Health literacy and patient safety

Health Literacy & Patient Safety

Dr Nikhil D Datar

MD DNB FCPS FICOG LLB DGO DHA •Consultant Gynaecologist: Nanawati Hospital & Hinduja Healthcare Surgical•Director Datar Nursing Home ( Malad) & Yashada Maternity & Surgical Home( Goregaon)

•Founder President : Patient Safety Alliance.

Are YOU at risk?

AS A PATIENT:Safe, transparent, evidence based, “patient centric” medical care

AS A DOCTOR:Perceived negligence is responsible for 85% of medico-legal cases.

True story

• Patient NOT disclosing that she has undergone a major surgery in the past

Victims of medical accidents

• “Unintended medical harm” 8th common cause of deaths

• 50% deaths are preventable• Patients are the most important stake holders

Is Health care “patient centric?”

• Doctors adopt highly paternalistic attitude, see informed consent as waste of valuable and scarce time. (Sanwal etal J R Soc Med 1996,89 196-98)

• 40% patients could not understand basic instructions such as take tablet on empty stomach, 60% could not understand standards consent document.(Williams etal JAMA. 1995;274:1677-1682)

Those with limited health literacy are more likely to:

• Skip preventive measures• Require hospital admissions• Use services designed to treat complications

than services used to prevent complications• Feel shameful & vulnerable• Spend more money• Feel unsatisfied (http://www.health.gov/communication/literacy/quickguide/

factsliteracy.htm)

The “Gap”

Bridging the gapCase Studies:

• Patient Safety Alliance• “Be alert… Be safe” workshops by PSA• PSA tools• Project “Digital Consents”

Patient Safety Alliance

• Empowering patients• Supporting healthcare professionals

to reduce medical harm.

Education & activism in Health policy and law

“Be Alert… Be Safe” workshop

• Interactive 2 hour workshop• Topics:

– Why errors occur?– Effective consultation with the doctor– How to prevent medication errors– Infection control: role of patients– Internet for authentic health information– Legal recourse against HCP

PSA Tools

• Effective consultation• History that helps• Medication card• Check list for hospital admission

Case study : Digital Consents

• Multi lingual, audio visual, interactive patient information and consenting tool using IT

Process mapping

DAY 1 : 730 – 750 PM DAY 2 : 930 AM

DAY 2 : 10 30 AM BETWEEN 930 – 1030 AM

Addressing the gap

• What information is sufficient?• How much to disclose?• How to do so without frightening the patient?• How to document the communication• How to get over the language barrier?• How to give this kind of time?• How to improve patient recall?• How to improve patient experience?

Benefits of Digital consents

• Brings transparency and fairness• Shared decisions and shared risks• Ensures that sufficient information is given

every time• More effective, less time consuming• Protects medico-legally

सर्वे� स�खि�नः सन्तु� , सर्वे� सन्तु� निनःरा�मयः

• Do join us at www.patientsafetyalliance.in

Health literacy and patient safety

Documents

Keeping it Simple: Making the connection between health literacy and patient safety

Patient Safety

Patient Safety:

DoD Patient Safety Program Patient Safety Improvement Guide

Recent Developments in Patient Safety and Scope of Patient Safety Special Interest Group Recent Developments in Patient Safety and Scope of Patient Safety

PATIENT SAFETY Justin MFIZI Patient Safety officer KFH

Enhancing Patient Safety and Outcomes: The Safe Patient Handling … Patient Safety... · Enhancing Patient Safety and Outcomes: The Safe Patient Handling Connection Presented by

Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Airway Safety Webinar PresentationL - Patient Safety Movement · • 10 Minutes: Introduction to Patient Safety Movement Foundation and Actionable Patient Safety Solutions (APSS)

ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR … · ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR ... ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR . 2 PATIENT ... status

Patient Safety Evaluation System and Patient Safety Organization Fundamentals

Teaching Patient With Low Literacy Skills

PATIENT SAFETY Protecting Patient’s Right Protecting Patient’s Right General Patient Safety Measures General Patient Safety Measures Admission of the Patient

PATIENT SAFETY CULTURE AND PATIENT SAFETY … · 2 Patient Safety Culture and Patient Safety Implementation in Stella Maris Hospital during National Health Insurance Era Fridawaty

Copyright 2007 Partners Radiology Patient Safety Training “Patient Safety in Radiology” Partners Radiology Patient Safety Team

Improving Health Literacy to Protect Patient Safety

PENNSYLVANIA PATIENT SAFETY ADVISORYpatientsafety.pa.gov/ADVISORIES/Documents/200812_home.pdf · Pennsylvania Patient Safety Advisory About the Pennsylvania Patient Safety Advisory

Improving Health Literacy final 2-21 health literacy to... · “What Did the Doctor Say?:” Improving Health Literacy to Protect Patient Safety 4 Introduction Effective communication