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The Evolving Culture of Safety . Dr. Ami Hiatt Keatts MD, FACOG, CPPS. Why do we care about safety?. It affects our institution’s reputation and referral patterns It improves outcomes for patients It improves worker satisfaction It affects payment It is the right thing to do.

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The evolving culture of safety

The Evolving Culture of Safety

Dr. Ami Hiatt Keatts MD, FACOG, CPPS


Why do we care about safety
Why do we care about safety?

  • It affects our institution’s reputation and referral patterns

  • It improves outcomes for patients

  • It improves worker satisfaction

  • It affects payment

  • It is the right thing to do

2


Goals of this talk
Goals of this talk:

  • Review history of the patient safety movement

  • Present quality metrics facing physicians

  • Teach systems thinking for healthcare

  • Review ways to assess providers safety attitudes (when recruiting to your institution)

  • Answer questions

3


Quality measures for physicians
Quality Measures for Physicians

  • Medicare: readmission, acute and chronic prevention

  • Commercial insurers also have forms (Anthem Q-HIP)

  • These will impact payment

  • Shift from volume to value

  • Transparent outcomes on the internet

    (check out vhi.org for my cesarean rate)

4


“Humans will always make mistakes…the universal constant is that human infallibility is impossible”

Why Hospitals Should Fly, by John Nance, J.D.

5


Swiss cheese model by james reason
Swiss Cheese Model, by James Reason is that human infallibility is impossible

6


Traditional medical m odel vs aviation
Traditional Medical is that human infallibility is impossibleModel vs Aviation

  • Senior knows best

  • Individual interactions

  • Savior model

  • Blame individuals

  • Secretive

  • Everyone has input

  • Team-based interactions

  • All work for goal

  • Accountability

  • Transparency

7


What is your institution doing to become safer
What is your institution doing to become safer? is that human infallibility is impossible

  • Safety Training

  • Pre-procedure Time-outs

  • Computerized Physician Order Entry

  • Handwashing

  • Bedside Barcode Medication Verification

  • Fall prevention

  • Pharmacists makes rounds too

8


A word about the generations
A word about the Generations is that human infallibility is impossible

http://www.careerplanner.com/Career-Articles/Generations.cfm

9


Things to look for
Things to look for: is that human infallibility is impossible

  • Awareness of safety in healthcare (ask!)

  • Team player

  • Good listener

  • Values communication, even if not perfect at it

  • Accountable

  • Looking for JOY and Meaning at work

    Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care (Download at www.npsf.org/lli)

10


Questions
Questions? is that human infallibility is impossible

11


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