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At Cincinnati Children’s, we are working to make our institution the safest it can be for our employees. We do this not just because we value our staff, but also because we know that employee and patient safety are inextricably linked. We must address the two as one system − you cannot achieve one without the other.
Within our institution we define harm in the same way it is defined across much of industry:
Most injuries stem from slips, falls, blood-borne pathogen exposures and patient interactions. Efforts to address these sources of harm include:
We believe with a continued focus on understanding and measuring harm, transparency on our outcomes, the development of high reliability processes and a focus on expected safety behaviors we will achieve our goal of reaching the lowest rates of hospital employee injury.
> Practice and encourage team member checking / coaching using ARC (ask a question, request a change, voice a concern)
> Stop and review, resolve and reassess when questions arise
> Use SBAR (situation, background, assessment, recommendation) to communicate patient concerns
> Use the Cincinnati Children’s “hand-off” process when transferring patient care responsibility
> Use repeat backs and read backs
> Ask and encourage clarifying questions
> Document legibly and accurately
> Practice STAR – stop, think, act, review
Click image to enlarge.
Slips, trips and falls remain the top lost-time injury for employees at Cincinnati Children’s. To help reduce winter-related injuries, we will try out new temperature-sensitive indicators from IceAlert Inc. Twenty-one signs, which look like pinwheels, are being placed near major walkways and in parking garages around our campuses. The signs use temperature sensors to show when icy conditions are possible. When conditions for ice are present, the indicator will turn solid blue.
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