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Apr 3, 2024
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Uploaded by destiniifaith
To: Mount Elsewhere Hospital
From: Destini Harper Date: Feb. 11 2024
Subject: Patient Safety Introduction
Mount Elsewhere Hospital can improve patient safety and the safety of staff by implementing an event reporting system. This system can be used to reduce harm and improve the safety of staff and patients over time. The patient safety committee can use past incident cases to implement the
change. However, ensuring staff compliance is crucial. MCARE law mandates that facilities to report malpractice claims to the Pennsylvania Patient safety Authority. This memo addresses the risks associated with compliance and noncompliance with event reporting methods, aiming to reduce cost and harm in the future. Risk of Non-Compliance For organizations, breaking rules, regulations, and standards of the government poses a serious risk. The MCARE Act 13 stipulates that non-compliance, which includes failing to report occurrences or follow patient safety measures, can result in fines of up to $1,000 a day. Additional dangers include mortality, damage to the facility’s reputation, and loss of licenses and
certifications. Implementing event reporting systems and compliance are examples of mitigation strategies for non-compliance. MEH anticipates that their facility’s culture will change as a result
of using an event reporting system. Flexible leaders are required for the MEH patient safety committee in order to reduce non-compliance. They must do this by serving as a facilitator and
staying open to suggestions or changes. Implement a change in one department, observe the outcomes, and then find out about the staff’s responses to the change in addition to your own observations. Dealing with the facility has the risk of creating misunderstandings and oversimplifying the core notion. Compliance and the risks
Maintaining workplace safety and high-quality treatment requires adherence to MCARE rules. But, there are dangers associated with ensuring compliance, such as staff misconduct or corruption. Because of prejudice views, a fear of events, or even fear of reporting, workers may steer clear of particular reputations or career pathways. Within the medical field, an incident is any unplanned or unforseen event that has caused injury to a patient or caregive, or that may cause harm to them now or in the future. The goal of MEH is to have employees who voluntarily
consent to reporting events. MEH may closely collaborate with workers to develop an event reporting system, which will help reduce the staff anxiety of event reporting. Positive dialogues with smaller teams of workers may help staff members understand the new patient safety plan’s components, how it will operate, and how they can contribute to its success. Additionally, it fosters a dialogue among staff members on the effectiveness of the patient safety strategy. Assure staff members of the new event reporting system’s confidentiality, so they feel secure enough to report any incidents or occurrences. The hospital can benefit from the events reported. MEH can provide evidence of the efficacy of incident reporting by referencing materials, such as
statistics from the Patient Safety Reporting System (PSRS), or laws included in MCARE Act 13.
For instance, the number of occurrences reported to the PSRS in 2020, was 5.3% fewer than the
number of events reported in 2021. This demonstrates how well hospitals planned ahead and carried out their plans during the COVID-19 pandemic. Event Reporting System
Internal and external reporting are two subsectors that make up event reporting. Reporting events
that take place inside the hospital are categorized under internal event reporting. Incident reports that are made available to the general public and outside databases, like the Joint Commission and the PSRS, are known as externally reported events. An example of an internal reporting system is LeapFrog. Leapfrog Group is a national nonprofit organization that is driving for a change in the quality and execution of care. With the Leapfrog Database, you have access to their different programs such as, Leapfrog Hospital Survey, Leapfrog Hospital Safety Grade, Leapfrog Ambulatory Surgery Center Survey, and even information about a patients specific hospital. Leapfrog can be very benefical to MEH because it gives patients the ability to find out information about their hospital as well as confidentially upload their own reports based on a specific hospital, which helps with the data assessments that are conducted through Leapfrog. The patient safety committee can also access the inormation on Leapfrog’s website to assess the reports made, and use that information to come up with new ways to improve the delivery of care
and safety of patients and medical staff.
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Sources
https://www.leapfroggroup.org/ratings-reports
https://www.legis.state.pa.us/cfdocs/legis/li/uconsCheck.cfm?yr=2002&sessInd=0&act=13
https://everfi.com/blog/workplace-training/beware-of-these-8-common-compliance-risks/