Make Your Care Safer
Educate yourself on the topics below and sign on to support the following three patient safety policy issues:
Enhancing Patient Safety & Quality through Transparency
We believe there are four issues that impact the ability for patient safety & quality to be improved.
- Lack of Open and Honest Communication
- Difficulty Quantifying the Problem
- Inadequate Public Access to Safety Data
- Suppression of Information
There is misalignment between the goals of healthcare organizations, clinicians, payors, and patients. Our current care delivery model was designed to pay for care for existing disease, not to promote wellness and prevent illness. Healthcare organizations and clinicians are generally paid according to the volume of hospitalizations, visits, and procedures completed, rather than by quality and safety-related patient outcomes. This incentivizes unnecessary care or overtreatment, which increases both the cost and risk of harm. In addition, care and procedures (e.g. hip and knee replacements) are rapidly moving to ambulatory settings where the payment policy necessary to drive the quality and safety of outcomes is especially lacking. While there has been much attention to patient safety in the last 20 years and some success around specific risks like central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI), these are just the tip of the iceberg of preventable harm. Despite the best intentions of those on the frontline, we will never reach zero harm in healthcare until financial incentives for healthcare organizations are aligned with the goal of systemic prevention of all-cause harm in all care settings.
Establishing Region-Appropriate Regulatory Oversight Globally
Research and discussion about the need for effective patient safety oversight and legislation have increased in many countries over the past two decades as patients, providers and the press have driven awareness of the alarming risk of unsafe care to public health. Yet few countries have comprehensive programs for reporting, investigation, and collective learning at national or regional levels. A regulatory approach is needed in each country similar to the agencies and boards squarely focused on safety in the aviation and transportation industries, to ensure that provider organizations truly have safety processes and training programs in place. This type of oversight also helps to support a transparent culture of safety in healthcare that enables provider organizations to more rapidly identify risks, learn from each other’s experiences and spread innovative solutions.
Support of a U.S. National Patient Safety Board
The Patient Safety Movement Foundation (PSMF) is pleased to support the proposed independent federal agency, the National Patient Safety Board (NPSB), whose efforts are being led by a national policy and advocacy coalition facilitated by the Pittsburgh Regional Health Initiative (PRHI). The efforts align with our Patient Safety Moonshot goal and we believe that establishing an independent body to identify, study, and disseminate recommendations when serious harm occurs in healthcare is one of the key efforts that all organizations looking to reduce preventable patient harm should get behind. The PSMF participates in the NPSB Advocacy Coalition as well as hosts its own executive committee on the topic. We encourage organizations that partner with us and follow our work to join the NPSB Advocacy Coalition. Learn more by visiting www.npsb.org.