Occupational Safety And Health 

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For well over a decade, there has been growing recognition of the enormous benefits patient- and family-centered care offers to health care providers, patients, and families in all areas of health care.  As hospitals, primary care practices, other outpatient settings, and health systems struggle with issues related to quality, safety, HIPAA compliance, workforce capacity, the use of technology, the need to renovate or build new facilities, and cost control, they are recognizing that patient and family-centered approaches and the perspectives of patients and families are essential to their efforts.

The Chronic Care Model (CCM) is a framework of recommendations aimed to improve the care of patients with chronic conditions.  It emphasizes key elements of modern self-management support and planned, proactive, and population-based care.

The Patient Assessment of Chronic Illness Care questionnaire (PACIC) is an instrument to evaluate the patient’s perspective on receipt of care delivered in the five domains; patient activation, delivery system, goal setting, problem solving, and follow-up. 

 

 

 

 

 

 

There are countless ways that patients and families can serve as advisors to enhance quality
and safety, redesign systems of care, and educate health care professionals and other staff, students, and trainees about safety. Some are formal and ongoing, others are time-limited and informal. All are necessary to ensure that care is safe and truly responsive to patient and family needs, priorities, goals, and values. 

 

Create a patient and family advisory council for the organization and ensure that patient safety is a regular agenda item.

Patient and Family Advisory Council

 

• Encourage council members to hold quarterly or semi-annual coffee hours with patients, families, staff, and physicians to explore ideas for improving the experience of care and enhancing quality and safety.

• Encourage hospital and clinic leaders to invite council members or other experienced patient and family advisors to participate in patient safety rounding.

• Appoint patient and family advisors (at least three) to serve on the Patient Safety Committee.

Patient Safety Committee Task Forces

 

• Include patients and families on teams developing systems and practices for
medication reconciliation.
• Include patient and family advisors as members of the team planning, implementing, and evaluating a Rapid Response Team that can be called by patients and families. 
• Appoint patient and family advisors to task forces and teams working on patient
safety and other quality improvement endeavors.
• Involve patient and family advisors in developing supportive programs and resources for patients or families who have experienced medical error.