"Whenever a doctor cannot do good, he must be kept from doing harm."
Patient safety is the "prevention of errors and adverse effects to patients associated with healthcare."
With new technologies, medicines and treatments, healthcare is getting more complex. Alongside human factors, this is leading to a growing recognition of the burden of adverse patient safety events. These events lead to unnecessary and preventable harm or early deaths and place disproportionate strain on the healthcare system.
Patient harm and adverse events account for around 15% of acute care expenditure in hospitals in a typical developed country.43
Burden of disease : Morbidity and mortality compare to diseases such as diabetes and cancer43
Infections that patients get while receiving treatment for medical or surgical conditions.
How does it happen?HAI can happen across the entire hospital setting:
Systemic Inflammatory Response Syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of Infection, it is called Severe Sepsis. When sepsis is accompanied by Hypotension despite adequate fluid infusion, it is called Septic Shock.
How does it happen?Sepsis occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail
Antimicrobial resistance is the ability of microorganisms (such as bacteria, fungi, viruses, or protozoa) to nullify the effects of antimicrobial drugs, resulting in these drugs becoming ineffective1,2 AMR can affect anyone, of any age, in any country.
How does it happen?There is usually a small number of bacteria that are resistant to antibiotics. When taken, antibiotics kill bacteria causing the illness - but they also kill the good bacteria that protects the body from infection. The drug-resistant bacteria survive and multiply. Eventually, the drug-resistant bacteria becomes dominant and spreads.
1. Antimicrobial Resistance Fact Sheet. WHO. http://www.who.int/mediacentre/factsheets/fs194/en/ 2. About Antimicrobial Resistance. CDC. https://www.cdc.gov/drugresistance/about.html
Errors in prescribing, dispensing, or administering medication with the result that the Patient fails to receive the correct drug or the indicated proper drug dosage.
How does it happen?Most medication errors occur during the prescription (39%) and administration (38%) phases, with the latter being the hardest to intercept and causing direct harmful consequences for patients.20Staff shortages combined with patient demographics exacerbates safety riskand increases the chances for medication errors to occur.
Improving patient safety through technologies, practices and education cannot happen in isolation.A culture of safety needs to flow through an entire hospital and be the top priority to ensure improvements in outcomes and quality of care.A culture of reporting, learning, fair, and flexible.
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