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[ Recorded presentation ] Recorded presentation

Secrets of High Performing Health Care Organizations- the development of a quality indicator system at a hospitals network system

Hediye Seval Akgun, Professor, Chief Quality Officer, Baskent University Hospitals Network, School of Medicine, 12. sokak no:7/8 Bahcelievler Cankaya, Ankara, 06490, Turkey, 9003122120434, sevala@baskent-ank.edu.tr and «oskun Bakar, MD, specialist, Public Health Department, Baskent University School of Medicine, 12.street 7/8, bahcelievler, Ankara, 06490, Turkey.

Health care organizations are at a critical crossroad in the challenge to provide safe and high quality care for their patients. Most of the current evidence on adverse events comes from hospitals. Many patients suffer increased pain, disability and psychological trauma or staff may experience shame, guilt and depression after making a mistake, with litigation and complaints imposing an additional burden. Safety is the basic principle and a critical component of quality management. Patient safety has become a major preoccupation in health care systems; it is often measured through rates of adverse events. Despite the magnitude of the problem, understanding and knowledge of the epidemiology of adverse events, frequency, causes, determinants and impact on patient outcomes, and effective methods for preventing them are limited or the existed best practices are changed from country to country, from culture to culture. For this purpose we developed a Patient Safety Program (PSP) based on AHRQ quality indicators and Joint Commission 2005 National Patient Safety Goals in 2005. In line with these patient safety and inpatient quality guidelines, we adopted our programs and developed our guidelines including all indicators, definitions and data sources. Some figures between the years 2003-2005 are; 1.5, 1,6 and 3.8 % for decubitus ulcer 0.8,1.5 2.7 % for patient fall and 3.4,4.5,5.3 % for transfusion reactions at the wards while these are 1.6,2.5,4.6 % for decubitus ulcer, 0.1 % for patient fall and 1.0, 1.8 and 6.8 % at intensive care units in the main hospital during the same period.

Learning Objectives:

Keywords: Quality Improvement, Health Care Quality

Presenting author's disclosure statement:

Any relevant financial relationships? No

[ Recorded presentation ] Recorded presentation

Advances in Organizational Design and Management

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA