session 1 Flashcards
Quality of care & patient safety involve?
It include:
Curative and preventive care
Facility /Community-based care
Individuals / populations.
Patient Safety
is the avoidance of unintended or unexpected harm to people during the provision of health care
what the health care system should depend on?
implementation of evidence-based medicine
safe
quality medicine as a system responsibility
(Why we need to improve health care services?
Medical science and technology have advanced at a very rapid rate
Healthcare has become very complex
Growing attention to quality/ safety issues
Everyone must/ is getting in the process.
Clinical governance
A framework through which NHS organizations are accountable for continuously improving the quality of their services and safe-guarding high standards of care by creating an environment in which excellence in clinical care will flourish
pillars of clinical governance
- Clinical effectiveness
- Risk management
- Patient experience & involvement
- Communication
- Resource effectiveness
- Strategic effectiveness
- Learning effectiveness
The aims of clinical governance
- Raise patient satisfaction.
- Improve collaborative relationships and efficiency for the clinical teams.
- Increase job satisfaction for professionals.
- Improve clinical outcome.
- Reduce significant events
Implications of Clinical Governance
- Accountability for practice
- Learning from others
- Involving the user
- Evidence-based practice
- Working with teams
- Reaction on practice
- Working across interfaces
Problems/challenges of quality & safety in healthcare
1- Convince people that there’s a problem
2- If you do it, will it work? Convince people of the solution.
3: Data collection and monitoring systems
4: ‘Projectness’ and ambitions
5: Organizational context, culture & capacities
6: Tribalism and lack of staff engagement
7: Leadership
8: Incentivising participation and ‘hard edges’
9: Securing sustainability
10: Side effects of changing
elements of the qulity
SAFE EFFECTIVE PATIENT-CENTERED TIMELY EFFICIENT EQUITABLE
in system-based approach whats the Resources (Input)
• People • Infrastructure • Materials • Drugs • Information • Technology
in a system-based approach whats Activities (processes)
- What is done
2. How it is done
in a system-based approach whats Results-
- Health Services delivery
- Change in Health behavior
- Change in health status
- Client satisfaction