Patient Safety Incident (PSI)

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Living in a care home often results in residents becoming less independent with respect to their ability to exercise their rights and responsibilities. Some care home routines restrain residents. For instance, care homes sometimes use cot-sides or cocoon beds, which are designed to reduce falls but are often ineffectual with demented residents, who tend to climb over the rails and fall from a great height. In addition, residents often develop problems such as pressure sores, incontinence, muscle wastage and worsened mental conditions due to the use of such beds.

This paper describes the Patient Safety Incident (PSI) designed for Hollybrook (HB) care home, at which I work as a professional care worker. The first part of the paper explores the information systems in use at HB and it argues that Patient Safety Incident (PSI) is a result of adverse events that tend to be more organisational than clinical in their aetiology. From an organisational perspective, PSI records help one to understand the causes of errors relating to communication, teamwork and care process design, in a way that is different to that of clinical epidemiology. This part of the paper outlines the information required to sort and organise records in order to make it easier for staff to use them. These records list the contact details of residents, their Medical Administration Record (MAR) and accident/incident records. Designing the record around the database makes it easier for staff to sort out and identify, for example, all residents who are taking controlled medications or whose risk assessment needs closer observation by internal staff. A database application will also help HB to reduce the overall burden of the traditional paper method and will e...

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...nce an incident that may not be seen as such by staff working in the same environment but, if the staffs have frequently witness that the same incident occur; they may stop reporting the incident. However, database application system can save charting time which could be utilized to provide care to residents. Administration function like medical records, risk assessments, daily reports and coding requires documentations from the service users` electronic medical record database to enhance the EHR, which link the EHR data with databases containing standardized assessment information from external healthcare systems. If the database is not similar as to what other healthcare systems use, it is impossible to share information from EHR database with other clinical application systems.

Works Cited

1. EBRAHIM,A (2011) NAMIBIAN EDUCATION CENTRE, NAMIBIA

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