Patient Safety in Psychiatry-1.1 Epidemiology of Error and Safety

Video Transcription

Video Summary

In this video, the speaker discusses the key themes in patient safety, particularly focusing on the epidemiology of error and safety. They differentiate between errors, where the wrong thing is done with the intention of doing the right thing, and violations, where the wrong action is intentionally taken. Not all errors lead to adverse events, and there are various ways in which errors can occur. The video emphasizes the importance of thinking in terms of systems rather than blaming individuals, as errors can be caused by system failures. Statistics show that errors can lead to deaths, and drug-related and surgical-site infections are common adverse events. Different causes of errors include communication problems, inadequate information flow, human factors, organizational factors, and technical failures. The Swiss cheese model of accident causation is discussed, highlighting how errors can slip through various layers of defense. The video also mentions potential adverse events in mental health, such as suicide, violence, medication errors, and falls. It concludes by mentioning that the next chapter will explore the culture of patient safety. The transcript credits the Institute of Medicine's reports for highlighting these findings.

Keywords

patient safety

errors

adverse events

systems thinking

Swiss cheese model