Patient focus is a fundamental principle at health care, Targeting the safety of the patient, once realized by the health care givers, they will certainly perform with a better outcome

1. 14 - September - 2012 Prepared By Dr Gamal Soliman 1
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Patient Safety
Program/Plan

2. 14 - September - 2012 Prepared By Dr Gamal Soliman 2
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Scope of program
Definition of the scope of
the program activities
Safety culture
Statements that focus of program
is to improve patient safety
processes, not take punitive
measures against staff who
commit errors

3. 14 - September - 2012 Prepared By Dr Gamal Soliman 3
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Program componentsProgram components
Description of howDescription of how
organization hasorganization has
integrated safety-integrated safety-
related elements intorelated elements into
organization-wideorganization-wide
effort, includingeffort, including
participation fromparticipation from
appropriateappropriate
departments anddepartments and
services

4. 14 - September - 2012 Prepared By Dr Gamal Soliman 4
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Procedures for immediate response to
medical/health care errors
Response procedures are in place for:
Care of the affected patient(s)
Containment of risk to others
Preservation of factual information for
subsequent analysis

5. 14 - September - 2012 Prepared By Dr Gamal Soliman 5
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Definition of mechanismsDefinition of mechanisms
in place for responding toin place for responding to
unexpected clinical eventsunexpected clinical events
including sentinel eventsincluding sentinel events
(SE) (eg, root cause(SE) (eg, root cause
analysis [(RCA]) or otheranalysis [(RCA]) or other
mechanisms formechanisms for
conducting proactive risk-conducting proactive risk-
reduction activitiesreduction activities

6. 14 - September - 2012 Prepared By Dr Gamal Soliman 6
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Assessment of the intendedAssessment of the intended
and actual implementationand actual implementation
of the process to identify theof the process to identify the
steps in the process wheresteps in the process where
there is, or may be,there is, or may be,
undesirable variationundesirable variation
Identification of the possibleIdentification of the possible
effects on patients and theeffects on patients and the
seriousness of the possibleseriousness of the possible
effects for each identifiedeffects for each identified
variationvariation

7. 14 - September - 2012 Prepared By Dr Gamal Soliman 7
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
New processes, functions, orNew processes, functions, or
services designed orservices designed or
redesignedredesigned
Must consider potentialMust consider potential
risks to patient safetyrisks to patient safety
Inclusion of information related
to patient safety and
unanticipated adverse events
(AE) affecting patients in process
planning for performance
improvement priorities. The data
include:
Processes that affect a largeProcesses that affect a large
percentage of patientspercentage of patients

8. 14 - September - 2012 Prepared By Dr Gamal Soliman 8
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Evidence of coordination/Evidence of coordination/
integration of patient care andintegration of patient care and
patient safetypatient safety as anas an
interdisciplinary approachinterdisciplinary approach

9. 14 - September - 2012 Prepared By Dr Gamal Soliman 9
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Measurement and analysis
Actual processes identified asActual processes identified as
error-prone or high-riskerror-prone or high-risk
regarding patient safetyregarding patient safety
Critical steps in at least oneCritical steps in at least one
actualactual high-risk process arehigh-risk process are
measured and analyzed on anmeasured and analyzed on an
ongoing basisongoing basis
Corrective actions forCorrective actions for
significant variationsignificant variation

10. 14 - September - 2012 Prepared By Dr Gamal Soliman 10
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Resource allocationResource allocation
Allocation of adequate resourcesAllocation of adequate resources
for measuring, assessing, andfor measuring, assessing, and
improving patient safetyimproving patient safety
Assignment of adequateAssignment of adequate
personnelpersonnel (number and(number and
competence) to participate incompetence) to participate in
activities to improve patientactivities to improve patient
safetysafety

11. 14 - September - 2012 Prepared By Dr Gamal Soliman 11
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

12. 14 - September - 2012 Prepared By Dr Gamal Soliman 12
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

13. 14 - September - 2012 Prepared By Dr Gamal Soliman 13
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

14. 14 - September - 2012 Prepared By Dr Gamal Soliman 14
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

15. 14 - September - 2012 Prepared By Dr Gamal Soliman 15
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

16. 14 - September - 2012 Prepared By Dr Gamal Soliman 16
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A

17. 14 - September - 2012 Prepared By Dr Gamal Soliman 17
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A