Health professionals' role in shared governance and patient safety
1.
2. Health Professional Responsibility for Patient
Safety
0Develop relationships with patients:
0Understand the multiple factors involved in
failures:
0Avoid blaming when an error occurs:
0Practice evidence-based care:
0Maintain continuity of care for patients:
0Be aware of the importance of self-care:
0Act ethically every day:
0The delivery of safe health care:
3. Using a shared governance model
0 Shared governance is a dynamic staff-leader
partnership that promotes collaboration, shared
decision making and accountability for improving
quality of care, safety, and enhancing work
0 Shared governance leads to increased staff
engagement, the more engaged the staff are leads to
safer care
0 Shared goals for practice, shared decision making and
shared accountability for patient outcomes
4. National Safety and Quality of Health
Services Standards
0 In September 2011 in Australia , Health Ministers
endorsed the NSQHS Standards and a national
accreditation scheme. This has created a national
safety and quality accreditation scheme for all health
service organizations in Australia.
0 Procedures commenced in 2013 in all health care
services
5. Agreement on Quality Processes to ensure
Patient Safety
1. Governance for Safety
and Quality in Health
Service Organisations
2. Partnering with
Consumers
3. Preventing and
Controlling Healthcare
Associated Infections
4. Medication Safety
5. Patient Identification
and Procedure Matching
6. Clinical Handover
7. Blood and Blood
Products
8. Preventing and
Managing Pressure
Injuries
9. Recognising and
Responding to Clinical
Deterioration in Acute
Health Care
10. Preventing Falls and
Harm from Falls
http://www.safetyandquality.gov.au/our-work/accreditation-and-the-nsqhs-standards/
6. Governance for Safety and Quality in Health
Care Organisations
0There is an integrated (multidisciplinary) system of
governance that actively manages patient safety
and quality risks.
0The governance system establishes safety and
quality policy, procedures and/or protocols with
assigned roles, responsibilities and accountabilities
for patient safety and quality.
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-
Fact-Sheet-Standard-1.pdf
7. Governance for Safety and Quality in Health
Care Organisations
0 The clinical workforce is guided by current best practice
and uses clinical guidelines that are supported by the best
available evidence.
0 Managers and the clinical workforce have the right
qualifications, skills and approach to provide safe, high-quality
health care.
0 Patient safety and quality incidents are recognised,
reported and analysed, and this information is used to
improve safety systems.(similar to root cause analysis)
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-Fact-Sheet-
Standard-1.pdf
8. 6 Structural Elements that contribute to
successful shared governance
1. a charter, including outlining the boundaries of
decision-making and levels of authority;
2. collaboration between staff co-chairs and the area
manager;
3. regular meetings with a formal means of
communication to all staff;
4. mutually planned agendas (co-chairs and manager)
distributed before the meetings;
5. ground rules of how to work together, be it in-person
meetings or online meetings;
6. striving for consensus decisions, meaning that
everyone agrees to support them after having
discussed the options. (must have a 2/3 majority to
pass the resolution)
http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/NSQHS-Standards-Fact-Sheet-Standard-
1.pdf
9. Quality Improvement Risk & Safety Council
(QIRSC)
0 The purpose of the QIRSC is to ensure the
organizational integration of quality improvement,
risk prevention and safety standards based on best
practice in order to provide the optimal patient and
family experience across the continuum of care. This
includes utilizing research, interdisciplinary
collaboration and best evidence, measuring outcomes
as well as ensuring compliance with regulatory and
accreditation standards.
11. Shared Governance and Interprofessional Team
Shared Leadership: Depends
upon competency of leader and
recognition of their ability to ensure
positive outcomes
Competency of the leader and ALL the team members, not just
the leader
12. Shared Governance and Managing
0 Human Resources: Awareness of health care team’s
competencies and practice needs to ensure safe care
delivery of quality care
0 Physical Resources: Ensure all staff know how to use
and maintain resources so as to ensure safe
environment and are equally accountable
0 Financial Resources: Know your human and physical
resources and delegate appropriately to ensure
patient outcomes are optimal and timely.
13. So what is your role in ensuring safe practice
for your patients?
0 Recognise your own competency and scope of
practice in health care situations
0 Be aware of how you contribute to the organisation
and team’s efforts to create a safe environment for
everyone
0 Understand and apply your own professional and
ethical codes in all health care situations
0Communicate effectively, be an equal member of the
health care team
0 Ensure that nursing care is evidence-based
14. So, others do not want to contribute to changes in
practice to ensure patient safety?
0 Awareness of own competency levels of practice can assure
the patient receives safe care despite the context within
which care is provided. This requires the ability to self
regulate and reflect on own practice :
Be responsible for your own practice and practice
outcomes and recognise the worth of others
16. Imagine the Future
0 Self directed work teams
0 Enthusiastic and goal driven health care teams
0 Efficient and effective health care services
0 Rewarding and congratulating one another on
successes and working together to solve problems
0 Equal partnership and decision making
0 Patient, family and staff satisfied
0 Imagine that the patient is YOUR loved one..Is the care
safe enough for your family member?
17. In Conclusion
Working together to ensure environments
for safe, competent and quality patient
care =
Shared Governance
