Patient Safety and Healthcare Improvement at a Glance PDF
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Preface
Healthcare improvement remains the bedrock of any adaptive, learning and high-quality healthcare system. Th e engagement of frontline clinical staff in advancing this agenda is central to ensuring improvements and safety in care delivery, thereby providing the best possible care for the patient. Since the 1990s, there have been concerted efforts to empower and equip healthcare professionals, carers, students and patients with the knowledge, skills and tools to execute and achieve safer, high-quality, patientcentred care. Th is book is an attempt to synthesise the key lessons learnt and distil these into practical recommendations.
Influential reports have raised awareness of healthcare quality and safety in the professional and public conscience. Seminal amongst these have been To Err Is Human, produced by the US Institute of Medicine (IOM), and An Organisation with a Memory, produced by the UK Government’s Chief Medical Officer. These reports highlighted that error was routine during the delivery of healthcare and pointed to steps that should be taken to minimise their occurrence and the adverse consequences resulting from these system failures. The IOM advises six aims for quality – safety, eff ectiveness, efficiency, timeliness, patientcentredness and equity. A focus on patient safety has served as a ‘Trojan horse’ to create urgency for change and highlight the major underlying problems in healthcare, and in doing so it has galvanised the importance of seeking all the aims of quality. More recently, the Institute of Healthcare Improvement (IHI) launched Th e Triple Aim that challenges healthcare organisations to improve patient experience, improve population health and reduce the per capita cost of healthcare in order to optimise health system performance. Building on this approach, many of our contributors have used the lens of patient safety to highlight concerns about and approaches to enhancing the quality of care provision.
Our hope is that this text – which includes contributions from leading international scholars and clinicians in training – will meet the needs of healthcare students and professionals at all stages of their training: from students and junior doctors who have yet to be introduced to the disciplines of healthcare improvement and patient safety to those who want a quick refresher of core concepts and in areas that would be relevant for healthcare professionals in training. Th is reflects our core belief that all those serving at the ‘coal face’ of healthcare delivery have the capacity to be the barometers of the quality and safety of healthcare provision.
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