Rapport Patiëntveiligheid, de rol van de bestuurder - Veilige zorg ...
Rapport Patiëntveiligheid, de rol van de bestuurder - Veilige zorg ... Rapport Patiëntveiligheid, de rol van de bestuurder - Veilige zorg ...
ing networks, writing reports) so the professionals’ time is put to the best ofuse, which is focusing on the content. All six strategies work together tocreate the possibility for processes to do their work.Conclusion – the empirical data supports the theoryThe empirical data showed that the board of the UMC Utrecht led patientsafety improvements effectively. Again, it must be stressed that an actualeffect on safety cannot be proven. However, proxy measures (e.g. incidentreporting, amount of implemented recommendations) strongly suggest apositive effect on patient safety. It is very likely that the strategies used by theboard have led to this effect. For a large part these strategies fit the hypothesisbased on the theory. The board led patient safety improvements:- taking the four traits of the patient safety problem (visibility, ambiguity,diversity and side-effects of professionalism) into account;- considering the specific difficulties inherent to leading professionals andprofessional organizations;- using a process management style (openness, safety, momentum, ratio)adding two extra strategies (appeal and support);- resulting in a cycle of continuous learning.The board did not only use process management strategies, but also otherstrategies like command and control. However, this was always done to startor improve the processes or to embed the results of the processes in theorganization. The role of the board was fourfold:- create the right conditions for process to start;- guard the continuation of the processes;- judge the outcome of the processes;- give standing to the outcomes and embed them in the organization.Recommendation – process managementThis research suggests that boards can effectively lead patient safety improvementsthrough process management. To make it possible for theprocesses to lead to acceptable and trustworthy outcomes, the board shouldensure:- Openness: everybody should be able to provide input;- Safety: each participant’s core values must be protected;- Momentum: adequate pressure for the process to keep its momentum;Patiëntveiligheid, de rol van de bestuurder 387
- Ratio: the outcome must be rational;- Appeal: the subject must appeal to the healthcare professionals;- Support: enough support so professionals can focus on the content.The board plays a crucial role, which consists of:- creating the above conditions;- guarding the continuation of the processes;- judging the outcome of the processes;- giving standing to the outcomes and embedding them in the organization.If the board leads patient safety improvements in this manner, the healthcareprofessionals will provide the content whilst the board will be increasinglyable to fulfill its legal obligation to provide safe care within its organization.388summary
- Page 337 and 338: ken die aan onveiligheid bijdroegen
- Page 339 and 340: Nuancering van de rol van processtu
- Page 341 and 342: de uitkomsten van dit onderzoek gen
- Page 343 and 344: • In dit onderzoek is gebleken da
- Page 346 and 347: Appendix AReferentiesSamenvattingSu
- Page 348 and 349: 1. Inleiding1.1 Voorgeschiedenis st
- Page 350 and 351: instellen van een Kerncommissie Pat
- Page 352 and 353: 2.4 UitwerkingEr moet één centraa
- Page 354 and 355: - Patiënten Service/ klachtenburea
- Page 356 and 357: Haar taken zijn:1 Het gevraagd en o
- Page 358 and 359: maatschappij kunnen behouden zonder
- Page 360 and 361: 6 Samenstelling Kerncommissie Pati
- Page 362 and 363: - Billings CE. The NASA Aviation Sa
- Page 364 and 365: - Evans RG, Cardiff K, Sheps S. Hig
- Page 366 and 367: - Linkin DR, Sausman C, Santos L, L
- Page 368 and 369: - Stolper E, van Bokhoven M, Houben
- Page 370 and 371: - Zwart DLM, van Rensen ELJ, Verhei
- Page 372 and 373: 3 Prescriptief- Hoe kunnen de uitko
- Page 374 and 375: en dus veilige, zorg te organiseren
- Page 376 and 377: Elke casus bestond uit een aantal o
- Page 378 and 379: ling op de bestaande theorie over p
- Page 380 and 381: - Inbreng;(alle betrokkenen moeten
- Page 382 and 383: 3 Prescriptive- How can the results
- Page 384 and 385: Side-effects of professionalismThe
- Page 386 and 387: - Root Cause Analysis (RCA), a meth
- Page 390 and 391: Dankwoord- Allereerst wil ik mij pr
- Page 392 and 393: - De levenshouding die ertoe geleid
- Page 394 and 395: PublicatielijstPublicaties - boeken
- Page 396: Patiëntveiligheid, de rol van de b
- Ratio: the outcome must be rational;- Appeal: the subject must appeal to the healthcare professionals;- Support: enough support so professionals can focus on the content.The board plays a crucial <strong>rol</strong>e, which consists of:- creating the above conditions;- guarding the continuation of the processes;- judging the outcome of the processes;- giving standing to the outcomes and embedding them in the organization.If the board leads patient safety improvements in this manner, the healthcareprofessionals will provi<strong>de</strong> the content whilst the board will be increasinglyable to fulfill its legal obligation to provi<strong>de</strong> safe care within its organization.388summary
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