Preface
Quotable Quotes
Introduction and definitions; JCAHO sentinel events
Practices to improve patient safety – examples
JC Home Care Patient Safety Goals
JC Ambulatory Care Patient Safety Goals
Risk defined
Risks related to “managed care”
Risk Management, Safety and Infection Control: Master Policy
Common problem examples with solutions
Smart Cards
JC Standards; Patient Safety Rules
Health Care Provider Errors; Types of Errors
Facilities and Environment – Policy
Clinical Indicators to Monitor
Needle Sticks – ‘Sharps’
CPR Training Policy example
Malpractice avoidance
Avoiding Back Injuries
Tracking Significant Abnormal Diagnostic Results
Telephone Communications
Facility Disaster Plans
Bomb Threat Emergency
Earthquake Safety
Electrical Emergency
Fires ØFire Emergencies ØFire Safety Procedures ØFire Prevention
Patient Identification
Color Codes - Charts, Wristbands
Medical Errors/Injuries
Ø Identifying medical errors;
Ø Medical error rates;
Ø Disruptive physicians and other providers
Ø Medication management - error prevention
Ø Medication reconciliation
Ø Laboratory Reports – failure to review and act on results
Hazardous Materials
Radiation Safety
Mass Casualty Management (OSHA)
Office Emergency Equipment, Medications, Supplies
Risk Manager/Patient Relations
Transitions of care, Handoffs, checklists
Identity theft prevention - FTC requirements
Incident Reports
Ø State reports required for adverse events
Ø Incident Report Severity Codes
Patient complaints (unsolicited) – relationship to malpractice risk
Patient Concern Form
Safety Standards, PacifiCare of California
Risk Management/Patient Compliance
Suspicious Packages - Response Guide (CDC)
Staff Safety
Credentials for Safety Officers
Letters confirming employment history - omissions lead to lawsuits
Consents
for Care and Treatment
Ø Capacity to consent
Ø Informed consent policy
Ø Development process for consent forms
Ø Brochure for patients
Ø Procedures requiring informed consent with example consents
Obtaining Informed Consent
Refusal of treatment form
Procedure consent form
AMA Policy and Procedure, Release Form
Interpreter’s Statement
HIV testing - consent and payment procedures
Consent for immunizations
Consent for photography during a surgical procedure
General Consent for surgery, anesthetics and other services
Hysterectomy consent
Acknowledgement for Hysterectomy Information (Medicaid requirement)
Consent for sterilization form
Prostate Needle Biopsy consent form
Rubber band ligation, hemorrhoids
Telemedicine consent form
DNR/withholding of treatment order form
Gastroscopy – information sheet and consent
Placement of Percutaneous Endoscopic Gastrostomy Tubes (PEGs)
Phase I Oncology Treatment Trial Consents
Report of Occurrence - Form
References
and resources
AHRQ
Evidence report/technology assessment #43: Making Health Care Safer