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Patient Safety Institute: Innovating Healthcare Facility Design for a Safer Future

Discover key recommendations and design strategies from the IOM report to enhance patient safety in healthcare facilities. Learn about reducing medical errors, optimizing layouts, involving patients in the process, and fostering a culture of safety.

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Patient Safety Institute: Innovating Healthcare Facility Design for a Safer Future

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  1. Moving Forward 21st Annual Institute

  2. Background - IOM Report • The risk of dying as a result of medical error far surpasses the risk of dying in an airline accident. • Death on Domestic Flights - 1 in 8,000,000 flights

  3. Background - IOM Reportcont’d Death in Hospitals from Medical Errors 1 in 343 Admits to 1 in 764 Admits Adverse Events in Hospitals 1 in 27 Admits to 1 in 34 Admits

  4. The Patient Safety Learning Lab Top 10 Recommendations for Facility Design • FMEA at each design stage • Standardization of Location • Involve patients/families in design process • Establish a checklist for current/future design • Critical information close to the patient • Noise reduction • Adaptive systems for function in the future • Articulate a set of principles for measurement • Equipment planning Day 1 • Begin mock-ups on Day 1

  5. Design Recommendations • Latent Conditions: • Noise reduction • Scalability, adaptability, flexibility • Visibility of patients to staff • Patients involved with their care • Standardization • Automate where possible • Minimize fatigue • Immediate accessibility of information, close to the point of service • Minimize Handoffs • Minimize Patient Movement

  6. Design Recommendations, con’t • Active Failures • Operative/Post-Op Complications/Infections • Events Relating to Medication Errors • Deaths of Patients in Restraints • Inpatient Suicides • Transfusion Related Events • Correct Tube-Correct Connector-Correct Hole • Patient Falls • Deaths Related to Surgery at Wrong Site • MRI Hazards

  7. Process Recommendations • Matrix Development (post Learning Lab) • FMEA at each stage of design • Patients/Families involved in design process • Equipment planning day 1 • Mock-ups day 1 • Design for the vulnerable patient • Articulate a set of principles for measurement • Establish a checklist for current/future design

  8. Creating a Culture of Safety • Shared Values and Beliefs about Safety within the Organization • Always Anticipating Precarious Events • Informed Employees and Medical Staff • Culture of Reporting • Learning Culture • “Just” Culture • Blame-Free Environment Recognizing Human Infallibility • Physician Team Work • Culture of Continuous Improvement • Empowering Families to Participate in Care of Patients • Informed & Activated Patient

  9. Our Patient Safe Room

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