Building Tomorrow’s Healthcare
What we need to do to make things get better
DR FIAZ FAZILI
Quality in healthcare organization is never an accident, but an integrated care arising out of disciplined team effort in an accountable system defined by its policy procedures, job descriptions and responsibilities under the constant vigil of dedicated administrators. There’s an old saying in emergency medicine: "Don’t just DO something, STAND there." In other words, sometimes leaping into the fray without careful thought can result in wasted effort, or even make matters worse. We need to improve an operation's effectiveness, to get everyone committed in a new direction. DMAIC is the key. (the acronym for Define, Measure, Analyze, Improve and Control).
Making System Accountable.
Inadequate regulations undermine health care. For monitoring activity in any healthcare organization (Private or Governmental ), a quality system of supervision and control of all activities is needed in order to detect and correct any undue deviation from pre-defined norms of Performance Standards and expectations. Every duty-holder, section or organization’s heads are held accountable for failure to meet these standards. What to do, if you find your hospital/employee is not meeting standards set by the competent Authorities ?.The seriousness of the non-compliance needs strict enforcement. You can't manage what you don't measure. -an old management adage holds good even today. Unless you measure something you don't know if it is getting better or worse. Thus accountability process will help you know what to measure and how? The goal is to ensure optimal health care, patient safety, and satisfaction. We must avoid duplications and errors arising from the overuse, under-use or misuse of hospital resources. Strict compliance at every level and position is badly required.
Perfection versus excellence-- Do No More Harm; Health care is a risk prone, specialized service with high expectations, bound to encounter problems. Knowing your source of risk is critical, picking up errors before their actual occurrence (near misses) is excellence. To protect system from inflicting harm or an abuse, we have to pick things early before they inflict actual harm. To achieve this goal, we need to encourage and incorporate non punitive voluntary error reporting system called ; OVA ( Occurrence , Variation, Accidents, Sentinel events. The real RCA (Root Cause Analysis) by 5 Why approach should eliminate causes of recurrence by pointing towards a process that is not working well or does not exist.
(Dr Fiaz Fazili is Acute care Surgeon and Chapter Leader for JCI accreditation and works on Health care Quality improvement and Standards.)
Lastupdate on : Wed, 24 Apr 2013 21:30:00 Makkah time
Lastupdate on : Wed, 24 Apr 2013 18:30:00 GMT
Lastupdate on : Thu, 25 Apr 2013 00:00:00 IST
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