MEXICO'S PATIENT SAFETY JOURNEY - Wave 1 Flashcards
wave one
2002-2006
raising awareness and initiating a safety culture
wave two
2007-2012
defining the problem and measurement
wave three
2013-2019
developing the governance for safety
wave four
2020-onwards
responding to covid-19
when did mexico’s patient safety journey started?
2002
with what event did mexico’s patient safety journey started in 2002?
with the launch of the national crusade for quality in health care
(the first quality policy in latin america)
first quality policy in latin america
national crusade for quality in health care
the first wave aimed to
sensitize health-care workers to build patient safety knowledge and culture
what percentage of global injury due to medical errors was reported un the 1rst wave?
10%
(high income-countries)
1st wave
in mexico, was patient safety in the common language of health professionals?
no
in the 1st wave
the percentage of injuries globally due to medical errors, would be greater in
low and middle income countries
in the 1st wave, what was the essential first step?
initiating awareness on patient safety and building a safety culture
1st wave
pilot workshop
national crusade for quality in health care
in the 1st wave
the pilot workshop: national crusade for quality in health care, was designed based on:
senge - 5 disciplines
kotters’s - 8 steps of organizational change
peter senge - 5 disciplines
systems thinking
mental models
shared vision
personal mastery
team learning
kotter’s - 8 steps of organizational change
create urgency
forma powerful coalition
create a vision for change
communicate vision
empower action
create quick wins
build on the change
make it sick
What was the Pilot Workshop of the National Crusade for Quality in Health Care?
It was a workshop carried out in one of the 32 states, including all the hospitals of the State Ministry of Health. Teams made up of management and representatives of each service gathered to improve quality and patient safety.
What actions did the unit directors take during the Pilot Workshop?
The directors took three key actions:
Modified, updated, and communicated a new mission and vision for their units, incorporating quality and patient safety as central components.
Developed improvement plans, prioritizing the prevention of adverse events.
Planned to sensitize and train their staff on patient safety.
What was the main priority of the improvement plans developed in the pilot workshop?
The main priority was to prevent adverse events.
What elements were included in the new mission and vision developed by the unit directors?
The new mission and vision included quality and patient safety as central components.
What teams participated in the Pilot Workshop of the National Crusade for Quality in Health Care?
The teams consisted of the management team and representatives from each service in the hospitals of the State Ministry of Health.
What was planned to sensitize and train the staff in health units?
A plan was created to sensitize and train staff on patient safety.
What significant improvements were found six to eight months after the intervention of the Pilot Workshop?
Statistically significant improvements were found in:
Safety Culture qualification measurement.
Participants showing a favorable patient safety culture.
How long after the Pilot Workshop were the improvements in safety culture measured?
The improvements were measured six to eight months after the intervention.
What aspect of the Pilot Workshop participants showed significant improvement?
Participants showed a significant improvement in demonstrating a favorable patient safety culture.
What does Safety Culture qualification measurement refer to in the context of the Pilot Workshop?
It refers to the evaluation of how the culture of safety within healthcare institutions improved following the intervention, indicating a higher commitment to patient safety.
Why is the improvement in patient safety culture important after the intervention?
Improving patient safety culture is crucial because it reflects the commitment of healthcare professionals to prioritize and implement practices that reduce harm and enhance the overall safety of patients.