BlueSynergy Associates, LLC
  • Home
  • ABOUT
    • About You
    • About Us >
      • Twitter Feed
    • About DNV GL Healthcare
  • Services
    • Advising
    • Contract Auditing/Surveying
    • HIPAA / HITECH
    • Risk
    • Training/Education
  • Resources
    • Original Articles >
      • Accreditation Articles
      • Audits/Surveys Articles
      • Communication Articles
      • Cyber Risk / Cyber Security Articles
      • Education Articles
      • Medical Staff Articles
      • Process Articles
      • Risk Articles
      • Quality/Quality Tools >
        • ISO 9001:2015 FAQ's
    • Shared articles >
      • HBR article- Hospitals can't improve without better management systems
      • Becker's- 3 Ways hospitals can improve profitability in 2016
    • Past Newsletters (Progress Notes-PRN)
  • Tools
    • Prioritization Matrix
    • Heat Maps
    • Preliminary Risk Assessment
  • Revenue Cycle
  • Contact Us

Process Design for Patient Safety

2/9/2016

0 Comments

 
Picture
By: Ted Schmidt, R.Ph., CERM
February 6, 2016

 
      Recently, I wrote about the benefits of using the SIPOC diagram for process identification and process control.   As a profession, we continue to struggle with this concept of process approach or process management.  
      We too often revert back to our old practices of addressing issues by revising our procedures and conducting training on the newly revised procedure.  We should be smart enough not to keep doing the same things and expect different results.  

      Here’s a summary of the effects of our decades of managing issues by procedure changes and training: ​
  •     Medication errors occur in one-half (50%) of all surgeries
  •     One in three patients are harmed during a hospital stay and of this 33%, 7% either    die or are permanently harmed
  •     John James, Ph.D., states, “the true number of premature deaths associated with preventable harm to patients was     estimated at more than 400,000 per year”
  •     ECRI Institutes 2015 List of Top 10 patient safety concerns are all process safety related.
  •     The number of hospitals that received an "F" safety grade from Leapfrog increased from 20 in the spring to 34 this fall (2015).
 
     How does this continue to be acceptable in 2016?  I realize that many smart people are working diligently to fix these issues.  However, until we change how we look at our hospitals as a series of complex processes and begin to manage these processes, we will never make any meaningful effect on these dire statistics.  
 
     Enter ISO 9001:2015, Clause 8.3 Design and development of products and services.  It’s that last word “services” that gives us the hook.  Design and development in ISO 9001:2008 only required products and “may also apply the requirements given in 7.3…of product realization processes”.  The option for processes (aka services) disappears in 2015.   This presents an opportunity to make a cultural shift in how we now address issues from a process perspective.
 
     By taking the time to understand our critical processes, their sequence and interaction, we are more capable of improving our processes.  The disciplines of Clause 8.3 will now allow us a structured method of redesigning these processes for sustainable solutions.   While this is not rocket science, it is often perceived as such.
 
     Case in point, while I was conducting training at a very respected hospital system during the height of the “Ebola Crisis”, Every participant would leave intermittently to attend training on how to manage an Ebola patient should one present to their hospital.  The individual responsible for creating and conducting the training was also in our class.  When we began using the Ebola crisis as an example of managing processes, I was shocked when that individual bolted out of the class.  We simply discussed all of the possible “inputs” to managing an Ebola patient by including the Valet Parking attendants as one possible input.  That’s when he bolted.  This respected hospital system had not considered that possible input of an Ebola patient.  Didn't Deming say that if you put a good person in a bad process, the bad process always wins?
 
     This new requirement for controlling the design and development of our processes could not have come at a better time for healthcare.  Implementing this new requirement should not be taken lightly.  The lives that it may save will help us begin to whittle away at those shocking statistics above.  Let’s make Deming’s saying passé in healthcare.  Let’s only accept what our patients expect- good processes.
0 Comments

    Author

    We have a passionate vision to create meaningful change in healthcare by reducing risk and thereby providing a safer environment for patients.

    Archives

    December 2017
    January 2017
    October 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    December 2015
    November 2015
    October 2015
    September 2015

    Categories

    All

    RSS Feed

About You
About Us
Services
Education/Webinars
Resources
Blog
Contact Us

Call us toll free:
​1.844.424.7825

© 2016 BlueSynergy Associates, L.L.C.
  • Home
  • ABOUT
    • About You
    • About Us >
      • Twitter Feed
    • About DNV GL Healthcare
  • Services
    • Advising
    • Contract Auditing/Surveying
    • HIPAA / HITECH
    • Risk
    • Training/Education
  • Resources
    • Original Articles >
      • Accreditation Articles
      • Audits/Surveys Articles
      • Communication Articles
      • Cyber Risk / Cyber Security Articles
      • Education Articles
      • Medical Staff Articles
      • Process Articles
      • Risk Articles
      • Quality/Quality Tools >
        • ISO 9001:2015 FAQ's
    • Shared articles >
      • HBR article- Hospitals can't improve without better management systems
      • Becker's- 3 Ways hospitals can improve profitability in 2016
    • Past Newsletters (Progress Notes-PRN)
  • Tools
    • Prioritization Matrix
    • Heat Maps
    • Preliminary Risk Assessment
  • Revenue Cycle
  • Contact Us