Patientsikkert Sygehus

Transkript

1 Patientsikkert Sygehus

2 1990 ernes mantra: Evidensbaseret medicin Hvad får vi: Evidens for hvad der virker Baseret på: Biomedicinsk model og statistik Betydning for klinikere: Det vigtigste er viden Viden kan generaliseres kontekster udeladt Analyse af få variable af gangen RCT er guld standarden Ser verden en patient af gangen Patienter med AMI bør få X og Y medicin August 18, 2010 Dansk Selskab for Patientsikkerhed 2 2

3 2000 erne Evidensbaseret behandling Hvad får vi: Evidens for hvordan vi organiserer, så det vi ved virker gøres konsekvent og effektivt Viden er ikke generaliserbar konteksten er integreret Baseret på: Yderligere Samfundsvidenskab, herunder - Ledelse - Organisation - Psykologi - Antropologi Logistik Betydning for klinikere: Det vigtigste er anvendt viden Patienten er en del af en større proces For at optimere behandlingen af AMI skal vi gøre August 18, 2010 Dansk Selskab for Patientsikkerhed 3 3

4 Igor Simmelweis og Louise Brown August 18, 2010 Dansk Selskab for Patientsikkerhed 4 4

5 August 18, 2010 Dansk Selskab for Patientsikkerhed 5 5

6 Dansk Selskab for Patientsikkerhed 6 6

7 Færre dødsfald under Operation Life kampagnen kvt kvt kvt kvt kvt kvt kvt kvt kvt August 18, 2010 Dansk Selskab for Patientsikkerhed 7 7

8 Resultater fra Operation Life August 18, 2010 Dansk Selskab for Patientsikkerhed 8 8

9 Don Berwick Dansk Selskab for Patientsikkerhed 9

10 Skotland Dansk Selskab for Patientsikkerhed 10

11 The Institute for Healthcare Improvement

12 Why We Exist Between the health care we have and the care we could have lies not just a gap, but a chasm. - Institute of Medicine, Crossing the Quality Chasm, 2001 Best-known science is not reliably applied. Widespread inefficiencies waste precious resources. Patients are being harmed at alarming rates.

13 Our Blueprint: the IOM s Six Aims Safe no needless deaths Effective no needless pain or suffering Patient-Centered no helplessness in those served or serving Timely no unwanted waiting Efficient no waste Equitable for all

14 IHI Is Here To Accelerate health care improvement by translating innovative ideas into practical results that are truly meaningful to patients Improve the lives of patients, the health of communities, and the joy of the health care workforce Close the Quality Gap as fast as possible

15 We Do This By Building Will Motivating health care provider organizations to think beyond the status quo and imagine a better system Harvesting Ideas Finding, cultivating, or inventing new approaches for better patient care Executing Change Providing the support, methods and tools for teams to take action

16 Our History Full Scale Changing mainstream practice standards by ensuring widespread deployment Movement Unifying the industry around the common cause of improving health care for all Redesign Moving beyond best practice to innovative designs based on novel concepts Collaboration Working together to spread best practices and yield breakthrough results Education Building the capacity for change through knowledge exchange and training Awareness Building the will for change and the conviction that improvement is possible next?

17 Our Staff

18 IHI Team Carol Haraden Executive Lead Jason Leitch Leadership Robert Lloyd Improvement Advisor Sue Gullo Director Dan Souw Project Manager Gerry Marr Leadership Roger Resar Critical Care Annette Bartley General Ward Frank Federico Medicines Management Carol Peden Perioperative Care

19 Some is Not a Number, Soon is Not a Time! The Numbers: 30% Reduction in adverse events, 15% reduction in Mortality The Time: December 31,2012

20 What will it takes to improve the safety in your hospital? Denmark?

21 You have organisations transforming themselves in Denmark today! The question: How committed are you to learn from them?

22 Improving a Large System Problem How do we understand the problem? Measurement Where should we set the goal? Best practice not benchmark What will drive success? What projects, when combined, will get us to our goal? Execution What method should we use? Model for Improvement How will we provide oversight and learn from the work? Each Spor has an leadership sponsor who contributes to the leadership

23 Example: Hospital Medication Safety Hospital Medication Safety Sengeafd Oncology Medicin Med. reconciliation IV pumps Chemo Protocol Availability Admix Narcotic Standardized dosing

24 Example: System Medication Safety Regional Hospital Medication Safety Hospital1 Hospital 2 Hospital 3 Med. reconciliation Standardized dosing High alert meds