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I know of no more encouraging fact than the unquestionable ability of man to elevate his life by a conscious endeavor Henry David Thoreau. Tension Between the Public and Health Care Providers.
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I know of no more encouraging fact than the unquestionable ability of man to elevate his life by a conscious endeavor Henry David Thoreau
Tension Between the Public and Health Care Providers • Society’s growing request for quality control and transparency within evidence-based healthcare • Conservative, authoritative, rigid, too often arrogant, expert-based medical professionalism
In many hospitals in Israel (including Hadassah) Local performance is almost never routinely measured, because traditional medical training assumes that doctors naturally aim for excellence. Only a few hospitals have successfully started a systematic approach to quality improvement, while others have failed – trying outsourcing.
Plan of Action • Promote departmental initiatives of performance monitoring, using 1 or 2, self-chosen, indices of quality. • After individual meetings with 24 Department Heads, 14 have already defined tentative projects, such as outcomes of procedures, or patient’s understanding of informed consent.
Plan of Action • Promote departmental initiatives of performance monitoring, using 1 or 2, self-chosen, indices of quality. • After individual meetings with 24 Department Heads, 14 have already defined tentative projects, such as outcomes of procedures, or patient’s understanding of informed consent.
Plan of Action • Promote departmental initiatives of performance monitoring, using 1 or 2, self-chosen, indices of quality. • After individual meetings with 24 Department Heads, 14 have already defined tentative projects, such as outcomes of procedures, or patient’s understanding of informed consent. • Collaboration with nursing staff & medical school.
Plan of Action • Promote departmental initiatives of performance monitoring, using 1 or 2, self-chosen, indices of quality. • After individual meetings with 24 Department Heads, 14 have already defined tentative projects, such as outcomes of procedures, or patient’s understanding of informed consent. • Collaboration with nursing staff & medical school. • Various educational activities.
Justification for Cost($250,000/year) • Salaries for clinical leaders, data typist, coordinator, secretarial work. • Academic detailing costly but most effective to change physician’s behavior. • Experience from industry outside medicine: cost of quality/prevention far lower than cost of failures. • A safety culture requires willingness to direct resources.
Joint Commission on the Accreditation of Healthcare Organizations - Revised Standards Effective: July 1, 2001 • The leaders ensure implementation of an integrated patient safety program throughout the organization, including at least: • Designation of one or more qualified individuals or an interdisciplinary group to manage the organization-wide patient safety program
When God created the universe, it did not stand up. God tried again and again but it kept falling apart. Until God created the “Tschuva” (Response/Responsibility). Talmud (Rabbi Eliezer’s chapter III)
