medical service professional’s role in improving patient safety and decreasing organizational...
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Medical Service Professional’s Role in Improving Patient Safety and Decreasing
Organizational Legal Risk
November 13, 2015
COPYRIGHT 2013 VIDANT HEALTH
A patient story…
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COPYRIGHT 2013 VIDANT HEALTH
Decreasing Legal Risk
• Primary source verification• Completed appointment forms• Sharing previous case history with legal
or credentialing committee
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COPYRIGHT 2013 VIDANT HEALTH
Decreasing Legal Risk
• Normal course of business
• Hammond v. Saini – NC Supreme Court decision
• Protecting your documents
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COPYRIGHT 2013 VIDANT HEALTH
Decreasing Legal Risk
• Peer Review• Confidentiality• Protection• Safety
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COPYRIGHT 2013 VIDANT HEALTH
Decreasing Legal Risk
• Patient Safety • Participating in Root
Cause Analysis• Encouraging frank
safety discussion
• Risk reduction– Regulatory issues– Medical Staff bylaws– Rules & Regulation– Policies
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COPYRIGHT 2013 VIDANT HEALTH
Decreasing Risk
• Physicians are part of the TEAM!• Leadership• Ownership• They are not the expert in everything
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COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Just CulturePunitive environment
TransparencySecrecy
Patient CenteredProvider Centered
Interdependent collaborative, interprofessional teamwork
Reliance on independent, individual performance excellence
System failuresErrors as individual failures
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Just CulturePunitive environment
TransparencySecrecy
Patient CenteredProvider Centered
Interdependent collaborative, interprofessional teamwork
Reliance on independent, individual performance excellence
System failuresErrors as individual failures
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Simulation practice insertionsInsertions with supervisionStandardize insertion kits
Barrier on proximal end to hold it
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System failuresErrors as individual failures
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Skill based error – honest mistake
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Just CulturePunitive environment
COPYRIGHT 2013 VIDANT HEALTH
• Skill based error – honest mistake
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Just CulturePunitive environment
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Share the story, peers learn from honest mistakes made from others
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TransparencySecrecy
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Patient had IO access and fistulaCulture is to place CVC during Code Blue
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Patient CenteredProvider Centered
COPYRIGHT 2013 VIDANT HEALTH
Improving Patient Safety
Designate a CVC buddy to assist with procedure and/or to determine that all
equipment, including guidewire, is retrieved appropriately following
procedure
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Interdependent collaborative, interprofessional teamwork
Reliance on independent, individual performance excellence
Medical Service Professional’s Role in Improving Patient Safety and Decreasing
Organizational Legal Risk
November 13, 2015
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