Patient safety and quality in healthcare Flashcards
(10 cards)
Hippocrates
5th century
“primun non nocere”
First, do no harm
Florence nightngale
1854
Preventable harm in the healthcare and of evidence-based quality improvement
Dr Enest Codman
1910
The end result idea
Founder of evidence-based medicine
Avedis Donabedian
1996
NOT BAD PEOPLE, BUT BAD SYSTEMS
Errors can be prevented by designing systems that
make it hard for people to make mistakes
Institute of medicine
1999
To Err is Human: Building a safer
healthcare system
Institute of medicine 4 strategies for improvement
- Create leadership, Research, tools, protocols
2.Raise performance
standards and
expectations for
improvement in patient
safety through the action
3.Developing nationwide
public mandatory
reporting systems and by
encouraging health care
organizations and
practitioners to develop
and participate
4.Implement safety systems
in health care
organizations to ensure
safe practices at the
delivery leve
James reason
QUESO
It explains how faults in
different layers of a system
lead to incidents
Forcing functions
Mechanisms or situations that “force” someone to take a specific action.
EJ: Patients in hospitals may be forced to follow specific meal plans prescribed by nutritionists, ensuring they get the right nutrients for recovery. This is a “forcing function” to help manage their health.
Food packaging that requires nutritional information on calorie counts, fat content, and ingredients forces consumers to check and be mindful of what they’re eating before making a purchase
Constraints
limitations or rules that prevent or limit certain actions or decisions.
EJ:There are regulations that constrain the types of nutritional supplements that can be sold, ensuring they meet safety standards. For example, supplements that contain harmful or unapproved ingredients are restricted.
