Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety

Joint Commission Journal on Quality and Patient Safety
Patricia A McGaffiganTejal K Gandhi

Abstract

Despite recognition of the important role that governance and executive leaders play in ensuring patient safety and quality, little research has examined leaders' involvement in these areas beyond surveys that assess higher-level knowledge and understanding of patient and workforce safety concepts. A survey was sent to a convenience sample of board members and CEOs, as well as unpaired safety and quality leaders (SQLs). The survey included approximately 36 questions asking board members and other non-CEO executives their knowledge, understanding, and board activities related to safety and quality, and SQLs their perceptions of their own boards' knowledge, understanding, and activities related to safety and quality. An analysis of the responses of each of the three groups was conducted to assess baseline ratings, as well as to examine similarities and differences. Overall, similar patterns of self-reported knowledge, understanding, and activities related to safety and quality were evident between the board and CEO groups across virtually all areas examined in this survey, although groups were unpaired. Differences of varying degree were found at the level of individual survey items between board members' and CEOs' responses. SQL...Continue Reading

Citations

Jul 19, 2018·BMJ Quality & Safety·Tejal K GandhiRobert Wachter
Jan 24, 2020·Journal of Nursing Care Quality·Dana TschannenKerry A Milner

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