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Healthcare Safety PowerPoint Presentation
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Healthcare Safety

Healthcare Safety

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Healthcare Safety

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  1. Healthcare Safety An Aviation Perspective Michael Appel, M.D. 30th International System Safety Conference August 7, 2012 Atlanta, GA

  2. primum non nocere

  3. Patient Safety It’s a DECISION we make

  4. Patient Safety It’s a DECISION we make

  5. “Safety” can best be defined as: Eliminating harm Eliminating blame Being very careful Investigating all errors Managing risk

  6. CURRENT FINANCIAL INCENTIVES DEFECTS Toyota absorbs the cost of defects Healthcare MARKS UP and SELLS the defects to the consumer In the future, the healthcare industry will have to absorb the costs of defects

  7. SAFETY DECISIONS WHO does the work? HOW we do the work? WHAT level of risk is acceptable?

  8. 1 Safety = Risk

  9. Risk = (likelihood of failure) x (magnitude of harm) x (acceptable harm rate) (available mitigating resources)

  10. 1 Safety = Risk

  11. RESOURCES Safety = ODDS x CONSEQUENCES x INVISIBILITY

  12. = Safety RESOURCES x VISIBILITY ODDS x CONSEQUENCES INVISIBILITY x

  13. Barriers to “RESOURCES” Shrinking margins / financial distress Impending “reform” Short-term ROI Industry-wide lack of SYSTEMS approach

  14. Barriers to “VISIBILITY” Brilliant physician Looming lawyers NO safety expertise Good outcome = “safety” Industry-wide lack of SYSTEMS approach

  15. michael.appel@nghs.com (678) 521-2418 cell