The Evolving Culture of Safety Dr Ami Hiatt

The Evolving Culture of Safety Dr. Ami Hiatt Keatts MD, FACOG, CPPS

Why do we care about safety? • It affects our institution’s reputation and referral patterns • It improves outcomes for patients • It improves worker satisfaction • It affects payment • It is the right thing to do 2

Goals of this talk: • Review history of the patient safety movement • Present quality metrics facing physicians • Teach systems thinking for healthcare • Review ways to assess providers safety attitudes (when recruiting to your institution) • Answer questions 3

Quality Measures for Physicians • Medicare: readmission, acute and chronic prevention • Commercial insurers also have forms (Anthem Q-HIP) • These will impact payment • Shift from volume to value • Transparent outcomes on the internet (check out vhi. org for my cesarean rate) 4

“Humans will always make mistakes…the universal constant is that human infallibility is impossible” Why Hospitals Should Fly, by John Nance, J. D. 5

Swiss Cheese Model, by James Reason 6

Traditional Medical Model vs Aviation • Senior knows best • Individual interactions • Savior model • Blame individuals • Secretive • Everyone has input • Team-based interactions • All work for goal • Accountability • Transparency 7

What is your institution doing to become safer? • • Safety Training Pre-procedure Time-outs Computerized Physician Order Entry Handwashing Bedside Barcode Medication Verification Fall prevention Pharmacists makes rounds too 8

A word about the Generations Generation Name The Silent Generation Baby Boomer Generation X Generation Y The Millennials Gen Next Generation Z Births Starting Births Ending Youngest Age Today Oldest Age Today 1923 1944 69 90 1945 1964 49 68 1961 1981 32 52 1975 1995 18 38 1995 2015 0 18 http: //www. careerplanner. com/Career-Articles/Generations. cfm 9

Things to look for: • • Awareness of safety in healthcare (ask!) Team player Good listener Values communication, even if not perfect at it • Accountable • Looking for JOY and Meaning at work Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care (Download at www. npsf. org/lli) 10

Questions? 11