The WHO has called for an international effort to reduce patient safety errors and estimates that globally there are millions of patients each year harmed by unsafe medical care and perhaps 1 in 10 patients may be harmed in advanced hospital settings. In the United States, the 2010 report of the Office of Inspector General (OIG) estimated that 1 in 7 Medicare patients experienced adverse events related to hospital care. The report estimated that 44% of these events were clearly or likely preventable and hospital care costs related to these events were an estimated $324 million in 2008.
This app is unique in that it has been developed by a physician who is in full time clinical and surgical practice and has over a decade of medical leadership experience involving the review of medical and surgical patient safety complaints and incident reports at a major acute care hospital. It has been developed using an amalgamation of criteria and guidelines as suggested by the WHO, JCAHO, CMS, CDC, and AHRQ. The app advocates users to follow the policies of their hospital where the safety issue occurred and report the event to the respective patient safety administrator.
However, in an increasingly complex environment of health care, patients are asked to navigate hospital settings that are complex and they may find it difficult to communicate patient safety events or quality of care issues to the hospital staff or administrator. In order to enable patients and family members to communicate the concerns of the care they received in a hospital setting, this app allows for their message to be sent to the local State or Province health department for further review according to the local health guidelines and jurisdiction.
This app has pre-populated State health dept. emails for patients within the United States. Patients outside the U.S. can also use the app if they know their respective State or Province QA administrator’s email to type in the Patient Safety Report Screen. The app also provides educational content and references to learn more about patient safety. There is also Literature Search option as an in-app purchase for those users who wish to learn more about specific key words related to their incident report.
Join the movement to help patient safety by downloading and using this free app.
We welcome and encourage your input. Please send comments and suggestions to us at firstname.lastname@example.org
A safety plan is a list of coping strategies and social supports that people can use when they are in a suicidal crisis or very distressed. It helps them not act on their suicidal feelings. The plan is brief, is in the individuals’ own words, and is easy to read. It is an emergency plan for suicide crises.
WHO SHOULD HAVE A SAFETY PLAN?
Anyone who gets suicidal and wants help feeling better and less suicidal.
Clinicians can collaborate with individuals to develop the safety plan. Individuals can also develop plans on their own.
IMPLEMENTING THE SAFETY PLAN
There are 6 Steps involved in the development of a Safety Plan.
Step 1: Warning Signs
List warning signs of a suicide crisis. Include specific thoughts, images, thinking processes, mood, and/or behaviors
Step 2: Internal Coping Strategies
List activities that can be done without anyone else involved to cope and distract from suicidal thoughts, e.g. going online, listening to calming music, talking a walk, watching television.
Step 3: Social Contacts and Social Settings That May Distract from the Crisis
List individuals and safe social settings that can distract and support the individual. Discussion of suicidal feelings are not included here.
Step 4: Family Members or Friends Who May Offer Help
List family members and/or friends who can help with the suicidal crisis. Discussion of suicidal feelings can be included here.
Step 5: Professionals and Agencies to Contact for Help
List important health professionals, local ER, crisis line number
Step 6: Making the Environment Safe
Identify how to restrict/remove access to lethal means.
WHAT ARE THE STEPS AFTER THE PLAN IS DEVELOPED?
ASSESS the likelihood that the overall safety plan will be used.
Problem solve to identify barriers or obstacles to using the plan. Determine how to eliminate them.
REVIEW the plan periodically to determine whether the plan needs to be revised.
The Safety Plan app was developed with permission from Stanley & Brown (2012). Developers: Barbara Stanley, Gregory K. Brown, and Padraic Doyle. New York State Office of Mental Health.