Patient Safety - Improvement in Any Language
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1 Patient Safety: Improvement in Any Language A28/B28 December 8, 2010 Vibeke Rischel Sue Leavitt Gullo Carol Haraden These presenters have nothing to disclose.
2 Objectives Identify the complexities of patient safety improvements in the face of language and cultural differences. Discuss the strategy to enhance relationships between two teams from different countries in order to achieve the goals. Describe the translational issues of patient safety language.
3 Describe the meaning Team Driver Diagram Mitigate 3
4 Our Journey Together Danish Society for Patient Safety Institute for Healthcare Improvement (IHI) Our work is aimed at changing care processes as well as establishing a culture of safety.. 4
5 Danish Society for Patient Safety Established December, 2001 Launched as an answer due to documentation of mayor safety problems Board represents hospital owners, professionals, industry, research, patient and consumer organizations The goal is to ensure that Patient Safety aspects are a part of all decisions made in health care
6 Denmark National Demographics 5.5 million inhabitants Health care is predominantly a public task Responsibility for health care is decentralized to the 5 regions 38 hospital units, with a continuous decrease in number 6
7 The need for change One patient out of ten is harmed 1 One patient out of four experiences errors 1 Less than every second patient receives the recommended care 2 1. Forekomsten af utilsigtede hændelser på sygehuse. En retrospektiv gennemgang af journaler. Schiøler T, Lipzak H. Pedersen BL et al Ugeskrift for læger, 2001;163(39) 2. Fremstilling og formidling af NIP-data med udgangspunkt i det perfekte patientforløb. NIP-sekretariatet. Juni
8 Operation Life a national campaign Danish Society for Patient Safety
9 Objectives for Operation Life Prevent 3000 deaths during campaign period (mortality: in-hospital + 30 days from admission) All regions involved at the start of campaign Participating hospitals covers 75% of all discharges Accelerate the process of implementation of six clinical interventions 9
10 Out-comes in Operation Life Antal reddede liv 1, , , , ,2 0, kvt kvt kvt kvt kvt kvt kvt kvt kvt. 2009
11 Launch April 26, 2010 Patientsikkert Sygehus
12 5 hospitals participate
13 Management Relation between spor and pakker Review data Patient safety on top of agenda Patient safety walk-arounds Supporting staff and remove barriers Intensive care General Ward VAP-bundle CLI-bundle Sepsis-bundle Bladder katheter package PVC-bundle CLI-bundle Pressure ulcer AMI-bundle Sepsis-bundle PVC-bundle Pressure ulcer Handhygiejne SBAR and Safety briefings CHF-bundle Handhygiejne Rapid Response System SBAR and Safety briefings Bladder katheter Medicins management Medication reconciliation High risk medicins Surgery Surgery package including Safe Srugery Checklist SBAR and Safety briefings
14
15 Collaborative Design Language difference would be significant Learning Sessions Extranet Listserv Conference Calls Cultural difference 15 Planned for significant time in country to build relationships Faculty site visits
16 Communication vs. Communicate English interpretation process by which we assign and convey meaning in an attempt to create shared understanding Danish interpretation The way that we spread information both internally and externally. (Focus on the written word) 16
17 Communicate.. Conversation, dialogue, talking, speaking.verbal 17
18 Focus Content: words of the language. Many words have different meanings and then there is the translation. Context: way the message is delivered and the surroundings (including culture, tradition, experience). 18
19 19 Data is language neutral.
20 png
21 Intercultural Communication examines how people from different cultures, beliefs and religions come together to work and communicate with each other. anthropologist Edward T. Hall is credited with founding the scholarly field of intercultural communication during the period when he was at the Foreign Service Institute of the U.S. Department of States
22 Intercultural Communication Developed as a result of a merger of linguistic and anthropological perspectives. Hall concluded: Culture is communication and communication is culture 22
23 Intercultural Communication Strategies repeat what you understand confirm meanings give suggestions, and acknowledge a mutual understanding.
24 Discussion- Turn to your right Identify a situation when you had a communication failure. How did you learn it was a failure? How did you resolve the situation? 24
25 Summary I know that you believe that you understood what you think I said, but I am not sure you realize that what you heard is not what I meant. ~ Robert McCloskey ~
Vibeke Rischel, programme director The Danish Society for Patient Safety
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