The introduction of the PN-EN 15224 standard is a quality management system of health care, the requirements of which may take into account the safety of patients and the introduction of the obligation to inform about safety during treatment, training and communication . .
In Poland, the application of standards is voluntary, which does not mean that there is a need to take measures to improve the safety of patients. Therefore, the formation of safety and culture among medical staff should be the main goal of any medical institution. Management and all employees should be involved in building a culture of safety.
Management should define the organization’s strategy and objectives in accordance with Polish law and the recommendations of European and international organizations such as the EU, WHO or OECD, which promote the principles of “culture of security”. At the level of control, on the contrary, the level of fulfillment of the set goals should be checked and applied, as well as instructing and disciplining employees who act in violation of the rules.
Only a general and consistent approach to the appropriate level of awareness of safe behavior can have a direct impact on the quality and safety of a medical facility.
- Means of providing organizational culture
- It is necessary to ensure a safe organizational culture of each medical institution
- taking actions at the management level and their correct application at the operational level. This often requires a lot of effort to ensure proper awareness, but also makes it a daily activity. Examples of mechanisms for promoting a safe culture :
Active and proactive participation of senior management and middle management in informing the safety of the building, for example, mistakes due to intolerance to the behavior of personnel who may pose a threat to the patient or the promotion of technological and information solutions that reduce the risk;
- for example, linking the employee incentive system to measures to increase patient safety and the level of participation in the identification and elimination of risks ;
- support competition management through the establishment of interdisciplinary and interdepartmental groups that allow for cooperation between staff, the exchange of information on adverse conditions, errors or actions taken to improve security;
- organizes systematic and mandatory training of patients in the field of safety standards;
To establish effective communication between employees in different situations (natural and emergency) by introducing communication standards in the form of procedures, instructions or best practices; develop policies and procedures that allow patients to participate in the treatment process by providing information about their health status or treatment, as well as setting time for questions and answers from the patient or family members.
Ensuring an adequate safety culture requires creating an atmosphere of mutual cooperation and care for the safety of patients. Therefore, no medical institution should be indifferent to all kinds of information about hazards and errors, and should not even ensure the free exchange of information between colleagues and the control of dangerous behavior.