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Patient Safety Implementation Framework

The draft Patient Safety Implementation Framework was released by the Ministry of Health and Family Welfare. The draft Framework identifies some challenges in patient safety including:

(i) unsafe injections,
(ii) biological waste management,
(iii) medication and medical device safety, and
(iv) high rates of health care associated infections.

Further, it notes that the existing laws and policies on the quality of care are largely fragmented.

Key provisions of the draft Frameworks are as follows:

Applicability of the Framework: It will apply to both public and private sectors across different elements of health care provision, including prevention, diagnosis, treatment, and follow up.

Patient centric and evidence based approach: The draft Framework refers to the need for involving patients in ensuring provision of healthcare that takes into account individual preferences, needs, and values. Further, it lays emphasis on investing in evidence generation to ensure that interventions are effective.

Strategic interventions: Some of the strategic interventions stated in the draft Framework include:

(i) constituting a national level steering committee as a central coordinating mechanism for patient safety,

(ii) incorporating patient safety principles in the Public Health Act, 1875,
(iii) developing a patient safety incident surveillance and reporting system,
(iv) revising licensing and certification standards for all categories of health workforce, and
(v) ensuring the requirement for a specific number of credit hours on patient safety

Practice question:

1. Bio-Medical Waste Management Rules, 2016 are applicable to which of the following entities?
1. Blood donation camps
2. First aid rooms of schools
3. AYUSH Hospitals
4. All Radioactive wastes in research labs

Codes:

a) 1, 2 and 3

b) 2, 3 and 4

c) 1, 3 and 4

d) All

Ans: a
Exp: These rules shall apply to all persons who generate, collect, receive, store, transport, treat, dispose, or handle bio medical waste in any form including hospitals, nursing homes, clinics, dispensaries, veterinary institutions, animal houses, pathological laboratories, blood banks, ayush hospitals, clinical establishments, research or educational institutions, health camps, medical or surgical camps, vaccination camps, blood donation camps, first aid rooms of schools, forensic laboratories and research labs.

These rules shall not apply to radioactive wastes as covered under the provisions of the Atomic Energy Act, 1962(33 of 1962) and the rules made there under.

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