Patient Safety

Institute of Medicine:

“A culture of safety is an integrated pattern of individual and organizational behaviors based on shared beliefs

and values that continuously seeks to minimize patient harm that may result from the processes of care delivery” (Kizer, 1999).

Joint Commission Accreditation Standards for Medical Equipment

FMS. 7 states that the organization plans and implements a program for inspecting, testing, and maintaining medical equipment and documenting the results.

FMS 7.1 The intent of this standard is to ensure that medical equipment is available for use and functioning properly, and that the organization:

* Inventories medical equipment;

* Regularly inspects medical equipment;

* Tests medical equipment as appropriate to its use;

* Does preventive maintenance

Qualified individuals provide these services.

Equipment is inspected and tested based on manufacturer’s instruction.

Inspection, testing results and maintenance are documented.

Ref.: Joint Commission International Standards for Hospitals

Maintenance and Patient Safety*

Responsibility of the following towards patient safety:

* Healthcare Organizations – equipment planning & selection

* Users – appropriate use

* Patients – feedback on equipment

* Government – regulatory

* Maintenance Providers – proper maintenance

* Manufacturers/Vendors – support

Responsibility of healthcare organizations:

* Ensure actions are taken to prevent recurrence of equipment-related accidents

* Ensure equipment recalls and alerts are actioned out

* Ensure maintenance staff are competent

* Ensure adequate training are given to maintenance personnel

* Ensure proper facilities are provided

* Encourage communication!

Equipment users shall ensure that:

* maintenance are carried out as per requirement

* daily maintenance is done

* relevant equipment are charged-up

* right consumables are used

* equipment failures are reported

* equipment are used appropriately

Responsibility of patients:

* Give appropriate feedback on equipment performance

* Comply to instructions

* For patient-owned equipment, provide documents to support safe operations

Responsibility of maintenance providers:

* Give feedback on equipment conditions

* Perform safety testing before equipment is delivered back for clinical use

* Perform maintenance check at appropriate intervals

* Contribute and highlights concerns during equipment selection committee meeting

* Keep appropriate documentation of equipment maintenance history

* Be well-versed in equipment maintenance

* Provide adequate feedback to end-users on equipment condition

* Insist to take faulty equipment ‘out of service’

* Responsive on alerts and recalls

*Azman Hamid (2005)