Patient Safety

RESOURCE PEOPLE FOR QUALITY AND SAFETY:

Dr. Barry Carlton, UH-JABSOM Professor of Psychiatry and QMC Chief of Psychiatry
Dr. Junji Takeshita, UH-JABSOM Professor of Psychiatry and Associate Chair for Clinical Services and QMC Assistant Chief of Psychiatry
Dr. Leslie Chun, QMC Vice President of Medical Staff Services and Chief Quality Officer
Ms. Eleanor Huey, QMC Manager for Quality Improvement/Patient Safety
QMC Remote Access to Intranet

Prior to discharging a patient:

Has the acute Suicidality or Safety concern been resolved?
Has Treatment been offered and documented?
Has Outpatient follow-up been offered and/or arranged?
Has the attending Psychiatrist (and, if necessary for challenging cases, a peer/second opinion) seen and/or appropriately staffed the case?

Prior to transferring a patient:

S = can the patient be SAFELY transferred, or what does the patient need in order to be transferred SAFELY (including suicide max sitter, PRN medication, etc.)
T = have medical TREATMENTS been completed, and if not, is the receiving unit able to and prepared to give the needed TREATMENTS
O= have ORDERS been handed off (physician to physician, nurse to nurse, etc.) and reconciled (including medications) with discontinuation of anything unnecessary; AND appropriate change of the attending’s name? Also, has the hospitalist team entered an inpatient psychiatry consult ORDER when a patient is being transferred from Kekela to the medical floor
P = have the attending PHYSICIANS (transferring and receiving) been fully apprised of all orders, interventions, handoffs; and has there been a clear demarcations between when one PHYSICIAN’S role ends and the other begins

Resources	Posted
Patient Safety Systems	6/3/15