HEALTHCARE QUALITY AND MEDICAL ERRORS

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PATIENT ORIENTED QUALITY MANAGEMENT
EUROPEAN DIMENSION
BARBARA KUTRYBA, Poland TPJ, CMJ, ESQH
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This handout is supplied in advance some of
the slides presented may change as a result of
more up to date information and there may be
also few additional slides these will be
referred to on the day
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PATIENTS
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CARE FOR PATIENTS MUST BE
Q SAFE Q ACCESSIBLE Q EQUITABLE Q TIMELY Q
EFFECTIVE Q EFFICIENT Q ACCOUNTABLE Q APPROPRIATE
RESPECTFUL
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PATIENT SAFETY-ESQH PRIORITY

• SAFETY SURVIVING ADVERSE EVENTS OF DIAGNOSIS
  AND THERAPHY
• BEING AWARE OF AND INFORMED
• ABOUT
• THE UNEXPECTED AND
• UNIMAGINABLE

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CARE FOR PATIENTS MUST BE
Q SAFE Q ACCESSIBLE Q EQUITABLE Q TIMELY Q
EFFECTIVE Q EFFICIENT Q ACCOUNTABLE Q APPROPRIATE
RESPECTFUL
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DAILY MAIL JULY 30TH, 2003
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CARE FOR PATIENTS MUST BE
Q SAFE Q ACCESSIBLE Q EQUITABLE Q TIMELY Q
EFFECTIVE Q EFFICIENT Q ACCOUNTABLE Q APPROPRIATE
RESPECTFUL
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GENERAL RIGHTS OF PATIENTS
Q ACCESS Q INFORMATION Q EMPOWERMENT Q SECURITY
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PATIENT RIGHTS
Poland 1999
access,info,consent
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PATIENT INVOLVEMENT

• DEVELOPMENT OF
• PATIENT MOVEMENT
• PATIENT DEMANDS, INVOLVEMENT AND
• HEALTH RESPOSIBILITY

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A confederation of national societies in health
quality in Europe A network of networks
dedicated to improving quality of healthcare at
national and international levels
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ESQH MEMBERS

• EU Irish Dutch English Danish German
  Speaking Italian Belgian Finnish Spanish
  Luxembourgian Swedish
• NON EU Swiss Polish Lithuanian Norwegian
  Hungarian Croatian Yugoslav
• FUTURE MEMBERS French, Greek Bulgarian
  Turkish Georgian Moldavian

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ESQH EXECUTIVE BOARD

• PROF. JAN MAINZ DENMARK
• DR MARIUS BUITING NETHERLANDS
• DR DAVID SOMEKH UK
• MS BASIA KUTRYBA POLAND
• DR SUSANA LORENZO SPAIN
• MR STIOFAN deBURCA IRELAND

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EUROPE IN 2003

• Q European Empire (EU MS)
• Accession and Pre - accession Countries
  Other
• States
• Q Western States (WS) Central Eastern
• European Countries (CEEC)
• Q Developed/civilized countries - developing
• states/countries in transition

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INTEGRATION CHANGE
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QUALITY IN EUROPE

• Q LACK OF COMMON QUALITY DRIVEN STRATEGY IN
  PUBLIC HEALTH
• Q DIFFERENT STRATEGIES IN
• MEMBER STATES
• Q DIFFERENT NATIONAL POLICIES

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MAIN ACTORS ON EUROPEAN STAGE

• Q EUROPEAN COMMISSION
• Q COUNCIL OF EUROPE
• Q WHO REGIONAL OFFICE
• NGOs
• WORLD BANK EHMA EOQ ESQH
• EFQM
• QUALITY CENTRES NATIONAL
• SOCIETIES FOR QUALITY IN
• HEALTHCARE

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EU PUBLIC HEALTH POLICY

• Q 1993 MAASTRICHT TREATY
• Q 1999 AMSERDAM TREATY
• Q 2000 EC COMMUNITY STRATEGY IN THE
• FIELD OF PUBLIC HEALTH
• Q 2002 COUNCIL AND PARLIAMENT ADOPT
• PUBLIC HEALTH ACTION PROGRAMME
• (2003-2008)
• Q 2003 OPEN COORDINATION HLPR

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QUALITY IMPROVEMENT MECHANISMS IN EU

• Q OBJECTIVE
• EXTERNAL ASSESSMENT
• (ACCREDITATION ISO CERTIFICATION
  EFQM INSPECTION QUALITY NDICATORS
• Q SUBJECTIVE
• PATIENT SATISFACTION SURVEYS
• TO IMPROVE QUALITY
• REFLECT STEWARDSHIP RESPONSIBILITY

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VALUE THE DIFFERENCE

• Q DIFFERENT PERSPECTIVES AND
• PRIORITIES
• Q DIFFERENT INITIATIVES NATIONAL AND
• PAN EUROPEAN
• PORTONOWO CHARTER, ITALY
• ESQH INSTITUTIONAL NETWORK
• MARQUiS PROJECT
• CEEC PROJECT ON INDICATORS
• PATIENT SAFETY PROGRAMME, POLAND

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QUALITY IN CEEC
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THE MOST COMMON Q INITIATIVES IN CEEC
(ESQH SURVEY SEPTEMBER 2003) Q EXTERNAL
EVALUATION LICENSING ACCREDITATION Q QA
TEAMS Q CLINICAL GUIDELINES Q CLINICAL
INDICATORS Q SATISFACTION SURVEYS

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8th Conference Quality in Health Care European
ForumInformation in Healthcare
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QUALITY QUEST IN CEEC

• (ADDITIONAL DIFFICULTIES)
• Q HISTORICALLY NO RESPECT FOR
• GOVERNMENT AND LEGISLATION
• Q POLITICAL STRUCTURES IMPERATIVES
• Q VALUES AND ETHICS
• Q DEVELOPING PATIENT FORUMS
• Q RESOURCE - POOR - SETTINGS

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HOW TO PRACTICE QUALITY IN CEEC ?

• Q MAKE USE OF POLITICAL INTERFACE
• Q SIMPLIFY ALL YOU CAN
• Q DO WITHOUT
• Q USE TEAM WORKFORCE
• Q USE SIMPLE MEASURES
• Q DO NOT COMPLAIN
• Q BE PERSISTENT

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DEFICIENCIES IN EUROPEAN PUBLIC HEALTH POLICY

• Q NO OVERSIGHT OF QUALITY ISSUES
• Q NO COMMON TERMINOLOGY
• Q NO QUALITY DRIVEN POLICY
• Q NO KNOWLEDGE OF DIFFERENT HEALTHCARE SYSTEMS
• BUT

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PERSPECTIVES FOR EUROPE

• UNDERSTANDING MUTUAL NATIONAL AND
• CULTURAL DIVERSITIES AND
• SHARING THE VISION OF
• PATIENT- CENTERED QUALITY HEALTHCARE WE WILL IN
  TIME RESULT IN
• NARROWING THE GAP FOR THE BENEFIT OF
• PAN-EUROPEAN PATIENT