PUQ213 Quality Management in Health Assignment 1B: Workbook activities submission 2 Word limit: 1800 words (+/- 10%) Workbook activity 4 Note: This activity relates to Modules 2/3 and is worth 20 marks. While there has been hard evidence of unacceptable safety performance existing in modern health care for the past three decades, high profile health system failures of the last fifteen to twenty years led to change. These failures have illustrated risks and lack of accountability, caused public mistrust of the healthcare system, and highlighted the need for greater controls. To complete this activity, you will need to read the background and relevant findings sections of two of the following reports (see the page number details that will direct you to the specific sections needed): Workbook activity 4 reference material There are five tasks that must be completed for this activity: Workbook activity 4 tasks Task 1 (10 marks) Use a table format to identify common factors that contributed to the adverse events described in the reports and note which of these are system or individual factors. Task 2 (3 marks) Why are causal and contributing factors classified as system or individual factors? Task 3 (2 marks) Almost all of the hospitals that were the subject of inquiries were accredited. Why were the problems identified during the inquiries not identified through accreditation? Task 4 (2 marks) Why is health and aged care so susceptible to these types of harm? Task 5 (3 marks) How effective do you think public inquiries are in achieving long term improvement in the quality and safety of health services? Provide some reasons for your answer. You may like to refer to the following readings in your response: There’s a long list of NHS inquiries, but what have they actually changed? (Links to an external site.) (Vize, 2016). Chapter 12 Scandals, public inquiries and health professional regulation in ‘Health workforce governance (Links to an external site.)’ (Short, 2012, pp. 223243). Workbook activity 5 Note: This activity relates to Modules 3/4 and is worth 15 marks. It will be clear from your readings about the public inquiries into major patient safety failures that a number of common themes are described. These include: a lack of leadership for quality and safety failure to act rather than failure to know about problems a professional culture that is a major barrier to improved safety, and that teamwork and communication are as important as technical competence to the provision of safe, high quality care. There are four questions that must be answered for this activity: Workbook activity 5 questions Question 1 (4 marks) What is the impact of organisational culture on health care quality and safety? Question 2 (3 marks) What type of culture best supports the delivery of high quality, safe care? Provide reasons for your answer. Question 3 (5 marks) What is a safety culture? Question 4 (3 marks) Why is person-centred care integral to a safety culture? You will need to incorporate evidence into your response to each question. To assist you in doing this, additional reference materials have been provided. You are not required to read all of this material, however each of the four questions should provide evidence from at least one of these reference materials. Select the following heading for a list of the reference material to be used in this activity: Workbook activity 5 reference material Workbook activity 6 Note: This activity relates to Modules 3/4 and is worth 30 marks. Your answer to this activity should be completed in no more than 500 words. The concept of clinical governance has evolved from the need to significantly improve organisational management of the quality of health care. As evidenced by public safety failures and high rates of adverse events, the application of corporate governance has been seen as an inadequate safeguard for clinical quality and safety. Further, the increasing complexity of health care has resulted in process and systems improvements that cross professional and clinical unit/service boundaries. This, in turn, has generated a move towards more integrated, organisational and cross organisational approaches to quality improvement. With the introduction of the Australian National Safety and Quality Health Service (NSQHS) Standards, a National Model Clinical Governance Framework has been developed. The elements that make up this framework are mandatory for Australian health care organisations to meet the requirements of the standards. There is one task that must be responded to for this activity: Workbook activity 6 task Task 1 (30 marks) What is clinical governance? Why is a system of clinical governance necessary in health and aged care organisations? What are the common elements of clinical governance frameworks? From your reading and experience, what are some of the barriers that organisations will need to address in order to ensure the effective adoption of clinical governance?
