The Ministry of health is working on two bills to improve patient safety. They are also intended to increase the comfort of medical staff. How this issue is seen by patients, doctors and nurses-this was discussed today at the Conference of the initiative”together for health”.
The work on the draft law on quality in health care is already on completion. The ministry hopes that later this year the document will go to public consultation. But the resort is working on another bill of great importance for both patients and the entire medical staff. It’s the medical emergencies act.
The MOH intends to introduce not only mechanisms for internal monitoring of these events, but also external control. This role would be played by a specially appointed agency, based on today’s quality monitoring centre. The ministry also wants to clean up the long neglected issue of medical records.
The point is that the indicators of treatment effectiveness are translated into the amount of financing of benefits, and as a result, the creation of a ranking of providers.
What do patients expect?
The initiative “together for health” made recommendations on the directions of systemic changes that increase patient safety. The first priority is to repair the damage caused by the occurrence of an adverse event, that is, to create a system that allows free access to specialized medical assistance in such a situation.
Another proposal is the creation of reference centres, specialising in helping patients who have been victims of medical accidents and dealing with damage that has occurred in other facilities. According to patients, it is also necessary to improve the process of obtaining compensation and redress for medical accidents. It’s also about their height. They should ensure that the additional costs of remedial treatment are covered.
According to the” Together for health ” recommendation, adverse events should be reported confidentially but not anonymously. Both patients and medical staff, as well as hospital directors, would have the right to do so. However, proper analysis of the data collected is key. A team should be set up in each treatment facility to investigate the causes of adverse events. It would also be responsible for the implementation of specific remedial procedures to minimise the risk of a future event.
There is also a need to create a publicly accessible register of adverse events that have occurred in individual healthcare providers. Among other things, a ranking of hospitals would be created on this basis, taking into account information on the effectiveness, safety and quality of treatment in medical institutions. Hospitals experiencing recurrent adverse events and failing to effectively implement corrective programmes should not receive public funding, as recommended.
How does the medical community see the problem?
All such actions must enjoy the support of the medical community, because if it does not.
- In his opinion, much also depends on how the message on this topic will be understood.
Medical staff have doubts whether this message will be reliable. – It takes a lot of cooperation to make this work. Time is running out, and in the atmosphere that we have now, where there is a lot of animosity, it is impossible to achieve improvement. Besides, we’re always in a culture of punishing the guilty.