Date of Graduation

Summer 8-17-2016

Document Type

Project/Capstone

Degree Name

Master of Public Health (MPH)

College/School

School of Nursing and Health Professions

First Advisor

Dhrubajyoti Bhattacharya

Second Advisor

Courtney Keeler

Abstract

Patient safety is a serious public health issue impacting individuals in all healthcare settings. UCSF Medical Center is a leading healthcare organization in San Francisco, dedicated to providing the safest and highest quality care to its patients. In an effort to further promote patient safety, the Family Escalation Project was created to enhance the communication between patients, families, and healthcare providers in the UCSF Benioff Children’s Hospital. This project was created in response to an adverse event in which a safety concern was not appropriately escalated. The goal of the project is to create a mechanism for patients and families to independently escalate their safety concerns. The project utilized a multidisciplinary team to investigate the human and system errors that contribute to compromises in patient safety. This investigation assisted the team in developing a comprehensive mechanism and workflow for patients and families to escalate their safety concerns. This paper outlines the core principles and analysis patient safety and healthcare systems, details the specific activities completed for this project and describes the next steps for the program going forward.

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