How reliable is your hospital? A qualitative framework for analysing reliability levels.
Objective Many approaches and methods have been developed to reduce errors in the healthcare delivery process and to increase patient safety. One of the approaches suited to improve patient safety is reliability theory. This paper adds a qualitative dimension to the application of reliability theory...
| Publicado en: | BMJ Quality & Safety Vol. 20; no. 9; pp. 785 - 791 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Sep2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104694663&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104694663 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20445415 BFNQ jtl: BMJ Quality & Safety issn: 20445415 maglogo: N pubinfo: dt: Sep2011 vid: 20 iid: 9 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 104694663 2011294498 10.1136/bmjqs.2010.045187 NLM21441603 [ 104694663 ppf: 785 ppct: 6 formats: tig: atl: How reliable is your hospital? A qualitative framework for analysing reliability levels. aug: au: Ikkersheim, David Berg, Marc affil: Plexus, Straatweg 68, Breukelen, The Netherlands. sug: subj: Adverse Health Care Event Prevention and Control Conceptual Framework Health Facilities Evaluation Reliability Evaluation Accountability Human Netherlands Organizational Culture Outcome Assessment Process Assessment (Health Care) Standards Professional Practice, Evidence-Based PubMed Qualitative Studies ab: Objective Many approaches and methods have been developed to reduce errors in the healthcare delivery process and to increase patient safety. One of the approaches suited to improve patient safety is reliability theory. This paper adds a qualitative dimension to the application of reliability theory in hospitals. Based on a review of the literature, the authors identified a framework of qualitative elements that can be used to diagnose, understand and thereby improve upon the level of reliability in (department of) a hospital. Results Based on the literature search, the authors identified four interconnected elements that are crucial for hospital reliability. These four elements are: process optimisation and standardisation; outcome measurement and monitoring; responsibilities and accountability of medical professionals; and organisational culture. Discussion Substantial effort has been made in the last decade to improve patient safety. The actual improvement in safety has been fairly modest, which is understandable because most hospitals currently have fairly unreliable processes in place. Using the framework presented here, hospitals can gauge the reliability of their processes and practices. Recognisable characteristics provide insights into where improvement is needed and possible. In addition, this framework provides a way to view the relationship between different patient safety building blocks and a means to link them conceptually. An integrated approach is needed for hospitals to achieve a higher reliability level with particular attention to the interconnected elements that affect patient safety. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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