1. 5 Diamond Patient Safety Program ESRD Network of New England (Network 1) Mid-Atlantic Renal Coalition (Network 5)

2. Institute of Medicine Report (1999) 44,000 – 98,000 people die each year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer and AIDS--combined--making medical errors the fifth leading cause of death in this country.

3. Patient Safety Culture Pervasive Commitment to Patient Safety Open Communication Blame-free Environment Safety Design Employee & Physician Involvement & Accountability

4. Objectives To promote patient safety values To create an awareness of patient safety issues To help dialysis units learn more about specific areas of patient safety To build a patient safety culture in every dialysis unit

5. Components Hand Hygiene Flu Vaccination Slips, Trips and Falls Medication Reconciliation Emergency Preparedness Sharps Safety Decreasing Patient & Provider Conflict Under Development Staff Adherence to Procedures Dialyzer Set-up Errors Patient Safety Principles (required)

6. Components Each topic is a complete educational module Tools and resources are located on the Network of New England and MARC websites Required and optional activities PowerPoints for staff in-service presentations Posters for display Games and activities to engage patients

7. Details Time frame –Began April 2008 in Network #1 –Presented at Technical Meeting April 24, 2008 –Mass Mailing to all Providers & Medical Directors Requires registration and submission of documentation when a component is completed by provider Flexible – Have a better idea? Share it with us!

8. Recognition All participants completing at least one component or more will be recognized 1 - 4 Diamonds Completed Acknowledged in Network Newsletter Listed on Network Website

9. Recognition 5 Diamonds Completed Acknowledged in Network Newsletter Listed on Website Special recognition at Annual Network Meeting 2 free passes to Annual Meeting $75.00 gift certificate for entertainment material for patients Plaque to display in unit

10. Congratulations Diamond Providers! Facilities who have completed at least one module and have achieved diamond status

11. Emergency Preparedness Kidney Community Emergency Response (KCER) Coalition www.KCERcoalition.com

12. An emergency is defined as a situation requiring help or relief, usually created by an unexpected event.

13. Kidney Community Emergency Response (KCER) Coalition KCER is a national coalition formed in 2006 to ensure that national resources are in place to assist state and local response efforts in the event of a disaster. Comprised of partners in renal community representing: –patient and professional organizations –practitioners, such as nurses, technicians, dietitians, social workers, and physicians; –providers, including independent dialysis facilities, large dialysis organizations and transplant facilities; –hospitals; –suppliers; –ESRD Networks; –state emergency and survey representatives –federal agencies, including the FDA, CDC, NIH and CMS.

14. KCER Response Teams Coordination of Staff and Volunteers Communication Facility Operations / Industry Supplies & Services Federal Response Pandemic Preparedness Patient Assistance Patient / Provider Tracking Physician Placement and Assistance

15. An emergency stops being one when you are prepared for it.