Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry.

BMJ Quality & Safety
Peter J Pronovost, Daniel W Hudson

Abstract

Healthcare has made great efforts to reduce preventable patient harm, from externally driven regulations to internally driven professionalism. Regulation has driven the majority of efforts to date, and has a necessary place in establishing accountability and minimum standards. Yet they need to be coupled with internally driven efforts. Among professional groups, internally-driven efforts that function as communities of learning and change social norms are highly effective tools to improve performance, yet these approaches are underdeveloped in healthcare. Healthcare can learn much from the nuclear power industry. The nuclear power industry formed the Institute of Nuclear Power Operators following the Three Mile Island accident to improve safety. That organization established a peer-to-peer assessment program to cross-share best practices, safety hazards, problems and actions that improved safety and operational performance. This commentary explores how a similar program could be expanded into healthcare. Healthcare needs a structured, clinician-led, industry-wide process to openly review, identify and mitigate hazards, and share best practices that ultimately improve patient safety. A healthcare version of the nuclear power pr...Continue Reading

References

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Citations

Mar 13, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Cordula WagnerUNKNOWN DUQuE Project Consortium
Nov 12, 2015·Health Services Research·Robert A Berenson, Thomas Rice
Aug 28, 2015·Surgical Endoscopy·Marco von Strauss Und TorneyRachel Rosenthal
Oct 26, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Elizabeth MortUNKNOWN Peer-to-Peer Study Team
Feb 16, 2013·Psychological Medicine·D C DeAndrea, J C Anthony
Sep 5, 2020·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Stephanie NotarasKirsten Whitehead
Jun 13, 2017·Bulletin of the World Health Organization·Peter J PronovostMary Dixon-Woods
Feb 13, 2019·Physiotherapy Canada. Physiothérapie Canada·Marjo J M MaasPhilip J van der Wees
Jul 18, 2020·Proceedings·Jared W HenricksenConnie Madden

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