Measuring to Achieve
Patient Safety
General Information Session
Department of Patient Relations
Measuring to Achieve Patient Safety
Safety & U.S. Healthcare
 98,000 deaths occur in the US each year due
to errors in medical care
 50% of these occurrences are preventable
 Healthcare industry is determined to improve
and is imposing strict regulations towards
patient safety
Measuring to Achieve Patient Safety
JCAHO
 Joint Commission on Accreditation of
Healthcare Organizations
 Independent, not for profit organization
 Objectively evaluates and accredits nearly
20,000 healthcare organizations and
programs across the U.S.
Measuring to Achieve Patient Safety
UCLA & JCAHO
 UCLA constantly is recognized as a Top
Performer on Key Quality Measures
 One of the main objectives of project MAPS is
to help the hospital get prepared for the
JCAHO audits
Measuring to Achieve Patient Safety
UCLA Healthcare Safety Initiatives
 UCLA continually assesses its present
systems and implements changes to improve
these systems in order to reduce patient risks
 One such initiative is MAPS
 Project MAPS originated from a request of
UCLA’s JCAHO Core Group team, and the
Hospital and Nursing teams.
Measuring to Achieve Patient Safety
MAPS Objective
“To facilitate improvement of patient safety
processes by observing clinical processes at
UCLA Medical Center and Outpatient Clinics,
and providing highly reliable feedback to the
leadership and management of UCLA
Healthcare”.
Measuring to Achieve Patient Safety
MAPS Overview
 MAPS is an observational study
 The project will collect data in various clinical
settings in over 70 locations in the hospital
 Observations will also be conducted in some
clinical areas in the Med Plaza
Measuring to Achieve Patient Safety
Patient Safety Observation Tools
 Based on JCAHO’s National Safety Goals
 Four audit tools:
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Medication Administration
Blood Specimen
Hand Washing
PPE (Personal Protective Equipment)
Measuring to Achieve Patient Safety
A Regular Day
 Come to Medical Center and sign in
 Put on volunteer jacket and ID badge
 Checked schedule for assigned observation area
 Call up the charge nurse to give advance
notification
 Proceed to assign observation area. Introduce
yourself to charge nurse and explain your
purpose in the area
Measuring to Achieve Patient Safety
A Regular Day …
 Proceed to make observations with accuracy
 Communicate all findings (compliances and
non compliances) to charge nurses and floor
managers
 Enter the data in the mobile application
 File observations (if necessary)
 Sign out
Measuring to Achieve Patient Safety
Working As a Team
 MAPS is a UCLA Healthcare Initiative. We are
working together with the medical staff to improve
patient safety
 Doctors and nurses are generally very busy, and
under high stress levels. Do not take negative
reactions personally.
 Keep a positive attitude and reiterate that we’re a
team
 Make use of the Frequently Asked Question Sheet
whenever necessary.
Measuring to Achieve Patient Safety
Other Opportunities
 Fall Ambassadors Program
 Shadowing residents/physicians!
Measuring to Achieve Patient Safety
Volunteer Expectations
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Complete training session.
Attend one general volunteer meeting per quarter.
Three Quarter Commitment
8 units per month. 2 hours of observation per unit.
8 x 2 = 16 hours per month.
Can volunteer whenever in the week.
Recommended: 4 hours per week.
Different units from month to month.
Physician Shadowing is a potential unit.
Measuring to Achieve Patient Safety
Some of the Major Units
 Emergency Department
 Neuroscience/Trauma ICU
 Cardiac Units
 Pre-Procedure, Surgical Observation, Post-
Anesthesia Care Units
 Pediatric Units
 Newborn ICU
 Surgical Units
 Transplant/Surgical ICU
 Medicine ICU
And many more….!
Measuring to Achieve Patient Safety
What’s Required to Apply?
 Must have valid government issued ID, driver's license or
passport (required for background check)
 Application Forms found on the volunteer office’s website,
including the application itself
 HIPAA, CI-CARE, Safe Patient Handling, and Volunteer
Services online modules.
 Proof of Immunization
MMR, Varicella, 2-Step TB (if it’s your first time), Tdap
 Attend a direct referral section, wait for Livescan to clear
 Attend a final processing session to receive ID badge and obtain
necessary form to purchase Volunteer Uniform.

Measuring to Achieve Patient Safety
MAPS Website
 Uclamaps.wordpress.com
 Contains all the information found in this
powerpoint plus much more
 Visit the FAQs if you have any questions
during the application process.
 If you don’t find your answer there you can
email us at uclamaps@gmail.com
Measuring to Achieve Patient Safety