Chapter-40 Patient Safety Management Program (PSMP)

2009 ◽  
pp. 290-300
Author(s):  
SK Joshi
Keyword(s):  
Patient Safety ◽  
Safety Management ◽  
Management Program

Does the accreditation of private dental practices work? Time to rethink how accreditation can improve patient safety

2019 ◽  
Vol 43 (1) ◽  
pp. 10
Author(s):  
Gillian Jean
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Safety Management ◽  
Improve Patient Safety ◽  
Current Model ◽  
Management Program ◽  
Track Record ◽  
Dental Practitioners ◽  
Dental Practices ◽  
The Impact

Accreditation to demonstrate engagement with the National Safety and Quality Health Service Standards (Standards) is compulsory for most hospital and healthcare settings, but to date remains voluntary for private dental practices (PDPs). The regulatory framework governing the dental profession lacks a proactive element to drive improvements in quality and safety of care, and an accreditation scheme can strengthen existing regulation. The current model of accreditation operating in accordance with the Australian Health Service Safety and Quality Accreditation Scheme (Scheme) is based on the Standards, which were written for a hospital model of healthcare service. The majority of PDPs are small office-based businesses with clear leadership structure and employing six staff or fewer. The Scheme is overly bureaucratic given the simplicity of the PDP business model. This article considers whether accreditation has a proven track record of improving quality of service and offers opinions about how a more appropriate safety management program for PDPs may look. What is known about the topic? There has been minimal research about the impact of accreditation schemes in improving patient safety in PDP. What does this paper add? This paper proposes a redesign of the Scheme to make it more relevant to PDPs. The paper offers strategies to minimise duplication of purpose between accreditation and existing legislation; and to strengthen critical elements of accreditation to improve effects on patient safety. What are the implications for practitioners? A redesigned accreditation scheme will support dental practitioners to implement a quality assurance system with improved efficiency, reduced administrative burden, and optimised patient safety.

scholarly journals Challenges in meeting patient assessment international standards in ambulatory tuberculosis services

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L A Aslanyan ◽  
N T Truzyan
Keyword(s):  
Quality Control ◽  
Radiation Safety ◽  
Safety Management ◽  
Management Program ◽  
International Standards ◽  
Capital City ◽  
Diagnostic Tools ◽  
Patient Assessment ◽  
Safety Program ◽  
Environmental Controls

Abstract Background Limitations of tuberculosis (TB) diagnostic tools and measures restrict proper TB control in places with high drug-resistant TB prevalence. This study aimed to explore gaps in the primary health care (PHC) TB services in Armenia compared to international standards on Assessment of Patients (AOP). Methods We applied mixed methods to assess the AOP standards in 30 outpatient TB centers using observational and documents/medical records review's standardized checklists, in-depth interviews, and focus group discussions. Evaluation was conducted in all 10 regions of Armenia and the capital city Yerevan. Joint Commission International Standards for Ambulatory Care, International Standards for TB Care, and WHO framework, served as a guideline for this assessment. Results PHC physicians are qualified for a set of examinations to diagnose TB. Planned reassessments are conducted continuously, though defined writings for the scope and content of reassessments administered by each clinical discipline is absent. Laboratory departments provide high quality services to the TB patients with the defined timeframes for reporting the results. Laboratory and radiology services staff is qualified and experienced. The biosafety rules are compliant with local and international standards. However, the location and conditions of the laboratory departments are mostly non-compliant with the standards. Lack of modern equipment restricts maintaining proper environmental controls, including ventilation systems. Laboratory technicians have little knowledge of the organization's safety management program and its relation to the laboratory safety program. The facilities have neither formal quality control programs regulated by documents and policies nor an identified radiation safety program protocol. Conclusions On the level of AOP standards, the PHC TB services in Armenia have satisfactory performance. However, assessed standards for this function required certain improvements. Key messages In Armenia, the tuberculosis care in PHC facilities presents high level of compliance for patient assessment international standards. To fully meet the standards, facilities need to reconstructed/renovated laboratories and establish the radiology and diagnostic equipment management, quality control and radiation safety programs.

VRLane: a desktop virtual safety management program for underground coal mine

2008 ◽  
Author(s):  
Mei Li ◽  
Jingzhu Chen ◽  
Wei Xiong ◽  
Pengpeng Zhang ◽  
Daozheng Wu
Keyword(s):  
Coal Mine ◽  
Safety Management ◽  
Management Program ◽  
Underground Coal Mine

Standardization for patient safety in a hospital department: killing butterflies with a musket?

2018 ◽  
Vol 13 (4) ◽  
pp. 368-383 ◽  
Author(s):  
Jette Ernst ◽  
Astrid Jensen Schleiter
Keyword(s):  
Patient Safety ◽  
Performance Management ◽  
Clinical Judgment ◽  
Safety Management ◽  
Shop Floor ◽  
Master Narrative ◽  
Strategic Action ◽  
Hospital Department ◽  
Content Type ◽  
Organization And Management

PurposeThe purpose of this paper is to look at the ways in which standardization for patient safety is approached from different positions in the field, namely nurses and managers in a hospital department, the hospital management and standard inventers. We understand safety standardization and the responses to it as a strategizing process, where standards are legitimized, taken up, handled or countered.Design/methodology/approachEthnographic fieldwork was conducted in a Danish hospital department. The study included observations, interviews and documents studies. The authors apply a Bourdieusian perspective, where the authors focus on the narratives told by standard inventers, managers and nurses to examine and understand their strategizing activities in relation to safety standardization. We understand strategizing as interested action emerging in the dialectics between a habitus and a position in a field.FindingsThe authors show how the standardization of work rests on the master narrative of patient safety management and how this narrative clashes with the nurses’ practical perception of good care, which rests on the counter-narrative of the clinical judgment.Originality/valueSafety standardization in healthcare is often studied within the broader framework of performance management using functionalist outside-in and prescriptive approaches. This study contributes to this literature by approaching standardization and the responses to it as taking place in a dialectic movement between subjective shop floor experiences and wider field-level forces. Furthermore, the study contributes to the organization and management literature concerned with change and strategic action by endorsing the Bourdieusian conception of strategizing.

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