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A core objective of change leadership is to set others up to succeed in your absence. But as we all know, that is a lot harder than it sounds. Research has shown that storytelling has a remarkable ability to connect people and inspire them to take action. “Our species thinks in metaphors and learns through stories,” the anthropologist Mary Catherine Bateson has written. “The harder the situation, the more essential it is.”
Over the past three decades, the predominant approach to improving safety in health care has involved studying adverse outcomes to identify system vulnerabilities and correct them. While this approach has been useful, it has limitations. A focus only on unfavourable outcomes can limit innovation and adaptability, not to mention undermine worker morale and engagement.
A ready reckoner for evolving consumer engagement from ‘informing’ to ‘empowering’. Includes a meaningful ‘promise’ to consumers at each participation level that clarifies the outcome of achieving each engagement level.
Numerous studies about the use of trigger tools to identify adverse events (AEs) have been performed in hospitals. However, the research conducted on the use of trigger tools to identify AEs in primary care is limited.
This study developed a set of triggers for identifying adverse events in Primary Care, from health record reviews with high positive predictive value (PPV), making it easier to collect reliable information on care-related incidents in this sector. It also presents interesting data on adverse event prevalence in Primary Care.
Consumers’ perspectives and active engagement are critical to making health systems safer and more person-centred. Consumers, families, caregivers and the community can contribute towards improving care-related safety at the clinical (local), institutional (e.g., hospital, nursing home), community (e.g., primary care, home care) and national (in the development of national policies) levels of healthcare systems.
Unwarranted variation in procedures and outcomes (a key component of appropriate care) is a major challenge in healthcare. Reducing unwarranted variation in care processes and outcomes can reduce wasteful, unnecessary or even harmful care. Increasing attention is being paid to the rich information on care appropriateness contained in clinical registry and clinical audit data, but it can be challenging to interpret this data for broader quality monitoring purposes.
That depends on the answer to these questions.
Involving patients and families in healthcare decisions about patient care and in hospital and health system policy/programs has been shown to hold many benefits for consumers and health services. This partnering of patients and families with healthcare professionals is often called “patient and family engagement”, although this term does not have a standard definition and may not describe the best practices for achieving partnership.
Ensuring organisations learn from patient safety incidents is a key aim for human service organisations. The role that human factors and systems thinking can have in enabling organisations to learn from incidents is well acknowledged. A systems approach can help organisations focus less on individual fallibility and more on setting up resilient and safe systems.
This IHI blog explores the potential for the use of generative AI tools in quality management and it is a timely exploration. The time is now for quality managers and executives to plan to employ AI to enhance the quality system while building protection against the downsides – before they occur.
