patty & pat
TRANSCRIPT
Building Alliances & Smoothing the Path
To
Better Patient SafetyPatty Skolnik, Exec. Director
Citizens for Patient Safety
Pat Mastors, Founder
Pear Health
Take-aways:
1. Learn how allies can be embraced to improve patient safety
2. Learn how environments can be embraced to improve patient safety
3. Learn from each other
Our son, Michael Skolnik
VIDEO -http://www.youtube.com/watch?
v=7XLTN8dvffo&list=UUXyNo68qfPLKQQ2e86i-GCg&index=3
Finding Unexpected Allies
“…getting past the Culture of Silence – the tendency of medical insiders to defend each other and shield the patient from important information.”
The Sandbox
How do you get what you want?
Rep. Morgan Carroll: “…Patty found champions in the Colorado medical society, in the state’s largest malpractice carrier, and
with legislators on both sides of the aisle.”
“Playing nice”
• It broadens your perspective• You might make unexpected allies• Be open, transparent, and agree to disagree• Invite yourself to the dance• Don’t just think of yourself
What roadblocks do you face?How can you smooth them?
My Dad, Bob Stegeman
one of
100,000deaths each
year
Hospital-Acquired Infections: What do patients know?
52% 65%30%
#1
Doctors don’t clean hands
between patients
Carry C. diff spores
Wasn’t washedin a week
Ranked “Germiest” object in room Left dirty for
next patient
Doctors’ Neckties contaminated
Purse bottoms carryFecal bacteria
50%
50% 50%
How does the patient clean their hands?
Where does the patient put their stuff?
How does the patient remember instructions and discharge stuff?
How can caregivers “see us”?
Mistakes are inevitable
How Can Patients Help?
We can help with the Swiss Cheese
We Can Help Here Too
Patients can
“Smooth the path” for mousetraps, and
“Block the holes” in the Swiss cheese
“Always” Event: Smooth the path
(Raise a concern- red flag--infection)
“Never” Event:Block the holes - ask when
you don’t understand
Carrots & Sticks:
It’s about being human. People want to do the right thing
Make it easier for them to do it.
Q: What barriers are you facing???
Patty Skolnik, Citizens for Patient Safety
www.citizensforpatientsafety.org
Pat Mastors, Pear Health
www.thepatientpod.com