Medical Service Professional’s Role in Improving Patient Safety and Decreasing Organizational...

Medical Service Professional’s Role in Improving Patient Safety and Decreasing

Organizational Legal Risk

November 13, 2015

COPYRIGHT 2013 VIDANT HEALTH

A patient story…

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Decreasing Legal Risk

• Primary source verification• Completed appointment forms• Sharing previous case history with legal

or credentialing committee

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• Normal course of business

• Hammond v. Saini – NC Supreme Court decision

• Protecting your documents

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• Peer Review• Confidentiality• Protection• Safety

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• Patient Safety • Participating in Root

Cause Analysis• Encouraging frank

safety discussion

• Risk reduction– Regulatory issues– Medical Staff bylaws– Rules & Regulation– Policies

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Decreasing Risk

• Physicians are part of the TEAM!• Leadership• Ownership• They are not the expert in everything

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Improving Patient Safety

Just CulturePunitive environment

TransparencySecrecy

Patient CenteredProvider Centered

Interdependent collaborative, interprofessional teamwork

Reliance on independent, individual performance excellence

System failuresErrors as individual failures



Simulation practice insertionsInsertions with supervisionStandardize insertion kits

Barrier on proximal end to hold it

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System failuresErrors as individual failures



Skill based error – honest mistake

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• Skill based error – honest mistake

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Share the story, peers learn from honest mistakes made from others

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TransparencySecrecy



Patient had IO access and fistulaCulture is to place CVC during Code Blue

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Patient CenteredProvider Centered



Designate a CVC buddy to assist with procedure and/or to determine that all

equipment, including guidewire, is retrieved appropriately following

procedure

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Interdependent collaborative, interprofessional teamwork

Reliance on independent, individual performance excellence

Medical Service Professional’s Role in Improving Patient Safety and Decreasing

Organizational Legal Risk

November 13, 2015

Medical Service Professional’s Role in Improving Patient Safety and Decreasing Organizational...

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