Observations from the in-house development of a medical safety education DVD

Abstract

The hospital's medical safety board searched for the causes of frequent and important errors in the hospital, and proposed measures for creating an educational video to aid error accident prevention and error-recurrence prevention, and for alerting the staff to the causes of these errors. Theme of “drug administration doublecheck miss” was set to 3 scenarios where doctors, nurses and pharmacists are concerned.

The educational video, which can be self-studied by the staff, was created in approximately 11 months. 98.1% of educational DVD users said it provided understanding in the processes where doublecheck miss occurs and 83.6% said there needs to be a review in steps for doublechecking.

Through the DVD creation process from planning to completion, the hospital staff were able to surmount boundaries between professional positions, strengthen multidisciplinary cooperation, and learn that the key to successful error prevention is planning for all possible situations.