Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

Wendy Nicklin; David Greenfield

Commentary

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

July 12, 2023

Nicklin W, Greenfield D. Int J Qual Health Care. 2023;35(2):mzad036.

View more articles from the same authors.

Accreditation remains an important strategy for improving and maintaining high quality despite mixed patient outcomes. This commentary advocates for accrediting agencies to continue with previously-defined safety goals (i.e., not “lowering the bar” due to the impact of the COVID-19 pandemic) to ensure patients continue to receive excellent care and stakeholders maintain trust in the accreditation process.

PubMed citation

Available at

Related Resources From the Same Author(s)

Effectively leading for quality.

October 4, 2017

Transformational improvement in quality care and health systems: the next decade.

November 25, 2020

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

January 30, 2005

Medication error reduction and the use of PDA technology.

April 18, 2007

Analysis of Australian newspaper coverage of medication errors.

January 25, 2012

Disclosing harmful medical errors to patients.

July 11, 2007

Nurses' workarounds in acute healthcare settings: a scoping review.

June 19, 2013

How surgeons disclose medical errors to patients: a study using standardized patients.

December 7, 2005

Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals.

October 8, 2014

Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review.

December 2, 2020

Test result communication in primary care: clinical and office staff perspectives.

August 20, 2014

Safety and efficiency considerations for the introduction of electronic ordering in a blood bank.

July 1, 2009

How prevalent are hazardous attitudes among orthopaedic surgeons?

May 27, 2015

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

October 21, 2009

Surgeon age and operative mortality in the United States.

October 25, 2006

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

July 15, 2009

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

Patient perspectives on test result communication in primary care: a qualitative study.

April 29, 2015

Physicians with multiple patient complaints: ending our silence.

May 8, 2013

Disclosing medical errors to patients: a status report in 2007.

August 15, 2007

Clinicians in quality improvement: a new career pathway in academic medicine.

February 25, 2009

Disclosing harmful medical errors to patients: a time for professional action.

September 21, 2005

Hospital costs associated with adverse events in gynecological oncology.

June 8, 2011

Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.

August 22, 2018

Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives.

September 9, 2015

Test result communication in primary care: a survey of current practice.

August 19, 2015

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.

October 4, 2017

JAMA professionalism: disclosure of medical error.

August 24, 2016

Disclosing errors that affect multiple patients.

June 3, 2009

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

March 3, 2010

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.

December 19, 2018

Interruptions and miscommunications in surgery: an observational study.

May 16, 2012

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.

March 4, 2015

Enhancing communication in surgery through team training interventions: a systematic literature review.

December 22, 2010

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

November 10, 2010

Factors that influence the expected length of operation: results of a prospective study.

January 4, 2012

Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.

May 21, 2008

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.

June 6, 2007

Implementing bedside handover: strategies for change management.

October 27, 2010

Quality improvement in medical education: current state and future directions.

January 18, 2012

US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients.

August 16, 2006

Teaching medical error disclosure to physicians-in-training: a scoping review.

May 8, 2013

The impact of organisational and individual factors on team communication in surgery: a qualitative study.

December 16, 2009

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

November 25, 2009

Why isn't 'time out' being implemented? An exploratory study.

March 31, 2010

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals.

November 29, 2017

Older patients' engagement in hospital medication safety behaviours.

June 16, 2021

Patient preferences for participation in patient care and safety activities in hospitals.

December 20, 2017

How reliable are patient-completed medication reconciliation forms compared with pharmacy lists?

November 21, 2012

Predictors of adverse events in patients after discharge from the intensive care unit.

May 28, 2008

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

July 15, 2009

Clinical handover of patients arriving by ambulance to the emergency department: a literature review.

October 13, 2010

Choosing your words carefully: how physicians would disclose harmful medical errors to patients.

August 16, 2006

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

Fatal flaws in clinical decision making.

January 30, 2019

Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.

June 24, 2020

Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.

August 6, 2014

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

January 11, 2006

An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting.

February 5, 2020

A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system.

June 15, 2022

Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.

October 1, 2014

Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects.

November 28, 2007

Teaching quality improvement and patient safety to trainees: a systematic review.

June 30, 2010

Risk managers, physicians, and disclosure of harmful medical errors.

February 24, 2010

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.

February 28, 2018

Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis.

August 27, 2014

Factors influencing perioperative nurses' error reporting preferences.

March 28, 2007

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility.

January 11, 2006

Quantifying discharge medication reconciliation errors at 2 pediatric hospitals.

October 27, 2021

Women's safety alerts in maternity care: is speaking up enough?

May 29, 2013

Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.

September 11, 2013

Bedside handover: quality improvement strategy to "transform care at the bedside."

November 12, 2008

Patients' and physicians' attitudes regarding the disclosure of medical errors.

March 6, 2005

Evaluation of drug interaction software to identify alerts for transplant medications.

March 6, 2005

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Medication sharing, storage, and disposal practices for opioid medications among US adults.

June 22, 2016

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

December 5, 2018

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

March 24, 2010

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.

April 20, 2011

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.

November 23, 2011

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.

July 13, 2016

A patient safety toolkit for family practices.

April 25, 2018

Breast cancer screening and overdiagnosis.

August 11, 2021

Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds.

October 18, 2023

The emotional impact of medical errors on practicing physicians in the United States and Canada.

August 1, 2007

Opportunities for diagnostic improvement among pediatric hospital readmissions.

June 28, 2023

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

Learning through experience: influence of formal and informal training on medical error disclosure skills in residents.

April 19, 2017

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention.

January 24, 2018

Lost opportunities: how physicians communicate about medical errors.

January 23, 2008

Perceptions of nurses who are second victims in a hospital setting.

December 22, 2021

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Health information exchange and patient safety.

November 7, 2007

The attitudes and experiences of trainees regarding disclosing medical errors to patients.

March 19, 2008

Related Resources

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

November 7, 2023

Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.

November 1, 2023

Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas.

October 25, 2023

Learning from latent safety threats identified during simulation to improve patient safety.

October 11, 2023

What can safety cases offer for patient safety? A multisite case study.

October 11, 2023

Patient safety: listen to whistleblowers.

September 27, 2023

The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations.

August 30, 2023

Unstoppable: this doctor has been investigated at every level of government. How is he still practicing?

August 23, 2023

Differential perceptions of what constitutes a medical error associated with electronic medical records.

August 23, 2023

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.

August 16, 2023

Amid lack of accountability for bias in maternity care, a California family seeks justice.

August 16, 2023

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative.

August 2, 2023

A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center.

August 2, 2023

Adverse Events Toolkit: Medical Record Review Methodology.

July 26, 2023

Issues and complexities in safety culture assessment in healthcare.

July 19, 2023

Disclosing medical errors: prioritising the needs of patients and families.

July 5, 2023

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.

June 28, 2023

Challenge Competition: Impact of Patient Safety Tools.

June 14, 2023

Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.

June 7, 2023

The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.

April 19, 2023

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols?

February 15, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

National patient safety goal to improve health care equity.

February 8, 2023

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.

January 18, 2023

The prosecution of RaDonda Vaught: an ethical and legal mistake.

December 21, 2022

See More About The Topic

Hospitals

Medicine

Nursing

Continuous Quality Improvement

Legal and Policy Approaches

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site