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5 Diamond Patient Safety Program
ESRD Network of New England (Network 1)Mid-Atlantic Renal Coalition (Network 5)
Institute of Medicine Report (1999)
44,000 – 98,000 people die each year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer and AIDS--combined--making medical errors the fifth leading cause of death in this country.
Patient Safety Culture
Pervasive Commitment to Patient Safety Open Communication Blame-free Environment Safety Design Employee & Physician Involvement &
Accountability
Objectives
To promote patient safety values To create an awareness of patient safety
issues To help dialysis units learn more about
specific areas of patient safety To build a patient safety culture in every
dialysis unit
Components
Hand Hygiene Flu Vaccination Slips, Trips and Falls Medication
Reconciliation
Emergency Preparedness
Sharps Safety Decreasing Patient &
Provider Conflict
Under Development
Staff Adherence to Procedures Dialyzer Set-up Errors
Patient Safety Principles (required)
Components
Each topic is a complete educational module Tools and resources are located on the
Network of New England and MARC websites Required and optional activities PowerPoints for staff in-service presentations Posters for display Games and activities to engage patients
Details
Time frame – Began April 2008 in Network #1– Presented at Technical Meeting April 24, 2008– Mass Mailing to all Providers & Medical
Directors Requires registration and submission of
documentation when a component is completed by provider
Flexible – Have a better idea? Share it with us!
Recognition
All participants completing at least one component or more will be recognized
1 - 4 Diamonds Completed Acknowledged in Network Newsletter Listed on Network Website
Recognition
5 Diamonds Completed Acknowledged in Network Newsletter Listed on Website Special recognition at Annual Network
Meeting 2 free passes to Annual Meeting $75.00 gift certificate for entertainment
material for patients Plaque to display in unit
Congratulations Diamond Providers!
Facilities who have completed at least one module and have achieved diamond status
Emergency Preparedness
Kidney Community Emergency Response (KCER) Coalition
www.KCERcoalition.com
An emergency is defined as a situation requiring help or relief, usually created by an
unexpected event.
Kidney Community Emergency Response (KCER) Coalition KCER is a national coalition formed in 2006 to ensure
that national resources are in place to assist state and local response efforts in the event of a disaster.
Comprised of partners in renal community representing:– patient and professional organizations– practitioners, such as nurses, technicians, dietitians,
social workers, and physicians; – providers, including independent dialysis facilities,
large dialysis organizations and transplant facilities; – hospitals; – suppliers; – ESRD Networks; – state emergency and survey representatives– federal agencies, including the FDA, CDC, NIH and
CMS.
KCER Response Teams
Coordination of Staff and Volunteers Communication Facility Operations / Industry Supplies
& Services Federal Response Pandemic Preparedness Patient Assistance Patient / Provider Tracking Physician Placement and Assistance
An emergency stops being one when you are
prepared for it.