Transcript Impact of accreditation on patient safety

Impact of Arab Accreditation Project on
Patient Safety
Arab Hospital Federation Congress
Sharm El Sheikh-Egypt
4-5 March,2008
Dr.Safa El Qsoos/Quality Director
Ministry of health/Jordan
Accreditation
Process in which an entity, separate and distinct
from the health care organization, assesses the
health care organization to determine if it meets
set of requirements designed to improved the
quality of care, its usually voluntary and provides
a visible committement to improve quality of
patient care, ensure a safe environment, and
continually work to reduce risks to patients and
staff
Accreditation history
1910
Ernest Codman, M.D., proposes the “end result system of
hospital standardization.” Under this system, a
hospital would track every patient it treated long
enough to determine whether the treatment was
effective. If the treatment was not effective, the
hospital would then attempt to determine why, so that
similar cases could be treated successfully in the future.
1913
American College of Surgeons (ACS) is
founded at the urging of Franklin Martin,
M.D., a colleague of Dr. Codman. The
“end result” system becomes an ACS
stated objective.
1917
The ACS develops the Minimum
Standard for Hospitals. Requirements fill
one page.
1918
The ACS begins on-site inspections of
hospitals. Only 89 of 692 hospitals
surveyed meet the requirements
1926
The first standards manual is printed
consisting of 18 pages.
1950
The standard of care improves over time
and more than 3,200 hospitals achieve
approval under the program
1951
The American College of Physicians (ACP), the
American Hospital Association (AHA), the
American Medical Association (AMA), and the
Canadian Medical Association (CMA) join with
the ACS to create the Joint Commission on
Accreditation of Hospitals (JCAH), an
independent, not-for-profit organization whose
primary purpose is to provide voluntary
accreditation.
1953
JCAH publishes Standards for Hospital Accreditation.
1970
Standards are recast to represent optimal achievable
levels of quality, instead of minimum essential levels of
quality.
Accreditation for hospitals and long term care facilities is
reduced to a maximum of two years from three years.
Where survey findings indicated that necessary
improvements had not been made or completed,
accreditation is given for one year.
1987
The organization name changes to the Joint
Commission on Accreditation of Healthcare
Organizations to reflect an expanded scope of
activities.
The Agenda for Change is launched with a set of
initiatives designed to place the primary
emphasis of the accreditation process on actual
organization performance.
1992
The Accreditation Manual for Hospitals
begins the multiyear transition to
standards that emphasize performance
improvement concepts.
1996
The Sentinel Event Policy is established for
the evaluation of sentinel events in
accredited organizations and their
relationship to accreditation status.
IOM Report /1999
To Err Is Human:
Building a Safer Health care System
98,000 preventable deaths each year,with
an associated cost of $17 to $29 billion.
1999
The Joint Commission’s mission statement
is revised to explicitly reference patient
safety:
"The mission of the Joint Commission is to
continuously improve the safety and quality of
care provided to the public through the provision
of health care accreditation and related services
that support performance improvement in health
care organizations
2001
The Joint Commission forms a 20-member
Standards Review Task Force to identify the
accreditation standards most relevant to the
safety and quality of patient care, and target for
elimination or modification those standards that
do not contribute to good patient outcomes.
New standards that focus directly on patient
safety and medical/health care error reduction in
hospitals take effect July 1.
2002
The Joint Commission establishes its first annual
National Patient Safety Goals and associated
requirements for improving the safety of patient
care in health care organizations, to be effective
in 2003.
Joint Commission President Dennis S. O’Leary,
M.D., testifies before the House Committee on
Energy and Commerce, Subcommittee on
Health, on private sector efforts to improve
patient safety
2003
The Joint Commission announces a Universal
Protocol™ for preventing wrong site, wrong
procedure, wrong person surgery, effective July
1, 2004.
The Joint Commission forms a 20-member
expert panel to consider and recommend ways
in which the Joint Commission’s infection control
standards can be strengthened. Later in the year,
the panel approves revised standards that
sharpen and raise the expectations of
organization leadership and of the infection
control program itself.
2004
The World Health Organization launches
its World Alliance for Patient Safety in
October, and the Joint Commission is
invited to be involved in several of the
Alliance’s initiatives.
2005
Joint Commission President Dennis S.
O’Leary, M.D., testifies before
Congressional leaders in June that
American health care facilities must
embrace a “systems approach” to
preventing adverse events that keeps the
errors that caregivers inevitably make from
reaching patients.
2005
The World Health Organization in August
designates the Joint Commission and
Joint Commission International as the
WHO Collaborating Centre for Patient
Safety Solutions.
2006
The World Health Organization Collaborating
Centre on Patient Safety, the World Alliance for
Patient Safety and the Commonwealth Fund
announces a seven-country collaborative project
in December that will leverage the
implementation of five standardized patient
safety solutions to prevent avoidable
catastrophic events in hospitals.
2006
JCI introduced the IPSGs in 2006 and surveyors have been
evaluating compliance with these goals during accreditation surveys
in 2006, but these findings have not affected the accreditation
decision. Beginning 1 January 2007, hospitals accredited by JCI are
required to display compliance with the following ISPGs (in addition
to JCI’s 368 standards in 11 chapters):
Goal: Identify Patients Correctly
.
Goal: Improve Effective Communication
Goal: Improve the Safety of High-alert Medications
Goal: Eliminate Wrong-site, Wrong-patient, Wrong-procedure
Surgery
.
Goal: Reduce the Risk of Health Care–acquired Infections
Goal: Reduce the Risk of Patient Harm Resulting from Falls
Joshua Goldberg
1982-2006
Death of 23 year old son
This is a living case history concerning the
death of my 23 year old son who died at
Bumrungrad Hospital in Bangkok Thailand on
23 February 2006 at approximately 9:00 PM,
Thai time Yes, this is a case about the death of
a human being at the hands of malicious people.
But it is also a case which illustrates that money
and power drives medical care in the US and,
by extension, internationally. The last concern
of this machine is your health, care and
safety.
Bumrungrad, the hospital where my son was
murdered, is accredited by the Joint
Commission. Yet, despite having informed
them, time and again, of factual wrong doing,
they have remained silent and have denied that
they have any responsibility to the public reveal
the Accreditation: Once Given, Never
Revoked
Patient for patient safety
Movement
Leaded by Susan Sheridan
Lost her husband because of the health care
provided in accredited hospital,and her
son is suffering of permanent disability
patient safety awareness week
March 2nd-2 th. 2008
In the Arab countries ?
Research in 2005 on the size of harm to
patient
WHO/EMRO,Dr.AHMAD ABDULATIF
Australian Research Center
Dr.Ross Wilson
The Arab Accreditation Project
Introduction on Why the project focus on patient
safety
Standards relevant to patient safety
‫ معايير رعاية المريض‬.‫أ‬
‫ معايير أمان وسالمة المريض‬.‫ب‬
‫ معايير اإلدارة‬.‫ج‬
‫ معايير الخدمات المجتمعية‬.‫د‬
Classification and scoring high lighting standard on
patient safety
‫رابعا ‪ :‬مستويات التطابق‬
‫المستوى المبدئي ‪:‬‬
‫‪75%‬تطابق مع معيار ‪A‬‬
‫‪50%‬تطابق من معيار ‪B‬‬
‫‪%85‬تطابق مع معايير آمان المريض‬
‫مستوى االعتماد ‪:‬‬
‫‪ 85%‬تطابق من معيار ‪A‬‬
‫‪75%‬تطابق من معيار ‪B‬‬
‫‪ 95%‬تطابق مع معايير آمان المريض‬