Taking Safety and Quality Improvement Work to the Next Level (Patient Safety VII)

Start Date: 07/05/2020

Course Type: Common Course

Course Link: https://www.coursera.org/learn/patient-safety-capstone

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About Course

In this culminating course in the Patient Safety and Quality Improvement Specialization, you will apply the skills you have acquired across the previous six courses to address a realistic patient safety issue confronting Mercy Grace, a 500-bed urban hospital that is part of a larger hospital system. Based on the scenario provided, you will assess the situation and work through the problem using a variety of tools and strategies. You will have the opportunity to identify defects, root causes, and potential mitigation strategies; you will create a project implementation plan for addressing the issue in the form of an A3; you will identify risks of project failure and design a change management plan; you will identify means of converting the project from local to system-wide; and you will identify quality and safety measurements that will be used in evaluating the success of the project’s implementation.

Course Syllabus

In this module, you will be introduced to a patient safety issue that will provide the basis for all of the work you will complete in this capstone course. After reviewing the incident, you will review content from the second course in the specialization regarding the use of the Learning from Defects Tool, and you will complete a first draft of a similar Learning from Defects template. Please note that each of the assessments in the first four weeks of this course are optional - this gives you the opportunity to develop first drafts of all of the documents you will submit for your capstone project, and receive valuable feedback on the work you have completed. In the last module of this course, you will resubmit final versions of the documents you have completed throughout the course. This final package of documents will comprise your entire grade for this capstone project course.

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Course Introduction

Taking Safety and Quality Improvement Work to the Next Level (Patient Safety VII) Safety is at the heart of quality improvement. In this course, students will learn the methods for identifying risks and designing precautions to assure the quality and safety of an experimental or pre-marketed product. They will apply these methods in the context of a company as part of an integrated risk assessment. This course is part of the iMBA offered by the University of Illinois, a flexible, fully-accredited online MBA at an incredibly competitive price. For more information, please see the Resource page in this course and onlinemba.illinois.edu.Module 1: Inventing a Product Module 2: Quality Control Module 3: Risk Management and Risk Communication Module 4: Interoperability Taking Safety and Quality Improvement Work to the Next Level (Pre-marketing) In this course, you will be able to define what safety and quality are and how they fit into your business strategy. You’ll also be able to define what the role of a pre-marketing manager is and how you can leverage the knowledge and expertise of your pre-marketing manager. This course is part of the iMBA offered by the University of Illinois, a flexible, fully-accredited online MBA at an incredibly competitive price. For more information, please see the Resource page in this course and onlinemba.illinois.edu.Module

Course Tag

Leadership Patient Safety Plan Implementation Quality Improvement

Related Wiki Topic

Article Example
Patient safety Quality improvement and patient safety is a major concern in the pediatric world of health care. This next section will focus on quality improvement and patient safety initiatives in inpatient settings.
Patient Safety and Quality Improvement Act The Patient Safety and Quality Improvement Act of 2005 (PSQIA): , 42 U.S.C. ch. 6A subch. VII part C, established a system of patient safety organizations and a national patient safety database. To encourage reporting and broad discussion of adverse events, near misses, and dangerous conditions, it also established privilege and confidentiality protections for Patient Safety Work Product (as defined in the act). The PSQIA was introduced by Sen. Jim Jeffords [I-VT]. It passed in the Senate July 21, 2005 by unanimous consent, and passed the House of Representatives on July 27, 2005 with 428 Ayes, 3 Nays, and 2 Present/Not Voting.
Patient Safety and Quality Improvement Act The definition of "Patient Safety Work Product" (PSWP) is quite broad. Patient safety work product includes any data, reports, records, memoranda, analyses (such as root cause analyses), or written or oral statements (or copies of any of this material), which could improve patient safety, health care quality, or health care outcomes, that are assembled or developed by a provider for reporting to a PSO and are reported to a PSO. It also includes information that is documented as within a patient safety evaluation system that will be sent to a PSO and information developed by a PSO for the conduct of patient safety activities.
Patient safety organization The Commission engages in collaborative work in patient safety and healthcare quality that benefits from national coordination. This includes the development of the Australian Charter of Healthcare Rights and the National Safety and Quality Health Service Standards, improving areas such as patient identification, medication safety, clinical handover and open disclosure, and reducing healthcare associated infection. The Commission has also developed the National Safety and Quality Framework to improve the safety and quality of the Australian health system.
Patient safety organization On November 5, 2008, ECRI Institute PSO was officially listed as a federal Patient Safety Organization under the Patient Safety and Quality Improvement Act of 2005. ECRI Institute Patient Safety Organization serves nationwide as a PSO directly for providers, hospitals, and health systems as well as provide support services to state and regional PSOs.
Patient Safety and Quality Improvement Act "Patient Safety Organization" (PSO) must certify that it lists the requirements in the PSQIA and be listed on the Agency for Healthcare Research and Quality (AHRQ) web site.
Patient Safety and Quality Improvement Act Patient Safety Work Product must not be disclosed, except in very specific circumstances and subject to very specific restrictions.
Patient safety organization Patients for Patient Safety is part of the World Alliance for Patient Safety launched in 2004 by the WHO. The project emphasizes the central role patients and consumers can play in efforts to improve the quality and safety of healthcare around the world. PFPS works with a global network of patients, consumers, caregivers, and consumer organizations to support patient involvement in patient safety programmes, both within countries and in the global programmes of the World Alliance for Patient Safety.
Patient safety The Agency for Healthcare Research and Quality (AHRQ) is the Federal authority for patient safety and quality of care and has been a leader in pediatric quality and safety. AHRQ has developed Pediatric Quality Indicators (PedQIs) with the goal to highlight areas of quality concern and to target areas for further analysis. Eighteen pediatric quality indicators are included in the AHRQ quality measure modules; based on expert input, risk adjustment, and other considerations. Thirteen inpatient indicators are recommended for use at the hospital level, and five are designated area indicators. Inpatient indicators are treatments or conditions with the greatest potential of an adverse event for hospitalized children.
Patient safety Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical error that often leads to adverse effects. The frequency and magnitude of avoidable adverse events experienced by patients was not well known until the 1990s, when multiple countries reported staggering numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety. The resulting patient safety knowledge continually informs improvement efforts such as: applying lessons learned from business and industry, adopting innovative technologies, educating providers and consumers, enhancing error reporting systems, and developing new economic incentives.
National Patient Safety Foundation NPSF is home to the Lucian Leape Institute, a think tank named for and led by the renowned patient safety leader, Dr. Lucian Leape. Established in 2007, the Institute’s charter is “to identify new approaches to improving patient safety, call for the innovation necessary to expedite the work, create significant, sustainable improvements in culture, process, and outcomes, and encourage key stakeholders to assume significant roles in advancing patient safety.” One of the Institute’s first activities was publication of an article that identified concepts deemed “as fundamental to the endeavor of achieving meaningful improvement in healthcare system safety.” The five concepts are transparency, care integration, patient/consumer engagement, medical education reform, and health care workforce safety and the restoration of joy and meaning in work. The Institute has published white papers on some of these themes, including Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care (2013) and Unmet Needs: Teaching Physicians to Provide Safe Patient Care.
Patient safety organization On July 29, 2005, the United States Congress established guidelines for Patient Safety Organizations under the Patient Safety Quality Act of 2005. The focus of the legislation is to provide incentives for clinicians to participate in voluntary initiatives to improve the outcomes of patient care, provide information about the underlying causes of errors in the delivery of health care, and to disseminate this information in order to speed the pace of improvement.
Patient safety organization Other key areas of work for the Commission include National Health Service accreditation, recognising and responding to clinical deterioration, patient centred care, safety and quality in mental health and primary care and the development of national safety and quality indicators as part of the information strategies activity.
Patient safety Several authors of the 1999 Institute of Medicine report revisited the status of their recommendations and the state of patient safety, five years after "To Err is Human". Discovering that patient safety had become a frequent topic for journalists, health care experts, and the public, it was harder to see overall improvements on a national level. What was noteworthy was the impact on attitudes and organizations. Few health care professionals now doubted that preventable medical injuries were a serious problem. The central concept of the report—that bad systems and not bad people lead to most errors—became established in patient safety efforts. A broad array of organizations now advance the cause of patient safety. For instance, in 2010 the principal European anaesthesiology organisations launched The Helsinki Declaration for Patient Safety in Anaesthesiology, which incorporates many of the principles described above.
Patient safety organization Based in London, England, the Health Foundation is an independent charity that aims to improve the quality of health care for the people of the United Kingdom. The Safer Patients Initiative, one of the Foundation’s quality and performance improvement programmes, targets reducing medication-related adverse events and errors, reducing infections associated with intensive care units or surgery and improving organisational culture, leadership and expertise in measuring improvement. The goal of the initiative is a 50 percent reduction in adverse events per 1,000 patient days for each site. In 2004, The Health Foundation selected four hospitals from across the UK to work on a £4.3 million patient safety improvement programme. These four hospitals continue to show measurable improvements in their patient safety performance, and 16 more hospitals are being selected in 2006 to join the second phase.
Patient Safety and Quality Improvement Act However, patient safety work product does not include a patient’s medical record, billing and discharge information, or any other original patient or provider information; nor does it include information that is collected, maintained, or developed separately, or exists separately, from a patient safety evaluation system.
National Patient Safety Foundation Educating health professionals about patient safety best practices is a key area of focus for NPSF. Since the annual NPSF Patient Safety Congress has brought together health leaders, patient safety professionals, and patient advocates. In recent years, the meeting has touched on some of the most pressing concerns in health care, such as the move toward patient satisfaction as a measure of quality, engaging patients and families in their care, and the use of simulation to teach and promote safe practices.
Patient safety In public surveys, a significant majority of those surveyed believe that health care providers should be required to report all serious medical errors publicly. However, reviews of the medical literature show little effect of publicly reported performance data on patient safety or the quality of care. Public reporting on the quality of individual providers or hospitals does not seem to affect selection of hospitals and individual providers. Some studies have shown that reporting performance data stimulates quality improvement activity in hospitals.
Patient safety One of the main challenges faced by pediatric safety and quality efforts is that most of the work on patient safety to date has focused on adult patients. In addition, there is no standard nomenclature for pediatric patient safety that is widely used. However, a standard framework for classifying pediatric adverse events that offers flexibility has been introduced. Standardization provides consistency between interdisciplinary teams and can facilitate multisite studies. If these large-scale studies are conducted, the findings could generate large-scale intervention studies conducted with a faster life cycle.
Patient Safety and Quality Improvement Act Note: the Patient Safety Activities Exception is the most common one that providers and PSOs will be working with.