Key Messages & Statements

Following multiple group work sessions, each group moderator presented three draft statements  and key messages in relation to the different levels of the health system on the second day of the QI Forum for Health. The statements will be revised following subsequent rounds of review and comment, and the proceedings from the forum will be discussed at a lunchtime meeting at the ISQua conference in London in October 2017.

The following key messages and statements were presented on day 2 of the Forum:

Group A – “Rigor, attribution and generalisability of quality and safety data for health systems strengthening”

Moderator: Irmgard Marx

  1. Harmonise and link sources of data related to quality improvement and patient safety and use for evidence-based decision making.
  2. Policy makers define priorities, set standards and take action based on analysis and evaluation considering all stakeholders’ perspectives.
  3. Context factors should be considered in all steps of quality improvement planning and implementation of activities.

Group B – “What are the hidden patient safety issues related to culture, gender, ethnicity and marginalisation”

Moderator: Sylvia Sax

Each message that Group B composed and agreed on are targeted at international and national level policy efforts.

  1. Transparent plan of care and payment based on shared information and decisions between patient(s) and provider(s)
  2. Provide opportunities to prevent the sources of hidden patient safety issues. The opportunities should go beyond the focus on traditional curative, disease based care and treatment.
  3. Start education in childhood on health, wellbeing, positive diversity and each person’s right to health and wellbeing.

 

Group C – “Do Quality Improvement mechanisms reflect patient safety?”

Moderator: Leighann Kimble

  1. There must be awareness of the importance of Patient Safety in Quality Improvement at the patient-level, provider-level, and policy-level.
  2. The context must always be considered in quality improvement to ensure that safe care is being provided to patients within their own context (beliefs, culture, traditions, personal preference, family considerations etc.).
    • 2.1 Basic inputs (water, soap, human resources, supplies) are available to provide safe
      patient care.
    • 2.2 Providers are held accountable to providing care (leadership, policy, etc.).
    • 2.3 Patient Safety must be explicit as part of Quality Improvement; it cannot be assumed.
    • 2.4 Patient Safety must be prioritized and enforced at all levels (policy, providers, patients).
    • 2.5 Both Providers and Patients must be aware of and take responsibility for Patient
      Safety:
      • 2.5.1 Providers: Providing quality clinical care to patients’ that is safe, in consideration of the patient context.
      • 2.5.2 Patients (and their families): Aware that they have a right as a patient to safe care and holding providers, policy makers, etc. accountable to providing them with safe, quality care that is safe within the patient view of care.

 

Group D – “How can health care standards be (re)formulated to reflect patient safety needs in different health systems?”

Moderator: Svetla Loukanova

  1. The patients have to take responsibility and ownership on the standards through their involvement in the process of consent to the standards in order to make the system “accountable” to the society.
    Issue: Adaptation/patients and communities ownership of the standards.
  2. To make priorities on the patient safety issues into the standards from the beginning in terms of: cost (financial aspects); volume; risk and value added to change.
    Issue: Prioritisation
  3. The existing and unified standards have to be “deliverable” to the different levels of the system and consider the multi-disciplinary and multi-sectoral approach to patient safety.
    Issue: System Approach