Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstration Project in Two Academic Medical Centers

2016 ◽  
Vol 32 (5) ◽  
pp. 472-479 ◽  
Author(s):  
Elizabeth Mort ◽  
Jeffrey Bruckel ◽  
Karen Donelan ◽  
Lori Paine ◽  
Michael Rosen ◽  
...  

Despite decades of investment in patient safety, unintentional patient harm remains a major challenge in the health care industry. Peer-to-peer assessment in the nuclear industry has been shown to reduce harm. The study team’s goal was to pilot and assess the feasibility of this approach in health care. The team developed tools and piloted a peer-to-peer assessment at 2 academic hospitals: Massachusetts General Hospital and Johns Hopkins Hospital. The assessment evaluated both the institutions’ organizational approach to quality and safety as well as their approach to reducing 2 specific areas of patient harm. Site visits were completed and consisted of semistructured interviews with institutional leaders and clinical staff as well as direct patient observations using audit tools. Reports with recommendations were well received and each institution has developed improvement plans. The study team believes that peer-to-peer assessment in health care has promise and warrants consideration for wider adoption.

2021 ◽  
pp. 33-35
Author(s):  
Sushil Kumar ◽  
PK Dash ◽  
Gurdarshdeep Singh Madan

Maintaining health care quality and patient safety standards are essential for providing high quality patient care while ensuring safety to both patient and health care staff. DHMOSH requires all UN medical establishments to comply with HQPS standards which are derived from JCI specication. Our hospital is highest eld medical echelon in the UN. Patient safety and health care quality is not a destination but a continuous journey and this article intends to share the journey of the hospital through challenges faced, undergoing course correction and nally successfully undergoing HQPS assessment during ongoing COVID-19 pandemic.


2014 ◽  
pp. 84-100
Author(s):  
Terri Zborowsky ◽  
Mary Jo Kreitzer

Creating an optimal healing environment requires attentiveness to the built environment as well as care processes, culture, and competencies of care providers and leadership. There are over 1,000 studies that link the physical environment to outcomes such as health care quality, patient safety, reduction of stress and improvements in patient safety. Key design elements highlighted include access to nature, access to daylight, positive distractions, and the ambient environment.


2021 ◽  
Vol 27 (2) ◽  
pp. 167-176
Author(s):  
Mondher Letaief ◽  
Sheila Leatherman ◽  
Linda Tawfik ◽  
Ahmed Alboksmaty ◽  
Matthew Neilson ◽  
...  

Background: Quality and patient safety are essential for the provision of effective health care services. Research on these aspects is lacking in settings of extreme adversity. Aims: This study aimed to explore the perception of health care stakeholders working in extreme adversity settings of the quality of health care and patient safety. Methods: This was a qualitative study conducted through semistructured interviews with 26 health care stakeholders from seven countries of the World Health Organization’s Eastern Mediterranean Region which are experiencing emergencies. The interviews explored the respondents’ perspectives of four aspects of quality and patient safety: definition of the quality of health care, challenges to the provision of good quality health care in emergency settings, priority health services and populations in emergency settings, and interventions to improve health care quality and patient safety. Results: The participants emphasized that saving lives was the main priority in extreme adversity settings. While all people living in emergency situations were vulnerable and at risk, the respondents considered women and children, poor and disabled people, and those living in hard-to-reach areas the priority populations to be targeted by improvement interventions. The challenges to quality of health care were: financing problems, service inaccessibility, insecurity of health workers, break down in health systems, and inadequate infrastructure. Respondents proposed interventions to improve quality, however, their effective implementation remains challenging in these exceptional settings. Conclusions: The interventions identified can serve as a basis for improvements in health care quality that could be adapted to extreme adversity settings.


2019 ◽  
Vol 6 (2) ◽  
pp. 83-90
Author(s):  
Seyed Jalil Hosseinin Irani ◽  
Leila Riahi ◽  
Ali Komeili ◽  
Reza Masoudi

Background and aims: Patient safety, as one of the main components of the health care quality, implies avoiding any injury and damage to the patient when providing health care services. In other words, patient safety means his or her safety against any adverse and harmful event when receiving health care services. Based on the above-mention explanations, the present study was conducted to determine the patterns of patient safety management. Methods: A systematic review method was used to meet the objectives of the study. In order to access the scientific documentation and evidence related to the subject published during 1998-2018, English keywords including "Patient Safety Model", "Patient Safety", and "Patient Safety of Management" were searched in Medine, PubMed, and Google Scholar databases and Persian versions of these keywords were also looked for in Jihad-e Daneshgahi’s Scientific Information Database (SID) and Iranian Journals database (Magiran). Results: The findings of this study suggested that most of the studies on designing a model for patient safety highlighted important dimensions including guidance and leadership, communication, organizing, information management, control and monitoring, participation and decision-making, as well as planning and coordination. Conclusion: In general, using patterns and frameworks designed for patient safety improves patient safety against uncertain incidents since the human and financial consequences of such incidents impose overwhelming sufferings on patients.


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