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Newer Trends in Quality and Safety - Global Health · PDF file Newer Trends in Quality and...

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  • Newer Trends in Quality and Safety

    David Mayer, MD Corporate Vice-President

    Quality and Safety MedStar Health

  • MedStar Health• Largest Healthcare System in Mid-Atlantic Region • Ten hospitals • 150 Outpatient sites of care • 30,000 MSH Associates • National Center for Human Factors Engineering • MedStar Research Institute • Nationally Recognized Simulation Center (SiTEL) • MedStar Institute for Innovation (MI2) • Over 1000 Residents • 162,000 Inpatient Admissions • 762,000 Inpatient Days • 1,492,000 Outpatient Visits • 215,000 Home Health Visits

    2

  • Emerging Trends in Quality and Safety

    • Transformation in Healthcare • Human Factors Engineering • Transparency • Patient Engagement and Partnership • High Reliability • Respect and Caring for Fellow Workers • “Educate the Young”

    3

  • Quality and Safety

    “Medicine used to be simple, ineffective and relatively safe. Now it is complex, effective, and potentially dangerous.”

    Sir Cyril Chantler, Dean of London’s Guy’s Hospital

    4

  • Emerging Trends in Safety and Quality

    • Transparency

    5

  • 6

  • Emerging Trends in Safety and Quality

    • Transparency (Honesty and Trust) – Transparency in Reporting – Transparency in Outcomes – Transparency in Communications

    • Informed consent/Shared decision-making • Open and Honest communication after harm

    7

  • Transparency in Outcomes

    “There is a ‘Magic’ that occurs when we are transparent and share our outcomes”

    Paul Levy

    8

  • High Reliability Culture

    High-reliability organizations (HROs): “Subset of hazardous organizations that Have operated nearly error-free for very long periods of time”.

    Karlene Roberts (1990)

    11

  • High Reliability Culture in Healthcare?

    Healthcare, in contrast is an industry that has grown to expect and accept errors and patient harm as “normal”. It is considered an inherent risk that comes with the wonderful new advances that healthcare can offer its patients.

    12

  • Human Factors Engineering and Safety

    13

  • Restoring Joy and Meaning at Work

    Every worker’s experience, every day:

    • I am treated with respect by everyone else, regardless of position, education or pay.

    • I have the education and training, the tools, and the support to develop to my full potential.

    • My work is noticed and appreciated

    Paul O’Neill 14

  • Patient Partnership

    • Engaging and partnering with patients and families in our quality and safety mission

    15

  • The Power of Stories and Narratives

  • The Faces of Medical Error…from tears to transparency: The Story of Lewis Blackman www.transparentlearning.com

  • Telluride Patient Safety Roundtable

    Ninth Annual Roundtable: “The Power of Change Agents: Teaching Caregivers Effective Communication Skills to Overcome the Multiple Barriers to Patient Safety and Transparency” June 9th – June 18th, 2013 Telluride, CO

    Supported by TDCF and MedStar Health 18

  • Telluride Patient Safety Roundtable

    Ninth Annual Roundtable: “The Power of Change Agents: Teaching Caregivers Effective Communication Skills to Overcome the Multiple Barriers to Patient Safety and Transparency” August 1st – August 4th, 2013 Washington, DC Sponsored by TDCF, MedStar Health, CIR

  • Telluride Roundtable Vision

    “Teaching Open, Honest and Professional Communication Skills to Overcome the

    Multiple Barriers to Transparency"

  • Telluride Patient Safety Summer Camp

  • Telluride Patient Safety Summer Camp

  • Telluride Patient Safety Summer Camp

    23

  • Newer Trends in Quality and Safety Slide Number 2 Emerging Trends in Quality and Safety Quality and Safety Emerging Trends in Safety and Quality Slide Number 6 Emerging Trends in Safety and Quality Transparency in Outcomes Slide Number 9 Slide Number 10 High Reliability Culture High Reliability Culture in Healthcare? Human Factors Engineering and Safety Restoring Joy and Meaning at Work Patient Partnership The Power of Stories and Narratives Slide Number 17 Telluride Patient Safety Roundtable Telluride Patient Safety Roundtable Telluride Roundtable Vision Telluride Patient Safety Summer Camp Telluride Patient Safety Summer Camp Telluride Patient Safety Summer Camp Slide Number 24

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