Navigation Links
Joint Commission Alert: Effective Leadership Critical to Preventing Medical Errors
Date:8/27/2009

Leaders must take responsibility for patient safety

OAKBROOK TERRACE, Ill., Aug. 27 /PRNewswire-USNewswire/ -- A new Joint Commission Sentinel Event Alert issued today urges health care leaders to step up efforts to prevent errors by taking the zero-defect approach used in other high-risk industries such as aviation and nuclear energy. The Joint Commission is advocating greater involvement of health care trustees, executives, and physician leaders, contending that the overall safety and effectiveness of a health care facility depends on administrative and clinical leaders who set the tone, create the culture and drive improvements. In safe organizations, safety is rooted in the culture and the system, rather than in the behavior of individuals.

"Health care leaders are directly responsible for establishing a culture of safety," says Mark R. Chassin, M.D., M.P.P., M.P.H., president, The Joint Commission. "This Alert provides leaders with concrete strategies for demonstrating a commitment to safety and to improving patient outcomes."

To improve patient safety, The Joint Commission's Sentinel Event Alert recommends that the governing body, chief executive officer, senior managers and medical staff leaders at health care organizations take a series of 14 specific steps, including the following:

  • Define and establish an organization-wide safety culture that includes a code of conduct for all employees.
  • Institute an organization-wide policy of transparency that sheds light on all adverse events and patient safety issues.
  • Make the organization's overall safety performance a key, measurable part of the evaluation of the CEO and all leadership.
  • Ensure that caregivers involved in adverse events that result in unintentional patient harm receive attention that is just, respectful, compassionate, supportive and timely.
  • Create and communicate a policy that defines behaviors that are to be referred for disciplinary action and a timeframe for that action to take place.
  • Add a human element to safety improvement by having patients communicate their experiences and perceptions to leadership.
  • Reward and recognize staff whose efforts contribute to safety.

In addition to specific recommendations contained in the Alert, The Joint Commission urges health care organizations to use the Leadership section of its accreditation standards to improve patient safety. The standards require organizational leaders to create a culture of safety and to provide the resources necessary for patient safety. The standards also cover reporting systems for adverse events and near misses and the design of processes to support safety.

The emphasis on the role of leadership in promoting greater patient safety is part of a series of Alerts issued by The Joint Commission. Much of the information and guidance provided in these Alerts is drawn from the Joint Commission's Sentinel Event Database, one of the nation's most comprehensive voluntary reporting systems for serious adverse events in health care. The database includes detailed information about both adverse events and their underlying causes. Previous Alerts have addressed health care technology, anticoagulants, wrong-site surgery, medication mix-ups, health care-associated infections, and patient suicides, among others topics. The complete list and text of past issues of Sentinel Event Alert can be found at http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/.

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission evaluates and accredits more than 16,000 health care organizations and programs in the United States, including nearly 9,000 hospitals and home care organizations, and more than 6,200 other health care organizations that provide long term care, behavioral health care, laboratory and ambulatory care services. In addition, The Joint Commission also provides certification of more than 600 disease-specific care programs, primary stroke centers, and health care staffing services. An independent, not-for-profit organization, The Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at www.jointcommission.org.

Follow the Joint Commission on Twitter, Facebook and YouTube


'/>"/>
SOURCE The Joint Commission
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Mayo Clinic researchers discover new diagnostic test for detecting infection in prosthetic joints
2. Joint NJ/NY Rally for Addiction Recovery to Be Hub of Events Nationwide
3. Joint Juice Launches New Ready-to-Drink Glucosamine & Vitamin-Enhanced Dietary Supplement Water Nationwide
4. SAIC Selected to Support the U.S. Military Theater Medical Information Program-Joint
5. The impact of physical activity on weight-bearing knee joint
6. Joint Center Says New Approach Required to Reduce Black Infant Mortality
7. Merlyn Medical Announces FDA Approval for FlexWarmer in a Joint Agreement with Elltec and Suzuken
8. The Joint Commission Enhances Quality Check Website
9. OCS and Press Ganey Partner to Create Joint Analysis of Outcomes and Satisfaction
10. More Damage Than Good? Shock Survey Reveals Sport can Actually be bad for Your Joints
11. Delaware Court Approves Bioenvision, Genzyme Joint Petition
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/16/2017)... ... August 16, 2017 , ... Any Lab Test Now® ... company ranked #4429 on the newly released, 36th annual Inc. 5000 , the ... look at the most successful companies within the American economy’s most dynamic segment — ...
(Date:8/16/2017)... ... , ... In a recent survey, eighty-two percent of women reported having cellulite, ... can't always be eliminated by diet and exercise alone, and now for the first ... Dr. Kenneth Rothaus has recently added Cellulaze™ to his practice in New ...
(Date:8/16/2017)... ... August 16, 2017 , ... Maury Regional Health has announced ... draws. By broadly deploying AccuVein devices, Maury Regional Medical Center is making vein visualization ... out of a needle stick and more importantly, helps our staff members locate a ...
(Date:8/16/2017)... Ca (PRWEB) , ... August 16, 2017 , ... ... engineers, and scientists from around the world, is excited to announce Andrew Ly as ... in his academic pursuits, covering textbook costs. , Ly, who is in his ...
(Date:8/16/2017)... ... August 16, 2017 , ... ... the endoscope after every reprocessing cycle, both between patient procedures and before storage, ... infections. Drying is as important to the prevention of disease transmission and nosocomial ...
Breaking Medicine News(10 mins):
(Date:7/28/2017)... 28, 2017 EnvoyHealth, a Diplomat company, has partnered ... for CleverCap LITE, a technology designed to improve patient ... innovative health technology solutions and services that help track ... CleverCap LITE offers medication monitoring and control ... Records date and ...
(Date:7/26/2017)... , July 27, 2017  Radium Medical Aesthetics, a leading medical ... to delay aging by effectively addressing several skin conditions from the ... to become rougher and more fragile. The skin becomes more transparent ... exposure to the harmful UV rays from the sun contributes to ... ...
(Date:7/25/2017)... Curing Stomach Cancer (DDF) is excited to host its 3 rd Annual ... Spa in Weston, Florida beginning at 10:30 a.m.   ... Luncheon Committee Co-chair and DDF Board ... Sabrina Kurzman. ... Aura Morales-Guzman, Angela Perez, DDF Board Member John Nash (of 2016 ...
Breaking Medicine Technology: