every floor. • 50 total Blood Specimen Observations. (1 phlebotomy round per month) Measuring to Achieve Patient Safety

  17. Volunteer Requirements • Obtain and report accurate data. • Complete training/shadowing sessions. • Conduct 4 hours of observations per week. • Attend Monthly Meeting. Measuring to Achieve Patient Safety

  18. Volunteer Requirements • No show policy: • 1st time: email from the interns. • 2nd time: call from interns. • 3rd time: dropped from the program. • Tokens of Appreciation • Given to those volunteers that complete all of their assigned areas. • Starbucks Cards • Jamba Juice Cards • Movie Tickets Measuring to Achieve Patient Safety

  19. Questions? Measuring to Achieve Patient Safety

  20. Thank You! Measuring to Achieve Patient Safety

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