Un enfoque de sistemas totales para la seguridad

A pesar de los esfuerzos sustanciales realizados en los últimos 20 años, los daños evitables en la atención médica siguen siendo una preocupación importante en los Estados Unidos. Aunque se han identificado muchas mejores prácticas efectivas y basadas en evidencia relacionadas con la reducción de daños, rara vez se comparten a nivel nacional ni se implementan de manera efectiva en múltiples organizaciones.

Reducir los daños evitables requiere un esfuerzo concertado, persistente y coordinado de todas las partes interesadas y un enfoque sistémico total de la seguridad. La seguridad total de los sistemas requiere coordinación en muchos niveles, lo que a su vez requiere una colaboración sólida entre todas las partes interesadas.

Al aprovechar el conocimiento y las ideas de agencias federales influyentes, organizaciones líderes de atención médica, defensores de pacientes y familias y expertos respetados de la industria en un conjunto de recomendaciones viables y efectivas, el Plan de Acción Nacional proporciona una dirección clara para lograr avances significativos hacia una atención más segura y una reducción de los costos de salud. daño a lo largo de la continuidad de la atención .

Al planificar e invertir juntos, movilizar recursos juntos, aprender juntos y compartir lecciones aprendidas, podemos impulsar cambios significativos y avanzar en el objetivo de crear la atención médica más segura para los pacientes y quienes los cuidan.

Juntos, más seguros: un plan de acción nacional para promover la seguridad del paciente

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Más seguros juntos: un plan de acción nacional para promover la seguridad del paciente ilumina los conocimientos colectivos de 27 organizaciones líderes que conforman el National Steering Committee for Patient Safety, que están unidas en sus esfuerzos para lograr una atención verdaderamente más segura y reducir el daño a los pacientes y a quienes los cuidan. para ellos.

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El informe aprovecha el conocimiento y las ideas de los miembros del National Steering Committee for Patient Safety (NSC), incluidas agencias federales influyentes, organizaciones líderes en atención médica, asesores de pacientes y familiares y expertos respetados de la industria, en un conjunto de recomendaciones prácticas y efectivas para avanzar. seguridad del paciente.

El Plan de Acción Nacional se centra en cuatro áreas fundamentales e interdependientes, priorizadas como esenciales para crear sistemas de seguridad total. Las recomendaciones en estas cuatro áreas se basan en el conjunto sustancial de experiencia, evidencia y lecciones aprendidas que el NSC ha reunido y probará e implementará en conjunto para permitir mejoras futuras a medida que nuestra comprensión, experiencia y evidencia evolucionen con el tiempo.

Plan de acción nacional: 17 recomendaciones para avanzar en la seguridad del paciente

Cultura, liderazgo y gobernanza

1. Garantizar que la seguridad sea un valor fundamental demostrado.

2. Evaluar capacidades y comprometer recursos para avanzar en la seguridad.

3. Compartir ampliamente información sobre seguridad para promover la transparencia.

4. Implementar una gobernanza y un liderazgo basados ​​en competencias.

Participación del paciente y la familia

5. Establecer competencias para todos los profesionales de la salud para la participación de los pacientes, las familias y los cuidadores.

6. Involucrar a los pacientes, las familias y los cuidadores en la coproducción de la atención.

7. Incluir a pacientes, familias y socios de atención en los esfuerzos de liderazgo, gobernanza y seguridad y mejora.

8. Garantizar una participación equitativa para todos los pacientes, familias y cuidadores.

9. Promover una cultura de confianza y respeto por los pacientes, las familias y los cuidadores.

Seguridad laboral

10. Implementar un enfoque de sistemas para la seguridad laboral.

11. Asumir la responsabilidad por la seguridad física y psicológica y un ambiente de trabajo saludable que fomente la alegría del personal de atención médica.

12. Desarrollar, dotar de recursos y ejecutar programas prioritarios que fomenten equitativamente la seguridad de la fuerza laboral.

Sistema de aprendizaje

13. Facilitar el aprendizaje tanto intra como interorganizacional.

14. Acelerar el desarrollo de las mejores redes posibles de aprendizaje en seguridad.

15. Iniciar y desarrollar sistemas para facilitar la educación y formación interprofesional en materia de seguridad.

16. Desarrollar objetivos compartidos para la seguridad en todo el proceso de atención.

17. Acelerar la coordinación, colaboración y cooperación en materia de seguridad en toda la industria.

Herramienta de autoevaluación

La Herramienta de Autoevaluación, un recurso complementario del Plan de Acción Nacional, ayuda a los líderes y organizaciones a decidir por dónde empezar. Obtenga más información sobre la herramienta de autoevaluación en línea .

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Guía de recursos de implementación

La Guía de recursos de implementación, un recurso complementario del Plan de acción nacional, detalla tácticas específicas y recursos de apoyo para implementar las recomendaciones del Plan de acción nacional.

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Declaración para avanzar en la seguridad del paciente

En mayo de 2022, el NSC emitió la Declaración para promover la seguridad del paciente para instar a los líderes de atención médica en todo el proceso de atención a volver a comprometerse a promover la seguridad de los pacientes y la fuerza laboral con un enfoque de sistemas total, como se presenta en el Plan de Acción Nacional.

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Celebrate Your Team's Dedication to Patient and Workforce Safety

Your moment to shine as a beacon of inspiration in health care improvement is here! The Institute for Healthcare Improvement (IHI) invites all hospitals committed to advancing quality and safety to participate in the IHI Safer Together Recognition Program. 

The IHI Safer Together Recognition Program acknowledges the achievements of hospitals that have made significant strides to improve patient and workforce safety by implementing proactive changes in systems and processes.

The Recognition program is grounded in IHI’s proven methodologies for quality and safety improvement and based on the principles outlined in the publication Safer Together: A National Action Plan to Advance Patient Safety, which focuses on four foundational areas:

• Culture, Leadership, and Governance
• Patient and Family Caregiver Engagement
• Workforce Safety and Well-Being
• Learning System

Why This Recognition Matters

The IHI Safer Together Recognition Program is built around a widely recognized framework for advancing safety. It offers tremendous value and opportunities to health care leadership, quality and safety improvement professionals, and individual hospitals.

Achieving this acknowledgment from IHI, a global leader in health care improvement, enhances a hospital’s reputation among peers, regulators, health care consumers, and the public. Recognition may also contribute to additional funding opportunities, higher workforce satisfaction, and better team performance.

Recognition provides a signal for patients/consumers and workers that their hospitals have attested to leadership commitment to safety and have structures and practices in place that are associated with high-performing organizations.

Recognition Program Details

To be considered for Recognition, a hospital must undergo rigorous and comprehensive self-assessment, ensuring that they have critically evaluated their safety practices.

Honoring evidence-based practices and driving real-world impact in safety management systems and safety culture, the IHI Safer Together Recognition Program awards hospitals for their continuous work to ensure that health care is safe and reliable as identified through a combination of quantitative and qualitative assessments.

• Online Team Self-Assessment Tool: Meet or exceed a specific threshold on the online Team Self-Assessment Tool for Safer Together: A National Action Plan to Advance Safety.
• IHI Safety Expert Panel Verification: Hospitals will receive verification by the IHI Safety Expert Panel, comprising nationally recognized patient and workforce safety experts.

Recognition Cycles

Recognition is awarded quarterly, for a duration of two years. The Recognition cycle timeframes are noted below.

Review and Recognition Process

To be considered for the IHI Safer Together Recognition Program, hospitals must follow the process described below.

1. No fewer than five (5) leaders must complete the online Team Self-Assessment Tool for Safer Together: A National Action Plan to Advance Safety. More than one of these leaders must be a C-suite leader (e.g., CMO, CNO, CFO, CEO).
2. Hospitals that meet or exceed a certain quantitative threshold on their online Team Self-Assessment Tool will receive an invitation via email to complete a Qualitative Verification Assessment. The Verification Assessment includes the upload of documents (e.g., policies) and attestations from the hospital’s senior leader or CEO, which verify the quantitative score received on the online Team Self-Assessment Tool.
3. IHI Safety Expert Panel reviews the assessments.
4. Hospitals receive email notification of the IHI Safety Expert Panel’s decision.
5. Hospitals awarded Recognition pay the Recognition fee of $5,000 per hospital.

Acknowledgment of intent to pay the Recognition fee must be received within 30 days of conditional Recognition notification email, and invoice paid within 30 days of invoice receipt, to claim Recognition status and receive the benefits listed below.

IHI is pleased to recognize health care organizations of all sizes and offers special pricing for the Recognition fee to the following organizational types (identification of organizational type occurs during Verification Assessment):

• Critical Access Hospitals
• Hospitals with 50 or fewer beds
• Members of America’s Essential Hospitals
• 501(c)(3) organizations with a defined operating budget of less than $5 million, serving community-based organizations
• Ministries of Health
• Faith-based health institutions

Recognition Benefits

Hospitals awarded IHI Safer Together Recognition receive*:

• Acknowledgment as a “Recognized Hospital” on IHI’s website and in marketing materials.
• The Official Badge of Recognition shared with hospitals for use in digital communications, including marketing and social media.
• 15% discount for staff to attend the IHI Patient Safety Congress (starting in 2026).

*Upon approval and invoice payment

Need Help or Have Questions?

Email our team at safertogether@ihi.org.

Recognition Cycles

Recognition is awarded quarterly, for a duration of two years. The Recognition cycle timeframes are noted below.

Recognition Benefits

Hospitals awarded IHI Safer Together Recognition receive*:

• Acknowledgment as a “Recognized Hospital” on IHI’s website and in marketing materials.
• The Official Badge of Recognition shared with hospitals for use in digital communications, including marketing and social media.
• 15% discount for staff to attend the IHI Patient Safety Congress (starting in 2026).

*Upon approval and invoice payment

Need Help or Have Questions?

Email our team at safertogether@ihi.org

Certified Professional in Human Factors in Health Care

Human factors is a discipline that seeks to optimize the relationship between technology, the environment, systems, and humans. In health care, it is an essential component for mitigating risks to both patients and the workforce.

The Certified Professional in Human Factors in Health Care (CPHFH) credential is earned by demonstrating a high level of proficiency in applying the core standards of human factors, systems thinking, and design to health care improvement.

Certification is awarded upon passing a comprehensive examination covering three key domains: Assess and Analyze, which involves evaluating and understanding human-system interactions to identify potential risks; Design, which focuses on designing and implementing systems and processes that enhance safety and efficiency; and Improve and Monitor, which entails continuously refining and overseeing systems to ensure ongoing safety and sustainable effectiveness.   

Health care professionals who are educated in human factors are empowered with valuable insights into the relationship between humans, patients, and the systems with which they interact.

Benefits of CPHFH Certification

• Health Care Leadership Confidence: Leadership is assured teams are capably skilled to effectively manage complex health care environments through a deep understanding of human-system interactions.
• Skills to Improve Team Performance: Certification affirms competence in applying human factors principles to streamline and optimize team interactions and workflows for more efficient and effective health care delivery.
• Enhanced Patient Safety: Health care professionals with human factors credentials use their knowledge to enhance patient outcomes, minimize errors, design safer systems, and reduce adverse events.
• Professional Recognition: This certification, fully accredited by the National Commission for Certifying Agencies (NCCA) and the Certification Board for Professionals in Patient Safety (CBPPS), validates specialized knowledge in human factors, distinguishing professionals as highly valued experts in creating user-centered and safer health care systems.
• Career Advancement: Human factors in health care certification opens doors to roles that require expertise in system improvement and human factors, positioning professionals for leadership and specialized positions within healthcare organizations. 

Why Certification Is Important

This professional certification program establishes core standards for the field of human factors in health care, benchmarks requirements necessary for health care professionals, and sets an expected proficiency level.

• For professionals, the CPHFH credential provides those working in human factors a means to demonstrate their proficiency and skill in the discipline.
• For organizations, requiring the CPHFH credential provides a way for employers to validate a potential candidate’s human factors knowledge and skill base, critical competencies for today’s health care challenges. 

Requirements for Certification

Candidates for the CPHFH credential are those who include human factors practices as an integral component of current or future professional responsibilities. Candidates must also possess academic and professional experience at one of the following levels:

• Diploma (e.g., associates, bachelors), plus 3 years of experience in Human Factors in Health Care Related Field over five years (either full time or part-time)

OR

• Master/Doctorate in Human Factors Related Field, plus 1 year of full-time experience or 2 years of part time experience in Human Factors in Health Care Related Field over five years

These candidates may include:

• Physicians, Nurses, and Pharmacists
• Patient Safety Professionals
• Quality, Improvement, and Risk Professionals
• Human Factors and Systems Engineering Professionals
• Health Care Executives
• Non-Clinical Health Care Professionals
• All other health care professionals with the requisite background

The Certification Board for Professionals in Patient Safety (CBPPS) randomly audits a limited number of applications per year to confirm eligibility requirements are met. If your application is selected for audit, please be prepared to provide documentation attesting to your education and experience.