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Health Professional Responsibility for Patient Safety
0Develop relationships with patients:
0Understand the multiple factors involved in failures:
0Avoid blaming when an error occurs:
0Practice evidence-based care:
0Maintain continuity of care for patients:
0Be aware of the importance of self-care:
0Act ethically every day:
0The delivery of safe health care:
Using a shared governance model
0 Shared governance is a dynamic staff-leader partnership that promotes collaboration, shared decision making and accountability for improving quality of care, safety, and enhancing work
0 Shared governance leads to increased staff engagement, the more engaged the staff are leads to safer care
0 Shared goals for practice, shared decision making and shared accountability for patient outcomes
National Safety and Quality of Health Services Standards
0 In September 2011 in Australia , Health Ministers endorsed the NSQHS Standards and a national accreditation scheme. This has created a national safety and quality accreditation scheme for all health service organizations in Australia.
0 Procedures commenced in 2013 in all health care services
Agreement on Quality Processes to ensure Patient Safety
1. Governance for Safety and Quality in Health Service Organisations
2. Partnering with Consumers
3. Preventing and Controlling Healthcare Associated Infections
4. Medication Safety
5. Patient Identification and Procedure Matching
6. Clinical Handover
7. Blood and Blood Products
8. Preventing and Managing Pressure Injuries
9. Recognising and Responding to Clinical Deterioration in Acute Health Care
10. Preventing Falls and Harm from Falls
http://www.safetyandquality.gov.au/our-work/accreditation-and-the-nsqhs-standards/
Governance for Safety and Quality in Health Care Organisations
0There is an integrated (multidisciplinary) system of governance that actively manages patient safety and quality risks.
0The governance system establishes safety and quality policy, procedures and/or protocols with assigned roles, responsibilities and accountabilities for patient safety and quality.
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-Fact-Sheet-Standard-1.pdf
Governance for Safety and Quality in Health Care Organisations
0 The clinical workforce is guided by current best practice and uses clinical guidelines that are supported by the best available evidence.
0 Managers and the clinical workforce have the right qualifications, skills and approach to provide safe, high-quality health care.
0 Patient safety and quality incidents are recognised, reported and analysed, and this information is used to improve safety systems.(similar to root cause analysis)
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-Fact-Sheet-Standard-1.pdf
6 Structural Elements that contribute to successful shared governance
1. a charter, including outlining the boundaries of decision-making and levels of authority;
2. collaboration between staff co-chairs and the area manager;
3. regular meetings with a formal means of communication to all staff;
4. mutually planned agendas (co-chairs and manager) distributed before the meetings;
5. ground rules of how to work together, be it in-person meetings or online meetings;
6. striving for consensus decisions, meaning that everyone agrees to support them after having discussed the options. (must have a 2/3 majority to pass the resolution)
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-Fact-Sheet-Standard-1.pdf
Quality Improvement Risk & Safety Council (QIRSC)
0The purpose of the QIRSC is to ensure the organizational integration of quality improvement, risk prevention and safety standards based on best practice in order to provide the optimal patient and family experience across the continuum of care. This includes utilizing research, interdisciplinary collaboration and best evidence, measuring outcomes as well as ensuring compliance with regulatory and accreditation standards.
Risk reduction ratherthan management
Shared Governance and Interprofessional Team
Shared Leadership: Depends upon competency of leader and recognition of their ability to ensure positive outcomes
Competency of the leader and ALL the team members, not just the leader
Shared Governance and Managing
0Human Resources: Awareness of health care team’s competencies and practice needs to ensure safe care delivery of quality care
0 Physical Resources: Ensure all staff know how to use and maintain resources so as to ensure safe environment and are equally accountable
0 Financial Resources: Know your human and physical resources and delegate appropriately to ensure patient outcomes are optimal and timely.
So what is your role in ensuring safe practice for your patients?
0Recognise your own competency and scope of practice in health care situations
0Be aware of how you contribute to the organisation and team’s efforts to create a safe environment for everyone
0Understand and apply your own professional and ethical codes in all health care situations
0 Communicate effectively, be an equal member of the health care team
0Ensure that nursing care is evidence-based
So, others do not want to contribute to changes in practice to ensure patient safety?
0Awareness of own competency levels of practice can assure the patient receives safe care despite the context within which care is provided. This requires the ability to self regulate and reflect on own practice :
Be responsible for your own practice and practice outcomes and recognise the worth of others
3 styles of leadership
Imagine the Future
0 Self directed work teams
0Enthusiastic and goal driven health care teams
0Efficient and effective health care services
0Rewarding and congratulating one another on successes and working together to solve problems
0Equal partnership and decision making
0 Patient, family and staff satisfied
0 Imagine that the patient is YOUR loved one..Is the care safe enough for your family member?
In Conclusion
Working together to ensure environments for safe, competent and quality patient care =
Shared Governance
