The Importance of Patient and Associate Safety David Mayer, MD Vice-President Quality and Safety MedStar Health.

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Presentation transcript:

The Importance of Patient and Associate Safety David Mayer, MD Vice-President Quality and Safety MedStar Health

Patient Safety “Medicine used to be simple, ineffective and relatively safe. Now it is complex, effective, and potentially dangerous.” Sir Cyril Chantler, Dean of London’s Guy’s Hospital 2

Optimized Outcomes Reliability The MedStar Health Road to Success Human Factors Integration Reliability Culture Core Values & Vertical Integration Hire for Fit Behavior Expectations for all Fair, Just and 200% Accountability Process Design Evidence-Based Best Practice Clinical Decision Support/IT Focus & Simplify Tactical Improvements (e.g. Bundles) Intuitive design. Impossible to do the wrong thing. Obvious to do the right thing. Simulation/Innovation Human Factors Integration Including the Patient Voice in all we do © Healthcare Performance Improvement, LLC. ALL RIGHTS RESERVED. Patient & Family Partnerships 3 Transparency

4 Why Do We Need Human Factors in Healthcare? Credit to Raj Ratwani

High Reliability, Human Factors Engineering and Patient Safety “We cannot change the human condition but we can change the conditions under which humans work.” James Reason 5

Restoring Honesty, Trust and Safety in Healthcare Transparency (Honesty and Trust) –Transparency in Reporting –Transparency in Outcomes –Transparency in Communications Informed consent/Shared decision-making Disclosure after harm 6

Patient Engagement and Partnership MedStar Patient and Family Advisory Council for Quality and Safety (PFACQS) –Rosemary Gibson –Helen Haskell –Sorrell King –Carole Hemmelgarn –Michael Millenson –Patty Skolnik –Armando Nahum –Victoria Nahum –Marty Hatlie –Knitasha Washington 7

Telluride Patient Safety Roundtable Twelve Annual Roundtable: “The Power of Change Agents: Teaching Caregivers Effective Communication Skills to Overcome the Multiple Barriers to Patient Safety and Transparency” June 9 th – June 18 th, 2016 Telluride, CO Supported by TDCF and MedStar Health 8