Transcript The Patient Safety Movement

Patient Safety
Science & Technology Summit
2014
Founder:
2014 Summit Co-Convener:
Joshua S. Adler, MD
Chief Medical Officer, UCSF Medical Center and
UCSF Benioff Children's Hospital
Founder:
2014 Summit Co-Convener:
Why Focus on Culture?
Improvements in Patient Safety have been slow and incomplete
despite a substantial national effort for over a decade
*Chassin MR Health Affairs. 2013;10:1761
Founder:
2014 Summit Co-Convener:
Most improvement to date have primarily focused on
tools and and processes
Founder:
2014 Summit Co-Convener:
Why Focus on Culture?
• Improvement has been inconsistent, variably sustained,
sometimes mis-directed, and susceptible to work-arounds
• Insufficient effort on understanding why errors continue despite
using “best practices”
Founder:
2014 Summit Co-Convener:
Organizational
Culture
Founder:
2014 Summit Co-Convener:
Organizational Culture
“The way we do things around here”
Founder:
2014 Summit Co-Convener:
Patient Safety
Culture
Founder:
2014 Summit Co-Convener:
Patient Safety Culture
• One aspect of an organization's culture
• The shared values, beliefs, norms, and procedures related to patient
safety
• Provides cues about the relative priority of patient safety with other goals
(e.g. efficiency)
• Informs perceptions about what is praised and what is punished
Founder:
*Weaver et. Al. Ann Intern Med 2013;158:369
2014 Summit Co-Convener:
The Relationship Between Culture and Outcomes
•
Better performance in safety climate surveys correlates with better outcomes
*Singer S et al. Health Serv Res 2009;44:399
•
Targeted interventions (team training, leader rounding, CUSP) can improve patient
safety climate
•
Emerging evidence suggests that improvements in safety climate may correlate
with better patient outcomes
* Morello RT et al. BMJ Qual Saf 2013;1:11.
Founder:
2014 Summit Co-Convener:
Culture of Safety Panel
Laura Batz Townsend
Marty B. Scott, MD, MBA
Co-Founder and President,
Louise H. Batz Patient Safety Foundation
Vice President, Brenner Children's Hospital.
Chief Patient Safety Officer, Wake Forest
Baptist Health Medical Center
Stephen Muething, MD
Jack E. Garon, MD
Vice President, Cincinnati Children's HospitalChief Medical Officer,
Medical Center
Sinai Health System
Coleen A. Smith, RN,
BSN, MBA, CPHQ
High Reliability Initiatives Director, The Joint
Commission Center for Transforming Healthcare
Richard C. Boothman
David Mayer, MD
Executive Director of Clinical Safety,
University of Michigan Health System
Vice President, Quality and Safety,
MedStar Health
Founder:
2014 Summit Co-Convener:
Patient Safety
Science & Technology Summit
2014
Founder:
2014 Summit Co-Convener: