GESTIÓN EN SALUD PÚBLICA

viernes, 1 de septiembre de 2023

Drug shortages.

https://psnet.ahrq.gov/issue/drug-shortages-0 Addressing drug shortages is a patient safety priority. Part One of this review summarizes existing definitions for drug shortages and the harms that can occur due to drug shortages (e.g., medication errors, treatment delays, undertreatment). Part Two discusses trends in drug shortages, the causes of drug shortages, and potential solutions.V

Virtual Research Meeting on Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement.

Virtual Research Meeting on Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement. https://psnet.ahrq.gov/issue/virtual-research-meeting-patient-experience-patient-safety-and-provider-well-being CAHPS Research Meetings. Agency for Healthcare Research and Quality, Rockville, MD. October 19, 2023; 11:00 AM—4:00 PM (eastern). Patient narrative is an important resource for understanding care delivery. This webinar will discuss how Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys can provide patient experience insights that could inform safety culture improvement efforts and lower risks stemming from poor patient/team communication.

Striving for diagnostic excellence

https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagnostic excellence and how to measure it. Tracking diagnosis outcomes at a patient level is one strategy discussed.

Hospital bosses ignored months of doctors' warnings about Lucy Letby.

https://psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby Whistleblowers can identify the presence of systemic failures, but the organization is responsible for acting on their reported concerns. This article summarizes the range of breakdowns that contributed to a British nurse serial murderer, who, despite warnings from others, continued to harm babies over several years.

2022 John M. Eisenberg Patient Safety and Quality Awards.

https://psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards The legacy of AHRQ leader John Eisenberg, MD, still inspires safety improvement work decades after his passing. This special issue highlights the efforts of the 2022 Eisenberg Award honorees and their impact on improving patient safety and quality. The 2022 award recipients coved here include Jason S. Adelman, MD, MS, and North American Partners in Anesthesia (NAPA).

FDA issues white paper on prototype assessment protocol for Quality Management Maturity program

FDA issues white paper on prototype assessment protocol for Quality Management Maturity program https://www.fda.gov/media/171705/download?attachment=&utm_medium=email&utm_source=govdelivery FDA’s Center for Drug Evaluation and Research (CDER) is establishing a program to promote quality management maturity (QMM) at drug manufacturing establishments. CDER has issued a new white paper describing the prototype assessment protocol the agency has been developing to assess an establishment’s level of QMM. The prototype assessment protocol includes a structured, objective approach to evaluate an establishment’s level of maturity in five practice areas: Management Commitment to Quality Business Continuity Advanced Pharmaceutical Quality System Technical Excellence Employee Engagement and Empowerment This new white paper provides a high-level overview of each practice area and examples of topics that may be covered within them. CDER’s next step in implementing a QMM program is to apply this protocol to establishments in the next year and refine it based on initial experience. In the coming weeks, the agency intends to gather public input to assist in the development of the QMM program Following the Pharmaceutical Science and Clinical Pharmacology Advisory Committee meeting in November 2022, CDER committed to sharing information about the QMM program. For more information on the QMM program history, the prototype assessment protocol, and misconceptions about the QMM program please read the white paper.