Biography
Biography: Mukesh Thakur
Abstract
Background: Patient safety remains a major concern worldwide. Internal medicine patients with multiple comorbidities and fragmented health care utilization are more prone to face adverse events. Patient centered care is now considered as the gold standard to achieve safe and reliable care. There should be ‘no decision about me, without me’. Most organizations across the world struggle to achieve harm free care. One of the robust solutions for this critical problem can be achieved through application of safety culture in the organizations. Α broad range of safety culture is organized into seven subcultures: leadership, teamwork, evidence-based care, communication, learning, just culture, patient-centered care. Method: In our organization, we started implementing safety culture and value based system. We used the IHI (Institute for Healthcare Improvement) model for improvement with rapid cycle PDSA (Plan–Do–Study–Act) change methodology to guide our work. Multidisciplinary teams were involved in this and stakeholders were engaged at all levels. Several initiatives like sepsis bundle, VTE risk assessment, leadership WalkRounds and flow collaborative started at unit level and combined to achieve safety culture in our facility. Results: The initial results are promising. Over the last 15 months leadership WalkRounds implemented in the facility and being conducted three times a month with 100% compliance. Eighty percent of the safety issues raised by frontline staff are resolved within given time frame of two weeks. Surgical site marking increased from 30 to 96% by leadership engagement with multidisciplinary teams. Communications improved with use of ISBAR and compliance is more than 90% among all disciplines. Qatar early warning system (QEWS) was designed to address quick identification of deteriorating patients and implemented with huge success in reduction of number of cardiac arrest calls by 80%. Under flow collaborative, number of patients that left medical unit before 2 pm increased by 75% and 27% reduction in median time from discharge decision to the time patient physically left unit. VTE risk assessment compliance increased to 100% and sustained. Sepsis six bundle compliance is more than 95% in medical wards.