Global Challenges in Patient Safety

1. Global Challenges in Patient Safety ReshmaRamachandran November 17, 2020

2. Hospitals and Doctors = DANGER? • Patient safety is the most basic of patient rights, "bringing significant benefits to patients in countries rich and poor, developed and developing, in all corners of the globe. • Adverse Drug Events alone: 8 -10% of hospitalized patients • Tens of billions USD to healthcare systems, 140 000 death in US alone • 28 –56% of ADE are preventable • Medical devices (manufacturer-, user-, design-related errors) • Over 1 million adverse device events / year in US (6.3 events per 1000 patient days) • LMIC: e.g. 34.2 device related infections per 1000 patient days • Surgery & anaesthesia adverse events • US: 48% of all events (54 –74% preventable) • LMIC: surgical adverse events rates 5 -10 times higher • Nosocomial infections (pneumonia, catheter-related BSI, surgical wound infections) • 5 –10% of hospitalized patients (high income) • 25 –40% (LMIC) • Unsafe blood products (blood transfusion) –HIV, Hepatitis, Chagas, West Nile • Sub Saharan Africa: 88.5% of blood products not screened for HIV

3. OUR patients affected...

4. WHO Second Global Patient Safety Challenge: Safe Surgery Saves Lives • Improving safety in the OR through promoting evidence based standards • Technical guidelines, Surgical Safety Checklist and implementation tool • Global campaign, endorsements by professional societies • 4000 participating hospitals, 25 countries dedicate funds to checklist implementation

6. It works! • Survey of staff at pilot sites • 79% thought it easy to use • 79% thought it improved care • 84% thought it improved communication • 78% thought it reduced errors • 93% would want the checklist used if they were having surgery

8. Trauma Care Checklist (TCC) • Injury - leading cause of death and disability • estimated 5.8 million people each year • 10% of preventable deaths among trauma patients by human and system errors that occur in the hospital • International Consultation Meeting – Rio de Janeiro (October 2009) • Preliminary Rough Draft • Usability Feedback Cycle • 6 hospital sites • Data collected

10. Save the Date! • February 5th at Rhode Island Hospital! • Northeast Regional Patient Safety and Quality Improvement Conference • Future Projects • Safe Surgery Checklist – Academic Tool for MSIII on Surgery Clerkship