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JCAHO Patient Safety

JCAHO Patient Safety. 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. What Must We Do?. Create Culture of Safety

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JCAHO Patient Safety

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  1. JCAHO Patient Safety

  2. 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

  3. What Must We Do? • Create Culture of Safety • Program development and oversight • Patient Safety Committee • Encourage error reporting • Non-punitive system • Don’t tolerate cover-ups • Support employees involved in serious errors

  4. Culture of Safety (continued) • Root Cause Analysis • Intensely analyze the error • Redesign system

  5. Ask Questions • Safety Survey: ask for suggestions on improving safety • Employees • Medical staff • Patients

  6. Disclose Unanticipated Outcomes and Errors • The attending physician or his designee must tell the patient if: • the outcome is significantly different from that anticipated • an error occurred • there is a surgical complication • This discussion is documented in the medical record

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