Une approche systémique globale de la sécurité

Malgré les efforts considérables déployés au cours des 20 dernières années, les préjudices évitables dans le secteur de la santé demeurent une préoccupation majeure aux États-Unis. Bien que de nombreuses pratiques exemplaires fondées sur des données probantes et efficaces en matière de réduction des risques aient été identifiées, elles sont rarement partagées à l’échelle nationale et mises en œuvre efficacement dans plusieurs organisations.

La réduction des dommages évitables nécessite un effort concerté, persistant et coordonné de toutes les parties prenantes, ainsi qu’une approche systémique globale de la sécurité. La sécurité systémique globale exige une coordination à de nombreux niveaux, ce qui nécessite à son tour une collaboration solide entre toutes les parties prenantes.

En exploitant les connaissances et les idées d'agences fédérales influentes, d'organisations de soins de santé de premier plan, de défenseurs des patients et des familles et d'experts respectés du secteur dans un ensemble de recommandations pratiques et efficaces, le Plan d'action national fournit une orientation claire pour réaliser des progrès significatifs vers des soins plus sûrs et une réduction des dommages tout au long du continuum des soins .

En planifiant et en investissant ensemble, en mobilisant ensemble les ressources, en apprenant ensemble et en partageant les leçons apprises, nous pouvons conduire des changements significatifs et faire progresser l’objectif de créer les soins de santé les plus sûrs pour les patients et ceux qui prennent soin d’eux.

Ensemble, plus en sécurité : un plan d’action national pour améliorer la sécurité des patients

Image

Ensemble, plus en sécurité : un plan d’action national pour faire progresser la sécurité des patients met en lumière les idées collectives de 27 organisations de premier plan qui composent le National Steering Committee for Patient Safety, qui sont unies dans leurs efforts pour parvenir à des soins véritablement plus sûrs et réduire les dommages causés aux patients et à ceux qui prennent soin d’eux.

Télécharger

Le rapport rassemble les connaissances et les idées des membres du National Steering Committee for Patient Safety (NSC), notamment des agences fédérales influentes, des organisations de soins de santé de premier plan, des conseillers de patients et de familles et des experts respectés du secteur, dans un ensemble de recommandations concrètes et efficaces pour faire progresser la sécurité des patients.

Le Plan d’action national s’articule autour de quatre axes fondamentaux et interdépendants, jugés prioritaires pour garantir la sécurité totale des systèmes. Les recommandations formulées dans ces quatre axes s’appuient sur l’ensemble considérable d’expériences, de preuves et de leçons apprises que le NSC a rassemblées et qu’il testera et mettra en œuvre ensemble pour permettre des améliorations futures à mesure que notre compréhension, notre expérience et nos preuves évoluent au fil du temps.

Plan d'action national : 17 recommandations pour améliorer la sécurité des patients

Culture, leadership et gouvernance

1. Veiller à ce que la sécurité soit une valeur fondamentale démontrée.

2. Évaluer les capacités et engager des ressources pour améliorer la sécurité.

3. Partager largement les informations sur la sécurité pour promouvoir la transparence.

4. Mettre en œuvre une gouvernance et un leadership fondés sur les compétences.

Engagement des patients et des familles

5. Établir des compétences pour tous les professionnels de la santé pour l’engagement des patients, des familles et des partenaires de soins.

6. Impliquer les patients, les familles et les partenaires de soins dans la coproduction des soins.

7. Inclure les patients, les familles et les partenaires de soins dans le leadership, la gouvernance et les efforts de sécurité et d’amélioration.

8. Assurer un engagement équitable pour tous les patients, familles et partenaires de soins.

9. Promouvoir une culture de confiance et de respect envers les patients, les familles et les partenaires de soins.

Sécurité des travailleurs

10. Mettre en œuvre une approche systémique de la sécurité des travailleurs.

11. Assumer la responsabilité de la sécurité physique et psychologique et d’un environnement de travail sain qui favorise la joie du personnel de la santé.

12. Élaborer, financer et exécuter des programmes prioritaires qui favorisent équitablement la sécurité des travailleurs.

Système d'apprentissage

13. Faciliter l’apprentissage intra et interorganisationnel.

14. Accélérer le développement des meilleurs réseaux d’apprentissage possibles en matière de sécurité.

15. Mettre en place et développer des systèmes visant à faciliter l’éducation et la formation interprofessionnelles en matière de sécurité.

16. Élaborer des objectifs communs en matière de sécurité tout au long du continuum des soins.

17. Accélérer la coordination, la collaboration et la coopération à l’échelle de l’industrie en matière de sécurité.

Outil d'auto-évaluation

L'outil d'auto-évaluation, une ressource complémentaire au Plan d'action national, aide les dirigeants et les organisations à décider par où commencer. Apprenez-en davantage sur l' outil d'auto-évaluation en ligne .

Télécharger

Guide de ressources pour la mise en œuvre

Le Guide de ressources de mise en œuvre, une ressource complémentaire au Plan d’action national, détaille les tactiques spécifiques et les ressources de soutien pour la mise en œuvre des recommandations du Plan d’action national.

Télécharger

Déclaration pour faire progresser la sécurité des patients

En mai 2022, le NSC a publié la Déclaration pour faire progresser la sécurité des patients afin d'exhorter les dirigeants du secteur de la santé à s'engager à nouveau à faire progresser la sécurité des patients et du personnel avec une approche systémique globale, comme présenté dans le Plan d'action national.

Télécharger

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.