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John Sweeney

John Sweeney

Health Care Informed, Ireland

Title: Patient safety: Assurance through accreditation?

Biography

Biography: John Sweeney

Abstract

Fundamentally the process of accreditation has not changed since its emergence in the 1960’s in the US, that being a ‘Stop-Start’ process where organizations pour enormous resources into on-site surveys, only to tread water between these visits and allow the implementation requirements to build up. Monitoring compliance via on site snap shots is supported by some accreditors by required reporting and submissions but is this enough to ensuring continual assurance of patient safety? The research shows several difficulties in this approach not least of which is the lack of sustained improvement in patient safety. This presentation identifies that the cost of the current models are often unsustainable due to the significant costs experienced by both the accreditor and as a result, the accredited organization because of the need for so much onsite surveys. Change the concept of accreditation, from snap shot review, to continuous access monitoring by the accreditors and the model opens up huge potential to have a more effective and efficient, impact on patient safety. This paper presents a proposal to make this a possibility by allowing the accrediting body access to the organizations own internal systems to externally view big data in real time. Access provides the accreditor with a window into the soul of the organization, allowing for continual monitoring as deemed required. Continuous organizational access by accrediting bodies and similar external regulators is the next major step forward for patient safety evaluation. It is recognized that to achieve this, a change is required in the relationship between the accreditor and the accredited–with organizations required to show an open hand with evaluators working towards a more supportive role to assist organizations to get it right in real time

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