3 Steps to Address Underlying Causes of Adverse Events

While employing tools to prevent individual adverse events can be effective in the short term, addressing the underlying factors of medical errors is necessary for sustainable improvement, according to a commentary on the Agency for Healthcare Research and Quality’s National Quality Measures Clearinghouse website.

Advertisement

The author discusses how to effectively implement evidence-based best practices to improve safety, such as those delineated in AHRQ’s “Making Health Care Safer II” report. He says that while simply adopting the report’s 22 practices that are “encouraged” or “strongly encouraged” can benefit patient safety, long-term improvement depends on understanding the underlying factors.

He provides three steps healthcare leaders should follow to address the root cause of safety and quality deficiencies:
•    Incorporate human factors engineering, systems engineering and expertise from other fields to design a safer healthcare system.
•    Study and disseminate safety culture improvement strategies.
•    Establish “standardized, reliable and reproducible measurements for common safety problems,” the author states.

More Articles on Patient Safety:

Why Has Patient Safety Not Improved Significantly? 7 Possible Reasons
Patient Safety Tool: Checklist for Healthcare Personnel Flu Immunization

Study: Hospital-Outpatient Provider Communication Alone May Not Affect Readmissions

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Clinical Leadership & Infection Control

Advertisement

Comments are closed.