Uploaded byLallu Joseph
Role of accreditation on sustainability of hospitals
The document discusses the significant safety challenges and medical errors in hospitals, illustrating that doctors may be statistically more dangerous than gun owners in terms of accidental deaths. It highlights the importance of hospital accreditation and high reliability organizations (HROs) in improving patient safety, enhancing communication, and managing resources effectively. The impact of accreditation is shown to foster better patient outcomes, satisfaction, and staff development while promoting a culture of continuous improvement in healthcare organizations.
In this document
Powered by AI
Introduction to the critical role of accreditation and sustainability in hospitals by Dr. Lallu Joseph.
Statistics show physicians cause significantly more accidental deaths than gun owners and highlight the odds of dying from medical errors versus other risks.
Accounts of safety failures in hospitals, including wrong procedures, burns, and lab errors, underscore the importance of stringent safety protocols.
Discussion on how the practice of medicine has evolved to become more complex, with real-life incidents that illustrate the challenges faced by healthcare facilities.
Outlines the challenges like medical negligence and increasing patient expectations while promoting the concept of High Reliability Organizations (HRO) in healthcare.
The impact of accreditation on patient safety and expectations, emphasizing communication, patient rights, and improvements in healthcare management.
Accreditation's role in managing healthcare expenditure effectively and a study demonstrating significant improvements post-calibration of medical equipment.
Results showing accreditation's positive impact on staff attrition, development, and overall workplace satisfaction for better healthcare outcomes.
Accreditation as a cornerstone for sustainability in healthcare, focusing on continuous improvement and the ethical responsibility of healthcare professionals.
More Related Content
Similar to Role of accreditation on sustainability of hospitals
Role of accreditation on sustainability of hospitals
- 1. ACCREDITATION AND SUSTAINABILITYOF HOSPITALS DR. LALLU JOSEPH QUALITY MANAGER CMC, VELLORE
- 2. GUN OWNERS VSDOCTORS Number of physicians in US = 700,000 Accidental deaths by physicians/ year = 98,000 Accidental deaths/ physician per year = 0.14 Number of gun owners in US = 80,000,000 Number of accidental gun deaths/ year = 1500 Accidental deaths/gun owner =.0000188 Doctors are approximately 7500 times more dangerous than gun owners
- 3. ODDS OF DYING… In a plane crash 1:29,000,000 In a car accident 1:5000 In a medical error 1:300
- 4. WHERE DO WESTAND … Safety processes fail routinely Hand hygiene not taken seriously PPE usage not adhered to.. Medication administration errors Patient identification errors Surgery on wrong side, wrong patient or body part Retained objects Fires Wrong gas connected
- 5. FALSE CEILING FALL A 42 year old lady undergoing Laparoscopic hysterectomy. A tile from the false ceiling of the OT falls on her hands and she sustains fracture of the lower end of radius
- 6. ABNORMAL VALUES LabInvestigations of fasting and postprandial blood sugar show higher readings. Many patients were put on anti-diabetic drugs. Complaint by one of the affected individuals who got the investigations done from another lab that showed correct values.
- 7. BURNS SUSTAINED BYBABY Four month old baby for cardiac surgery at 7.30 am given bath by night duty nurse at 5.30 am as part of pre-op preparation. Nurse checked the temperature of the hot water with her gloved hands by pouring water on her gloved wrist. Baby sustains burns.
- 8. WRONG PROCEDURE Twoladies both named Nirmala were to be taken up for surgery in OG OT. One for D&C and the other for a cervical ligation to prevent mid – trimester abortion. Procedures got reversed.
- 9. THE PRACTICE OFMEDICINE WAS SIMPLE
- 10. BUT TODAY…… INDIA WANTSTO KNOW……
- 12. Power outage atPuducherry hospital kills 3 dialysis patients Fire at AMRI Hospital Kolkota, kills 92 22 Killed in SUM Hospital, Odisha Doctors operate on the wrong leg of 24 year old 15 hospitalized with wrong drug given before sterilization 2 stuck in MRI machine for four hours
- 13. TODAY…..THE PRACTICE OFMEDICINE IS HIGHLY COMPLEX “HEALTHCARE ORGANIZATIONS ARE THE MOST COMPLEX TO MANAGE……” PETER DRUCKER
- 15. CHALLENGES- HOSPITALS Medicalnegligence, patient safety and litigations Increasing expectations of patients Healthcare expenditure Lack of skilled manpower and staff attrition Sustainability- capacity of organizations to be able to withstand the challenges and variations over time, through a process of continuous improvement
- 16.
- 17. MEDICAL NEGLIGENCE ANDLITIGATIONS Healthcare has to move towards becoming High Reliability Organizations (HROS) High reliability is the consistent performance at high levels of safety over long periods of time (Chassin, Loeb 2011) Nuclear power plants, aviation industry, space - failure to perform can mean death (Engineers vs Doctors– Believe anything can go wrong vs nothing will go wrong)
- 18. Safety culture Focus ison patient and staff safety- HH, HAI, PPE usage, safety checklists etc… Focus on reliability Audit safe practices Seek to know Focus on staff training Share learning Incident reporting, analysis and communication Break down the silos and encourage team work Protocols and accountability, appropriate communication between team members ACCREDITATION AND HRO
- 19. IMPACT OF ACCREDITATION-PATIENT SAFETY Mousa Al Shammari et al., “Impact of Hospital‘Accreditation on Patient Safety in Hail City, Saudi Arabia: Nurses‘Perspective” Journal of Nursing and Health Science 2015, 51-55 JCI accredited hospital, 200 respondents, found positive impact of accreditation on patient safety, HAI; nursing documentation; and medication management Hinchcliff et al., “Narrative synthesis of health service accreditation literature” BMJ Qual Saf 2012,0. 1-13. Reviewed 122 empirical studies, highlights relationships among accreditation, high quality organizational processes and safe clinical care.
- 20. INCREASING EXPECTATIONS OFPATIENTS Accreditation stresses on Communication with patients Attending to the needs Rights of patients Clean environment, ambience Patient feedback, complaint handling
- 21. IMPACT OF ACCREDITATION-PATIENT EXPECTATIONS Haute Autorite de Sante , “Literature review on the impact of hospital accreditation” Matrix Knowledge Group, 2011 56 articles included in analysis. “positive relationship between accreditation and improvement in the management, professional practice within hospitals” Mona et al., “The impact of the status of hospital accreditation on patient satisfaction with the Obstetrics and Gynecology Clinics in the Eastern Province, Saudi Arabia” Journal of Medicine and Medical Sciences, 2012, 665-673 420 patients responded. Patients at the accredited hospital were more content with the quality of health care, professionalism, indicated higher overall satisfaction
- 22. HEALTHCARE EXPENDITURE Accreditation focusseson Appropriate use of resources Reducing wastage, energy efficiency, expired items by systems and accountability Management of equipment System efficiency and improving productivity- discharge process, waiting time etc.
- 23. IMPACT OF PMAND CALIBRATION 0N BM • Study by Dr. Lallu Joseph & Mr. Arul Prakash • Based on 8 years data taken from BMEsoft • Data split into two parts; before calibration (2007-2010) and after (2011-2014) • Electrosurgical units, Ventilators, Defibrillators, Infusion Pumps and ECG Machines were taken
- 24. BREAKDOWN IN PERCENTAGE 0 50 100 150 200 250 300 350 400 450 500 20072008 2009 2010 2011 2012 2013 2014 Percentageofbreakdown Year Infusion Ventilators Defibrillator ESU ECG Breakdown of • Electro Surgical Units (ESU) reduced from 453% in 2007 to 54% in 2014 • Ventilators decreased from 455% to 140% • Defibrillators reduced from 116% to 29% • ECG from 183% to 77% • Infusion devices reduced from 379% to 196%
- 25. JCI STDY- JORDAN Results demonstrate statistically-significant improvements in the JCI- accredited hospitals on 3 indicators Return to ICU within 24 hours of discharge Staff turnover per year Completeness of medical records Total annual savings per accredited hospital = $87,600
- 26. STAFF ATTRITION Enhancesstaff development Enhances staff education and learning Develops leadership qualities Motivated team players Responsibilities defined and more responsible Satisfaction with the work environment Forum to address their grievances Communication is effective Feeling of belongingness and ownership
- 27. ACCREDITATION- KEY TOSUSTAINABILITY Continuous improvement Culture change Better outcomes Measure and manage Accountability Discipline
- 28. Systems awareness andsystems design are important for health professionals, but are not enough. They are enabling mechanisms only. It is the ethical dimension of individuals that is essential to a system’s success. Ultimately, the secret of quality is love. You have to love your patient…., you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system. Avedis Donabedian