The Global Framework of Quality Improvement and Patient Safety

Teora del Foco (Bulb theory)

What?

Why?
Healthcare Quality Summit: Building the Health Care Workforce of the Future http://transcriptvids.com/v/ZDv5OIAvWQI. html

Who?

Organizations for Accreditation

DNV Healthcare Inc United Kingdom Accreditation Forum Malaysian Society for Quality in Health Joint Commission International Canadian Council on Health Services Accreditation Australian Council for Healthcare Standards International

Who knows about quality and patient safety?

Institute of Patient and Family Centered Care National Institute for Health Research (NIH)
National Institute for Health and Care Excellence

Sociedad Espaola de Calidad Asistencial (SECA) International Society for Quality in Healthcare (ISQUA) Imperial College London
Centre for Patient Safety and Service Quality

Lancaster Patient Safety Research Unit Clinical Excellence Commission

Patient-Based Care

Ministerio de Sanidad, Servicios Sociales e Igualdad (Espaa) Agency for Healthcare Research and Quality (US) The Kings Foundation (England) American Society for Quality National Association for Healthcare Quality (US) Leapfrog Group (US) The Picker Institute Planetree

Quality Toolkit
American Society for Quality Institute for Healthcare Improvement Michigans Quality Improvement Guidebook National Association of County and City Health Officials (NACCHO)

Quality Improvement Toolkit

SESCAM
Manual de Calidad

Institute for Safe Medication Practices

Patient Safety

VA National Center for Patient Safety

Root Analysis

Joint Commission
Sentinel Event Forms and Tools

Where is the information?

Title New England Journal of Medicine Journal of the American Medical Association Annals of Internal Medicine Archives of Internal Medicine Milbank Quarterly

American Journal of Medicine Annals of Family Medicine

2011 Impact Factor Description 47.05 Special section for Health Policy Reform focusing on: Cost of Health Care; Healthcare Delivery; Health IT; Comparative Effectiveness; Public Health; Quality of Care. 27.75 Topics include: Quality of Care, Quality of Life, Patient Safety/Medical Error, Patient-Physician Communication, Patient Education/Health Literacy. 16.7 Encourage material that is specifically related to improving patient care, avoiding medical errors, and comparative effectiveness research. 11.5 Topics include: Quality of Care, Quality of Life, Patient Safety/Medical Error, Patient-Physician Communication, Patient Education/Health Literacy. 5.6 Topics addressed include but are not limited to the impact of social factors on health, disease prevention, allocation of healthcare resource, legal and ethical issues in health policy, healthcare management, organization and financing of healthcare. 5.4 Clinical Effectiveness; focus on one quality control challenge and solutions. 5.4 The Annals seeks to identify and address important questions in health and the provision of patient-centered, prioritized, highquality health care. We welcome clinical, biomedical, social and health services research. The Annals publishes original research, methodology, and theory, as well as essays from reflective clinicians, patients, families, communities, and policymakers. We publish selected systematic reviews that build on current knowledge to advance new theory, methods, or research directions.

Title Health Affairs

2011 Impact Factor Description 3.8 Narrative Matters section - narrative essays based on firsthand encounters with the healthcare system that explore personal, ethical, and moral issues or delivering or receiving healthcare today; Specific topics for all articles include: Access, Evidence Based Medicine, Information Technology; Quality of Care.

Academic Medicine
Journal of General Internal Medicine Quality of Life Research

3.5

Articles must be relevant to the journal's mission: The article addresses a serious challenge facing the academic medicine community; The article significantly adds to or enhances the existing literature on the subject in question.
Topics include: Quality Improvement, Clinical Medicine, Epidemiology, Prevention, Healthcare Delivery, Curriculum Development; Special Topics include; Innovation & Improvement, Health Policy. Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Topics include: Optimal strategies for patient care and policy decision making; Understanding individual and group decision-making processes; Outcomes of decisions, their measurement, and valuation; Risk communication, risk attitudes, and judgment; Methods to teach about and improve actual decision; Methods for technology assessment, literature synthesis, comparative effectiveness research and evidencebased decision making. Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers, which clarify concepts, develop theories, and critically analyze and evaluate specific policies and practices. The Journal provides a multi-disciplinary and international forum in which researchers from a variety of backgrounds can present their work to other researchers, policy makers, health care professionals, managers and consumer advocates. Value in Health is a multidisciplinary peer-reviewed journal reporting on evaluations of medical technologies including pharmaceuticals, biologics, devices, procedures, and other health care interventions. The Journal provides a scientific forum for communicating health economics and outcomes research methods and findings, furthering ISPOR's vision that 'society allocate scarce health care resources wisely, fairly, and efficiently.'

2.8

2.3

Medical Decision Making

2.3

Health Expectations

2.3

Value in Health

2.2

Title Health Services Research

2011 Impact Factor Description 2.2 Area of specific interest include: Delivery of care (access to and utilization of health care services, cost, cost-effectiveness, quality & outcomes of care, practice variations, technology assessment, healthcare workforce issues); Impact of policy changes; evaluation of national demonstration programs (disease prevention, chronic disease mgmt, community based efforts); Examination of changes in systems of care; Determinants of health outcomes. HRQOL assessment for the evaluation of medical therapies or psychosocial approaches and studies on psychometric properties of HRQOL measures, including cultural validation of instruments; will also consider reviews summarizing the present state of knowledge, concerning a particular aspect of HRQOL. Quality Improvement; Health Services Research; Qualitative and Quantitative studies; Particularly interested in: healthcare evaluation; technology assessment; health economics; utilization review; cost containment; nursing care research; clinical research related to quality.

Health and 2.1 Quality of Life Outcomes (online only) International Journal for Quality in Healthcare 2.0

Postgraduate Medical Journal

BMC Family Practice

1.9
1.8

Articles on current practice and new developments in all branches of medicine; Interested in Quality Improvement Reports.
BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care, including clinical management of patients, professional training, shared decision making, and the organisation and evaluation of health care in the community.It is journal policy to publish work deemed by peer reviewers to be a coherent and sound addition to scientific knowledge and to put less emphasis on interest levels, provided that the research constitutes a useful contribution to the field. International journal; of particular interest: the development and integration of quality and safety initiatives into routine practice; experience of improving practice in all sectors of health care services; influence of management and organizational learning on quality; views of consumers and their role as promoters of improved quality; research relevant to quality and safety. BMC Health Services Research is an Open Access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.

BMJ Quality and Safety

1.7

BMC Health 1.7 Service Research

Title American Journal of Medical Quality Journal of Family Practice Journal of Hospital Medicine

2011 Impact Factor Description 1.6 Official journal of the American College of Medical Quality; Publishes original work in the entire field of quality measurement & improvement; needs to have general medical quality interest. Topics should have practical importance to the community family physician; Studies should address clinical questions or healthcare delivery topics in primary care. Topics include: Translational Research; Improving Hospital Care; Professional Development; Leadership; Educating Hospitalists; Clinical Problem Solving; Techniques & Guidelines for Performing Research; Reflections; Patient Commentary. Particular interest: Evidence based medicine, clinical practice guidelines, clinical decision making, clinical services organization, implementation and delivery, health economic evaluation, health process & outcome measurement; new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice.

1.5 1.4

Journal of 1.2 Evaluation in Clinical Practice (online only)

Centre for Innovation in Quality and Patient-Based Care

Quality Assurance (staff)

QA Staff Quality of Healthcare Engineers Patient Safety Physicians

Organization 1: Agencies
Medication Safety Use of Information

Economics, Evaluation and Policy

Design and Technology

Teams, Skills and Safety Safe Systems

Patients, Carers and Families

Organizational Model 1

Use of Information

Safety indicators, safety intelligence and effective use of routinely collected information within. Novel designs and technologies (remote patient monitoring, smart phone apps) to improve patient safety in hospitals and the community. Patients' reaction to medical errors and patients' contribution to their own safety Safety across entire care pathwayswith focus on infection and medication errors and complex surgical procedures The 'human element' of safety-human factors and team performance in surgical and cancer specialities Cross-cutting theme-the value and cost of patient safety interventions The nature, causes and prevention of medication errors Tackling the issue of healthcare acquired infection via a multidisciplinary approach

Design and Technology

Patients, Carers and Families

Safe Systems Teams, Skills and Safety

Economics, Evaluation and Policy

Medication Safety Infection Prevention and Management

Organization 2: Academic Centres

Health System Improvement

Patient Safety

Patient-Base Care

Clinical Governance

Information Management

Organizational Model 2

Patient Safety
Revisin, analisis y reporte de incidentes; alertas, sepsis,

mortalidad, Proyeccin de Riesgos y Polticas en salud

Clinical Governance
Acreditacin, credencializacin, higiene de manos,

infecciones intrahospitalarias

Gestion de la Informacin
Chartbook, Internet, Intranet, Knowledge Management,

Records Management

Atencin Centrada en el Paciente

Prevencin de caidas, seguridad de medicacin,

Programas de Educacin del Paciente, Advisory council

Mejora de los sistema de salud

Evaluacin la Calidad, Consejera, Mejora Continua,

Diseo de Programas

Framework (Six Sigma )

Aims of Quality Healthcare Systems

Centre for Innovation in Quality and Patient-Based Care

Quality Dimensions

CIQP

CIQP

Departamentos reas de Expertise

Departamentos reas de Expertise

Departamentos reas de Expertise

Departamentos reas de Expertise

Departamentos reas de Expertise

Reynaldo

Gaby

Alondra

ngel
Mariel

Cinthya

Pedro
Felipe

Betty
Karina Marta

Juan

Nombre Gabriela Karina Cinthya

rea

Organizacin Departamento Pas Desarrollo y Alemania Calidad ACHSI Tecnologa Calidad Calidad DNV IHI Planeacin Coordinacin Desarrollo y Tecnologa Estrategias de implementacin Coordinacin US

Tema (s) Clinical Pathways, Mapeo de Procesos Procesos y la Mejora Continua, Committees, Aseguramiento de la Calidad Metodologa de la Calidad, Gestin Total de la Calidad, Teora de la Calidad, Acreditacion vs Certificacin, Gestin de Riesgos Organizaciones de Estandarizacin y Calidad en Mxico: CSG, Institutos Nacionales de Salud, Seguridad del Paciente Ambiente hospitalario y Metodologa TRACER Auditoras y Proceso de Acreditacin

Beatriz Calidad MSQH / CEC Dr. Reynaldo Calidad CCHSA Dra. Marta Calidad JCI Atencin Centrada UKAF en el Alondra Paciente Atencin Centrada AHRQ en el Pedro Paciente Atencin Centrada en el Cristina Paciente ASQ Atencin Centrada Imperial en el College ngel Paciente London Atencin Centrada en el FAD / Juan Paciente CAAGLOP Felipe Carlos Mariel

US

Estrategias de implementacin Investigacin y Gestin de la Informacin Investigacin y Gestin de la Informacin

Indicadores, Peer-Review

Guas Clnicas

Historia de JCI

Planeacin

Investigacin, Buenas Prcticas, Evidence-Based Medicine

Estrategias de Evaluacin

Quality Evaluation, Research, Critical Thinking Personajes en la Historia de la Calidad