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                                            A Safe Hospital - Reduce Risk  - Save Lives

                                                                                                                              

                                                                                                                  Click here for Safe Hospital Alliance

                      

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Mission of Safe Hospital :

 

  • Identify Safe Practices for prevention in hospitals worldwide
  • Describe each of these Safe Practices, comparing their potential impact on prevention and their implementation complexity.
  • Prioritize the Safe Practices identified according to the balance between impact and implementation complexity.

 

What is a Safe Hospital?

When we prevent healthcare workers from facing a wide range of hazards on the job, including needle stick injuries, back injuries, latex allergy, violence, and stress. Although it is possible to prevent or reduce health care worker exposure to these hazards, health care workers actually are experiencing increasing numbers of occupational injuries and illnesses. 

When patients and visitors entering any hospital, they assume that they are in a safe environment. Maintaining a safe environment in hospitals depends on not only the infrastructure, but also the equipment, the materials and the practices that are used on the premises with the patients and the visitors.

 

When a disaster strikes .A safe hospital is an establishment whose services remain accessible and functional at maximum capacity and within the same infrastructure immediately following  the disaster. The term ‘safe hospital’ encompasses all health facilities, regardless of their level of complexity. A hospital is ‘safe’ when it enjoys the highest level of protection possible, when access routes to the health facility are open and when the water supply and electric power and telecommunications can continue supplying the health facility, thus guaranteeing continuity of operations and the ability to absorb the additional demand for medical care.

When hospital practices elements that can reduce costly and avoidable incidents of patient harm, such as patient falls,hospital-acquired infections and medication errors.

 

Simple Safe Practices Promoted by " Safe Hospital "


01 - Single use of injection devices

02 - Improve hand hygiene

03 - Influenza vaccinations for workers and patients

04 - Measures to prevent central venous catheter-related infections

05 - Measures to prevent ventilator-associated pneumonia (nosocomial pneumonia)

06 - Measures to prevent surgical site infections

07 - Color coding of cleaning materials and equipment to prevent infections

08 - Measures to control performance of correct procedure at the correct body site

09 - Measures to ensure correct communication during patient handovers

10 - Patient identification

11 - Measures to prevent catheter and tubing misconnections

12 - Evaluation of risk of development of pressure ulcers

13 - Evaluation of risk of thromboembolism

14 - Monitoring and supervision of patients on long-term anticoagulant treatment

15 - Use of protocols to assess patients at risk in the case of tests with contrast that may lead to renal failure

16 - Measures to ensure that written information on terminal patients’ wishes is highlighted in their care records

17 - Measures to ensure that all care received by patients is provided by competent,
trained and, where appropriate, certified professionals

18 - Measures to ensure safety of patients with latex-related allergies

19 - Precautionary measures when physically containing or immobilizing patients

20 - Recommendations to prevent confusion between look-alike, sound-alike
medication names

21 - Measures to ensure medication accuracy at transitions in care

22 - Measures to identify all high-risk drugs and establish policies and procedures for their use

23 - Measures to ensure prevention and correct treatment of surgical procedure
related acute myocardial infarction

24 - Promotion of safety measures for oral or enteral drug administration

25 - Measures to promote safe use of injectable or IV administered drugs

26 - Measures to ensure effective evaluation of A&E trauma patients

27 - Measures to prevent suicide in hospital patients

28 - Rapid response teams for critical patients

29-  Hiring practices in hospitals including screening process

 

What are the objectives of a ‘Safe Hospital’ program?

 

  • To promote international national policies and regulations on making hospitals safe environments
  • To protect the lives of the occupants of a hospital or health facility.
  • To protect the economic investment as well as the functionality of both new facilities and those identified as priorities within the health services network.
  • To compile, organize and monitor the implementation of policies and safe measures.
  • Introduction to Integrated Environmental Health Management Schemes in health facilities.
  • Inspect utility management (water, electricity, ventilation, communication)
  • To promote Fire safety and disaster plan.
  • To promote management of hazardous medical, chemical, and radioactive materials and wastes.
  • Introduction of biomedical engineering measures
  • Inspect security effectives in hospitals worldwide
  • Inspect hiring and screening practices in hospitals

 

 

What strategies can be used to carry out a ‘Safe Hospital’ program?

 

  • Lobby with decision makers to incorporate a ‘safe hospital’ program in ministries of health and other institutions that contribute to this goal.
  • Identify other sectors involved in safeguarding health facilities from disasters (drinking water, electric power, finance, disaster response committees, communications media, etc.) and involve them in joint technical and outreach activities.
  • Develop scientific and academic programs and activities on safe hospitals in universities, research centers, professional associations related to the construction and operation of hospitals.
  • Incorporate criteria for the protection of health facility into health investment projects so they serve as technical guidelines for incorporating risk mitigation in new health facilities. Include reference to these criteria the solicitation of bids on design, construction and operation of health facilities.
  • Establish and implement independent mechanisms for control and supervision of projects, with the intervention of skilled professionals that work in coordination with the team executing the project.

 

How can we reduce the vulnerability of hospitals ?

  

The vulnerability of a hospital can be reduced by carrying out a functional diagnosis and identifying priorities components during the accreditation processes, certification and licensing for the health facilities and ensuring the availability of essential resources for safe hospital practices.

 

What kind of follow-up is needed?

 

Once the criteria, goals, and indicators are defined, ‘safe hospital’ programs and practices can serve as a model.The designation of " safe hospital model "will provide an incentive for establishing these type of programs and working to achieve its achievable goals. The experiences and lessons learned from this process must be documented and shared at the global level.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                

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