Transcript JCAHO Patient Safety Requirements

JCAHO Patient Safety
Requirements
Background
&
Summary
Background
1999 Institute of Medicine report:
“To Err is Human: Building a Safer Health
System”
Estimated 44,000 – 98,000 medical error deaths
annually
More than from highway accidents, breast
cancer, or AIDS
Additional IOM Activity
 Quality of Healthcare
in America Project
 Crossing the Quality
Chasm -report
recommends total
redesign of health care
delivery system
JCAHO Patient Safety
Requirements
 In response to IOM
reports and public
outcry
 Intermeshed
throughout the
standards
 >50% of standards
now relate to patient
safety
What Must We Do?
 Create Culture of
Safety
 Program development
and oversight
 Encourage error
reporting
 Non-punitive system
 Don’t tolerate cover-ups
 Support employees
involved in serious
errors
Culture of Safety (continued)
 Root Cause Analysis
 Intensely analyze the
error
 Redesign system
 Test new design
 Educate staff on
changes
 Follow-up on the new
design
Ask Questions
Safety Survey:
ask for
suggestions on
improving safety
 Employees
 Medical staff
 Patients
Technology Promotes Safety
•
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Assess needs
Accessibility
Timeliness
Links to internal
equipment
• Links to external
resources
Patient Centered Care
 Assess for safety risk
factors like falls
 Incorporate
assessment into care
plan
 Provide safety
education for patients
and families
Prevent Errors (continued)
 Analyze & redesign
high risk areas
including:
 Medication (from
ordering to
administration)
 Errors reported by
other facilities
 Those identified in risk
management
Prevent Errors
Adequate
allocation of
resources
 Human
 Information
 Physical
 Financial
Disclose Unanticipated
Outcomes
 The attending
physician must tell the
patient and family if
the outcome is
significantly different
from that anticipated
 This includes surgical
complications
Disclose Errors
Tell the patient
and/or family when
an error has
occurred