Prerequisites of the draft law on the quality of medical services and patient safety.
Excerpt from the justification (as of January 17, 2018):
In addition, the development of medicine complicates the diagnostic and therapeutic processes, which increases the risk of side effects. Therefore, this development should be accompanied by parallel implementation of quality management systems that allow monitoring of diagnostic and therapeutic processes in order to reduce the occurrence of adverse events.
The problem of reducing the side effects and costs associated with the occurrence of adverse events is a priority of all modern and advanced health care systems. Social statistics show that about 8-12% of patients receiving hospital care suffer from adverse medical events each year. A 2009 study in Sweden found that more than 12% of hospitalized patients had an adverse event, 70% of whom had preventable events, and spent an average of 6 days in the hospital. Research conducted by the Accreditation Center shows that the frequency of adverse events in the Republic of Poland does not differ from the data of other countries and is approximate. 7.24% of all hospitalized patients.
Adverse events are usually the result of errors in the organization (systems and work organization), often called the human factor . Adverse events are often caused by one or more similar factors that can be generalized and corrected through their narration and analysis. Each case should be considered separately, each report allows to identify similarities in the identification of the source of risk. An important function of adverse event monitoring systems is to use available data to analyze them in order to improve health care performance.
Requirements for the collection and analysis of adverse conditions were introduced in 2009 in the Republic of Poland by the Minister of Health on 18 January 2010 on the Accreditation Standards for Health Services and Hospitals ( Official Journal of the Minister of Health, Article 24). These standards define an adverse event as an injury that occurs during or as a result of treatment that is not related to the natural course of the disease and the patient’s health or risk of injury.
The operation of the hospital accident reporting system is implemented in accordance with the standard “PJ 5.1: the hospital detects and collects adverse events.” This system is aimed at reporting, analysis and learning from mistakes. The voluntary nature of these solutions means that only selected hospitals have the opportunity to learn from their mistakes. As part of the health accreditation system, many departments have fully implemented this system: in 2015, 57% or partially (35%) of the units inspected , and only 8% of the hospitals visited did not carry out effective systematic monitoring of adverse events.