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• W2320934999 abstract "In spite of significant efforts over the past two decades to improve healthcare quality and safety, it is widely recognized that there is more work needed to eliminate preventable harm in the US healthcare system. While a strong and just safety culture has been recognised as a key element for improvement, a critical deficit that has not yet been fully addressed is the lack of protective infrastructure to safeguard responsible, accurate reporting of quality and patient safety outcomes and concerns...the accelerating implementation of new financial models that tie quality outcomes to payment will raise the stakes associated with quality results. The need will be even greater for a protective infrastructure to safeguard accurate reporting of quality data and patient safety concerns. So begins the National Association for Healthcare Quality’s (NAHQ) ‘Call to Action: safeguarding the integrity of healthcare quality and safety systems’ (NAHQ 2012). The NAHQ, an American organisation dedicated to improving healthcare quality and safety, developed the ‘Call to Action’ in conjunction with a number of other American organisations, including the Joint Commission, the American Medical and Nursing Associations and the American Health Information Management Association. The ‘Call to Action’ is an interesting approach when viewed through an Australian lens. It asserts that, despite many years of education and work to develop ‘just’ and ‘safety’ cultures in healthcare, ‘healthcare has been especially resistant to cultural transformation’ and there is still a culture of intimidation and bullying around reporting adverse events in United States (US) hospitals. In support of this assertion, the paper quotes data published by the Agency for Healthcare Research and Quality (AHRQ) in February 2012, that reports only 44% of surveyed healthcare providers described the response to error at their organisation as non-punitive (Sorra et al. 2012). The ‘Call to Action’ recommends the leaders of every healthcare organisation in the country take four key steps to improve protective supports for the reporting of quality and safety concerns and the collection of comprehensive, accurate data: (i) establish accountability; (ii) protect those who report quality and safety findings; (iii) report quality and safety data accurately; and (iv) respond to quality and safety concerns with robust improvement. In addition, the authors recommend a number of contributing roles for national change agents: Professional membership associations: provide strong guidance regarding the ethical response to errors and the importance of a strong and just safety culture publish a written code of ethics regarding the identification and reporting of quality and safety concerns create tools such as communication templates for dealing with conflicting interests or intimidation relating to the reporting of quality and safety concerns. Accrediting bodies: facilitate education of healthcare organisations regarding the importance of the integrity of error reporting to internal sources and external agencies and promotion of a safety culture. Legislative and regulatory bodies: further develop and enforce effective legislative protections for individuals investigating or reporting quality and patient safety concerns. ensure that state regulations provide special protection for individuals with responsibility for reporting data on quality and patient safety performance. •" @default.
• W2320934999 created "2016-06-24" @default.
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• W2320934999 date "2013-01-01" @default.
• W2320934999 modified "2023-09-23" @default.
• W2320934999 title "Comment on: Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems" @default.
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