The Nsw Safety Improvement Program

Total Page:16

File Type:pdf, Size:1020Kb

The Nsw Safety Improvement Program Asia Pacific Journal of Health Management Volume 1 Issue 2 – 2006 The Journal of the Australian College of Health Service Executives • Reforming health systems • Regulating the private sector • Improving client safety and satisfaction • Integrating services • Assessing employee health status . and more This issue proudly sponsored by: CONTENTS EDITORIAL Expectations of a Professional Journal: telling the truth 4 Mary Harris In this Issue 7 SpeCIAL FEATURE ARTICLe A Model Health System for Australia – Part 2: What should a (single) Commonwealth funded public health system look like? 8 Andrew Podger ANALYTICAL RIPOSTe Response to Podger’s Model Health System for Australia (Part 1 and Part 2 articles) 15 Jeffrey Braithwaite ReseARCH ARTICLes AND NOTes Regulation in the Doldrums: reforming private health care sector legislation in Bangladesh 22 M Redwanur Rahman and Simon Barraclough Changing an Incident Reporting and Management Paradigm: the NSW Safety Improvement Program 29 Sarah Michael, Maureen Robinson, Paul Douglas and Jeffrey Braithwaite The Impact of a Continuous Quality Improvement Approach on Patient Care in the Ambulance Environment 39 Russell Linwood Centralised Control and Devolved Responsibilities: personal experiences of senior health executives on the implementation of the area health management model in New South Wales,1990-1999 44 Zhanming Liang, Stephanie Short, Peter Howard and Claire Brown Health Status of Employees: defining influences on health in the tertiary education industry 51 Mary Ditton MANAGemeNT PRACTICE Integrating Diabetes Services: opportunities to build cultural bridges 61 Hadley Slade-Jones, Rod Perkins and John Wellingham IN PROFILE 67 Jim Birch Q’s AND A’s Principles that should underpin a health financing system; Improvements in quality of health care over the past five years; Council of Australian Governments (COAG) health workforce reforms 69 Experienced health managers and educators address these questions BOOK REVIew Beyond Patient Safety: managerial perspectives on error 74 Reviewed by Jeffrey Braithwaite LIBRARY BULLETIN 76 UpDATE ON JOURNAL ACTIVITIes 80 GUIDELINes FOR CONTRIBUTORS 81 Asia Pacific Journal of Health Management 2006; 1: 2 1 AsIA PACIFIC JOURNAL OF HEALTH MANAGemeNT PUBLIsheR EDITORIAL COmmITTee Australian College of Health Service Executives Jim Birch BHA, FCHSE, CHE Consultant, Jim Birch Management Consultancy Pty Ltd EDITOR Jeffrey Braithwaite BA, DipLR, MIR(Hons), MBA, PhD, FAIM, FCHSE, CHE Mary Harris MPH, PhD, FCHSE CHE Associate Professor, Director, Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, EDITORIAL ADVISORY BOARD Australia David Briggs BHA, MHM(Hons), FCHSE, CHE, FHKCHSE Co-ordinator Health Management and Gerontology Programs, Robert Cusack BHSM, FNIA, AFCHSE, CHE University of New England, New South Wales, Australia General Manager, Prince of Wales Private Hospital, New South Wales, Australia Gwenda Freeman BA, Grad DipBusMgt, MBA, FCHSE, CHE Fundraising Officer – North West Region, Australian Red Cross, Victoria Mary Harris MPH, PhD, FCHSE, CHE Editor, Asia Pacific Journal of Health Management Mary Harris MPH, PhD, FCHSE CHE Grant Lennox BEc, BHA, AFCHSE, CHE Editor, Asia Pacific Journal of Health Management Chief Executive Officer, Tasmanian Ambulance Service, Godfrey Isouard BSc MHA PhD AFCHSE CHE AFAIM Department of Human Services and Health, Tasmania, Australia Associate Professor, Head, School of Biomedical and Health Janice Lewis BSc, MBus, DBA, FCHSE, CHE Sciences, University of Western Sydney, New South Wales, Australia Program Coordinator, Health Policy and Management, School Hok-Cheung Ma MBBS, MHA, DCH, MRCP, FRCP, FRCP, FHKCP, of Public Health, Curtin University, Western Australia, Australia FHKCCM, FHKAM(Med,) FHKAM (Com Med), FRACMA, FCHSE, CHE Nicola North PhD, MA, FCNA President, Hong Kong College of Health Service Executives and Director of Post Graduate Studies, School of Nursing, Faculty of Medical Chief Executive, Ruttonjee and Tang Shiu Kin Hospitals, Hong Kong and Health Sciences, The University of Auckland, New Zealand Judith Meppem PSM, RN, RM, BHA, COTM, FCN, MACORN, FINE, Terry O’Bryan MAdmin, BBus(Actg), FCHSE, CHE, FCPA MNSWMA(Hon), MNUMS(Hon), FCHSE(Hon) Chief Executive Officer, ISIS Primary Care, Victoria, Australia Former New South Wales Chief Nursing Officer; Consultant, Nursing, Midwifery and Health Care John Rasa BA, MHP, FCHSE, CHE, FAIM, MAICD, FAHRI Associate Professor, Director, Australian Centre for Leadership Rod Perkins BDS, MHA, PhD, FCHSE, CHE Development, Victoria, Australia Senior Lecturer in Health Management, Health Systems Group and Associate, Centre for Health Services Research & Policy, School Stephanie Short DipPhty, BA(Hons), MSc, PhD, FCHSE, CHE of Population Health, The University of Auckland, New Zealand Professor, Dean – Teaching and Learning (Health Group), Head, School of Public Health, Griffith University, Queensland, Australia Mavis Smith BHA, MHA, FCHSE, CHE, FHKCHSE, FAICD Chief Executive Officer, ACHSE, Director, Mavis Smith Health Sally Torr RN, CM, BA, MHP, PhD, FCHSE CHE Consulting, Victoria, Australia Patient Care and Services Manager, Greater Western Area Health Service, Bourke, New South Wales, Australia EDITORIAL OffICE Peter Yuen PhD, BA, MBA, FCHSE(Hon), CHE Mavis Smith BHA, MHA, FCHSE, CHE, FHKCHSE, FAICD Professor, Department of Management and Marketing, the Hong Production Manager and Chief Executive Officer, ACHSE Kong Polytechnic University, Kowloon, Hong Kong Rose Ellis PhD, BA(Hons) Sub-Editor SUbmIssION OF ARTICLes Australian College of Health Service Executives Contributions, including letters to the Editor, should be PO Box 341 North Ryde NSW 1670 Australia submitted to the Editor, ACHSE APJHM [email protected]. Telephone: +61 2 9878 5088; Facsimile: +61 2 9878 2272; au and should comply with the Guidelines for Contributors. Email: [email protected]. These guidelines appear at the end of the journal and are available in electronic form from www.achse.org.au or a hard ISSN: 1833-3818 (Print) copy can be obtained from the National Office by phoning +61 2 9878 5088 or emailing the Editor APJHM at journal@ achse.org.au. 2 Asia Pacific Journal of Health Management 2006; 1: 2 Asia Pacific Journal of Health Management MISSION STATEMENT SUBSCRIPTIONS The mission of the Asia Pacific Journal of Health Management The cost of subscription to the Journal is included in the is to advance understanding of the management of health membership dues for ACHSE members. For non-ACHSE and aged care service organisations within the Asia Pacific members the subscription cost is $80. region through the publication of empirical research, theoretical and conceptual developments and analysis and ADVERTISING discussion of current management practices. All booking and enquiries concerning advertising in the Journal should be directed to the Production Manager The objective of the Asia Pacific Journal in Health Manage- (Editorial Office) ment is to promote the discipline of health management throughout the region by: COPYRIGHT • stimulating discussion and debate among practicing © Australian College of Health Service Executives 2006. managers, researchers and educators; This publication is copyright. Subject to the Copyright Act • facilitating transfer of knowledge among readers by 1968 (Cth), no part of this Journal may be reproduced by any widening the evidence base for management practice; process, without the written permission of the Australian • contributing to the professional development of health College of Health Service Executives. and aged care managers; and • promoting ACHSE and the discipline to the wider ARTICLE RepRINTS AND PERMIssIONS community. Reprints are available in hard copy or as electronic downloads with permission to print. Reprint prices are as follows: MANAGEMENT PRACTICE ARTICLES 1 – 9 copies $6.00 each Management practice papers are practitioner oriented with a 10 – 49 $5.50 view to reporting lessons from current management practice. 50 – 79 $5.00 80 – 99 $4.50 RESEARCH ARTICLES 100 – 499 $4.00 An article reporting original quantitative or qualitative research (Minimum order $10.00) relevant to the advancement of the management of health and aged care service organisations. FOR INFORMATION OR TO ORDER: Health Planning and Management Library RESEARCH NOTES PO Box 341 Shorter than a research article, a research note may report the NORTH RYDE NSW 1670 outcomes of a pilot study or the first stages of a large complex Phone: 61 2 9805-0125 study or address a theoretical or methodological issue etc. In all Fax: 61 2 9889 3099 instances it is expected to make a substantive contribution to Email: [email protected] health management knowledge. DISCLAIMER REVIEWS All articles published in this Journal including editorials are A careful analysis of a management or policy issue of current the opinions and views of the authors and do not necessarily interest to managers of health and aged care service reflect those of the Australian College of Health Service organisations. Executives unless otherwise specified. VIEWPOINTS A practitioner oriented viewpoint/commentary about a topical and/or controversial health management issue with a view to encouraging discussion and debate among readers. LETTERS TO The EDITOR A positive or critical comment about the Journal or a particular article or perhaps some suggestions for future Journal themes or suggestions for improving reader interest in the Journal. Asia Pacific Journal
Recommended publications
  • Healthcare Systems: Future Predictions for Global Care
    Healthcare Systems: Future Predictions for Global Care Healthcare Systems: Future Predictions for Global Care Edited by Jeffrey Braithwaite, Russell Mannion, Yukihiro Matsuyama, Paul G. Shekelle, Stuart Whittaker, and Samir Al-Adawi CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2018 by Jeffrey Braithwaite, Russell Mannion, Yukihiro Matsuyama, Paul G. Shekelle, Stuart Whittaker, Samir Al-Adawi. CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-138-05260-4 (Hardback) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microlming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.
    [Show full text]
  • Research Australia Turning What We Know Into What We Do August 2017
    Turning what we know into what we do Date: 24 August, 2017 Macquarie University, AU Jeffrey Braithwaite, PhD, FAIM, FCHSM, FFPHRCP, FAcSS, Hon FRACMA Professor and Director Australian Institute of Health Innovation Director Centre for Healthcare Resilience and Implementation Science Australian Institute of Health Innovation Our mission is to enhance local, institutional and international health system decision- making through evidence; and use systems sciences and translational approaches to provide innovative, evidence-based solutions to specified health care delivery problems. www.aihi.mq.edu.au Australian Institute of Health Innovation Australian Institute of Health Innovation •Professor Jeffrey Braithwaite • Foundation Director, AIHI; Director, Centre for Healthcare Resilience and Implementation Science •Professor Enrico Coiera Director, Centre for Health Informatics •Professor Johanna Westbrook Director, Centre for Health Systems and Safety Research Australian Institute of Health Innovation Implementation Science The Journal “Implementation Science” has a core aim: To get evidence into practice Implementation stages: A linear path? • Early in EBM movement we construed knowledge translation in linear terms • Knowledge ‘pipeline’ The ‘Knowledge Pipeline’ Cooksey, D. (2006). A review of UK health research funding. The Stationery Office. The pipeline is an idealisation Blockages and fractures POLICY AND BASIC RESEARCH BEDSIDE PRACTICE Basic Research Clinical Practice across the T2 T1 Human Clinical Research system Preclinical Studies
    [Show full text]
  • RACS & Respect
    SURGICAL NEWS THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS VOL 18 NO 4 MAY 2017 RACS & Respect Where we've been, where we're going and the goals for getting there SURGICAL NEWS Teamwork in FSSE President the OR Training John Batten Multi-Professional Supporting the Sitting down with the new Team Briefings Supervisor RACS President May 2017 Vol 18 No 4 18 May 2017 Vol The College of Surgeons of Australia and New Zealand CONTENTS 12 FEATURE: FSSE – Training in the Principals of Adult Learning 20 14 16 Our President, Mr Batten Teamwork in the OR Dr Claudia Paul Sitting down with the new Multi-Professional Team Briefings Aboriginal doctor set on a RACS President in W.A. Operating Theatres rural surgery career Image by Brad Newton Photography. REGULAR FEATURES: Copyright AIDA. 4 PRESIDENT'S 22 SUSAN HALLIDAY 30 WORKSHOPS/ 43 BB GLOVED MESSAGE COLUMN EVENTS COLUMN Cover (From Left): Dr Claire Campbell, Medical Director, Vascular Health Group, Epworth HealthCare; Dr Wanda Stelmach, Clinical Program Director, Surgery, Northern Health; Dr Ernest Lim, Endocrine and General Surgeon, Northern Health; Dr Kareem Marwan, General and Colorectal Surgeon, Knox Private Hospital; Professor Julian A Smith, Department of Cardiothoracic Surgery, Monash Health. Correspondence and Letters to the Editor to Surgical News All copyright is reserved. The editor reserves the right to change material should be sent to: [email protected] submitted. The College privacy policy and disclaimer apply - www.surgeons.org. The College and the publisher are not responsible for errors or consequences T: +61 3 9249 1200 | F: +61 3 9249 1219 for reliance on information in this publication.
    [Show full text]
  • Copy of Annual Report 2007 Final August 2008.Pub
    CENTRE FOR CLINICAL GOVERNANCE RESEARCH IN HEALTH Annual Report 2007 Centre for Clinical Governance Research in Health The Centre for Clinical Governance Research in Health undertakes strategic research, evaluations and research- based projects of national and international standing with a core interest to investigate health sector issues of policy, culture, systems, governance and leadership. TABLE OF CONTENTS 1. Centre Mission Statement 2 2. Objectives and Principles 4 3. Director's Review 6 4. Management Committee 12 5. Staff Listing 14 6. Staff Profiles 16 7. Full Time Scholarship Research Students 29 8. Part-time/Off-campus Research Students 30 9. Research Student Projects 35 10. Centre Projects 44 11. Collaborations 71 12. Education and Extension Activities 73 13. Publications and Presentations 2004-2007 75 14. Financial Overview 121 15. Centre Enquiries 123 Centre for Clinical Governance Research in Health ● UNSW ● Annual Report i CENTRE STAFF 2007 A Group of Centre staff at a meeting in 2007. Standing (left to right): Sue Christian-Hayes, Professor Jeffrey Braithwaite, Joanne Travaglia and Robyn Clay-Williams. Seated (left to right): Dr David Greenfield and Dr Marjorie Pawsey. The full complement of Centre staff can be found in the Staff Listing section. Centre for Clinical Governance Research in Health ● UNSW ● Annual Report 1 Mission Statement MISSION The Centre for Clinical Governance Research in Health is an international research capability in the Faculty of Medicine at the University of New South Wales. Its core focus and mission are to investigate and provide new knowledge about policy, governance, organisation, work and leadership in the health sector. As a health research facility, the Centre strives to be theoretically and methodologically progressive and industry-relevant.
    [Show full text]
  • Australian Institute of Health Innovation ANNUAL REPORT 2019
    Australian Institute of Health Innovation ANNUAL REPORT 2019 Contents FOUNDING DIRECTOR'S REPORT 4 WHO WE ARE 6 AIHI AT A GLANCE 8 OUR BOARD 10 OUR PARTNERS 11 OUR DIRECTORS 12 CASE STUDIES 14 RESEARCHERS OF THE FUTURE 22 ORGANISATIONAL STRUCTURE 24 INTRODUCING OUR CENTRES 25 CENTRE FOR HEALTH SYSTEMS AND SAFETY RESEARCH 26 CENTRE FOR HEALTHCARE RESILIENCE AND IMPLEMENTATION SCIENCE 30 CENTRE FOR HEALTH INFORMATICS 34 NHMRC PARTNERSHIP CENTRE FOR HEALTH SYSTEM SUSTAINABILITY 38 NHMRC CENTRE OF RESEARCH EXCELLENCE IN DIGITAL HEALTH 44 NHMRC CENTRE OF RESEARCH EXCELLENCE IN IMPLEMENTATION SCIENCE IN ONCOLOGY 46 OUR STAFF 48 AWARDS 51 INSTITUTE ENGAGEMENT 52 MD RESEARCH PROGRAM 53 HIGHER DEGREE RESEARCHER PROGRAM 54 OUR PUBLICATIONS 56 GRANTS 72 Founding Director's Report At any point in time across the as Australia's largest and longest Australian Institute of Health running academic research group in Innovation (AIHI), there’s a wide this discipline. range of research going on. We are Contributions by the Centre for studying and evaluating healthcare Health Systems and Safety Research from many angles at considerable and the Centre for Healthcare depth and with a great deal of Resilience and Implementation purpose through our efforts on Science’s CareTrack Aged team to over 100 projects. That is the joy of the Royal Commission into Aged working here. I invite you to delve Care Quality and Safety were into this research across the pages included in the Interim Report of our 2019 Annual Report. of the Commission. The Centre We are passionate about our work, for Healthcare Resilience and motivated by the fact there is plenty Implementation Science completed of evidence that we make a difference.
    [Show full text]
  • 2006 Annual Report
    2006 ANNUAL REPORT Federation Fellow and climate change researcher Professor Matthew England THE UNIVERSITY OF NEW SOUTH WALES SCIENTIA MANU ET MENTE KNOWLEDGE BY HAND AND MIND THE UNIVERSITY’S MOTTO ENCAPSULATES ITS CENTRAL PHILOSOPHY OF BALANCING THE PRACTICAL AND THE SCHOLARLY www.unsw.edu.au 2006 ANNUAL REPORT – VOLUME ONE CONTENTS ABOUT UNSW Functions 2 At a glance 3 Key statistics 3 Chancellor’s report 4 Vice-Chancellor’s report 5 Rankings 6 2006 Highlights 7 Student gallery 8 Research snapshots 10 GOVERNANCE AND MANAGEMENT Governance 17 Management 18 Organisational structure 19 UNSW Council 20 Executive Team 23 Faculties and Schools 24 Controlled entities 25 KEY ACTIVITIES Research and research training 27 Learning and teaching 35 International engagement 41 Community engagement 45 Operations and financial management 51 STATUTORY REPORTING 56 The full financial report for 2006 is in Volume 2 2006 Annual Report 1 ABOUT UNSW FUNCTIONS VISION The University of New South Wales was Our vision is to be Australia’s leading The University of New South Wales incorporated by an Act of Parliament in NSW international research university with a Sydney NSW 2052 in 1949. Our functions include: reputation for excellence in scholarship, learning and the student experience. April 2007 a) the provision of education and research facilities of university standard The Honourable John Della Bosca MLC PURPOSE Minister for Education and Training b) aiding, by research and other suitable > To excel in research as a contribution to a Level 30 Governor Macquarie Tower means, the advancement, development and productive and sustainable economy, the 1 Farrer Place practical application of science to industry prosperity of our nation, the health and Sydney NSW 2000 and commerce wellbeing of its people, and the protection of our environment.
    [Show full text]
  • What Have We Learnt? Tokyo, Japan a SUMMARY of the INFORMATION GAINED from the 60 COUNTRIES BOOK
    AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences April 12, 2018 What have we learnt? Tokyo, Japan A SUMMARY OF THE INFORMATION GAINED FROM THE 60 COUNTRIES BOOK Jeffrey Braithwaite, PhD, FAIM, FCHSM, Yukihiro Matsuyama, PhD FFPHRCP, FAcSS, Hon FRACMA, FAHMS Research Director, The Canon Institute Professor and Director, Australian for Global Studies Institute of Health Innovation Affiliate Professor, Chiba University of Director, Centre for Healthcare Resilience Commerce and Implementation Science Honorary Professor, Australian Institute International Senior Fellow, CIGS of Health Innovation Australian Institute of Health Innovation Our mission is to enhance local, institutional and international health system decision- making through evidence; and use systems sciences and translational approaches to provide innovative, evidence-based solutions to specified health care delivery problems. www.aihi.mq.edu.au マッコリー大学 オーストラリア医療イノベーション研究所 我々の使命は、現場の、制度上の、国際的な医療制 度の意思決定をエビデンスに基づいて行うことを促進す ること、及び、システム科学や変革を促すアプローチを駆使 することによってヘルスケア提供上の個々の問題に対し て画期的でエビデンスに基づく解決方法を提供すること である。 www.aihi.mq.edu.au Australian Institute of Health Innovation Westbrook 教授 JB教授の奥様で医療情報学の権威 Australian Institute of Health Innovation •Professor Jeffrey Braithwaite • Foundation Director, AIHI; Director, Centre for Healthcare Resilience and Implementation Science •Professor Enrico Coiera Director, Centre for Health Informatics •Professor Johanna Westbrook Director, Centre for Health Systems and Safety Research [Health care systems: future
    [Show full text]
  • Safety Quality Performance Valediction
    The Australian Council on Healthcare Standards ANNUAL REPORT 2006-07 Safety Quality Performance VALEDIctION DR EDWARD ‘TED’ BooTH AM It is with great sadness that the ACHS recognises the recent passing of Dr Edward ‘Ted’ Booth AM. Dr Booth was a respected radiologist from Sydney, past President (1966–1967) of the NSW branch of the Australian Medical Association and the first Chairman of the Joint Steering Committee on Hospital Accreditation (which evolved to become the ACHS). Working with some very dedicated individuals, he was a dynamic force in establishing research into developing an accreditation program for public hospitals throughout Australia. It was the first time two such powerful and influential groups (NSW AMA and Victorian AHA) had met and worked together in a formal Pictured: Employees and consumers from the Royal Brisbane and Royal Women’s Hospitals and the structure outside the framework of their professional bodies. 63 Balmain Hospital and Eastern Sector Aged Community Services, Sydney Dr Booth was also a former President of the Royal Australian and New Zealand College of Radiologists (1964–1965). The ACHS is indebted to Dr Booth for his contribution to the development of internationally recognised accreditation for Australian health services. The Australian Council on Healthcare Standards safety, quality, performance ACHS ANNUAL REPORT 2006-07 The Australian Council on Healthcare Standards (ACHS) would like to thank our own employees as well as the management, employees, consumers and visitors at the following member organisations, for participating in the photography for this Annual Report: • Balmain Hospital and Eastern Sector Aged Community Services, Sydney • Royal Brisbane and Royal Women’s Hospitals, Brisbane • Royal Prince Alfred Hospital, Sydney • Skin & Cancer Foundation Westmead Day Clinic, Sydney • St Luke’s Hospital Complex, Sydney • The Ophthalmic Surgery Centre (Chatswood), Sydney • The Sydney Eye Specialist Centre (Kingsford), Sydney The ACHS seeks to treat indigenous cultures and beliefs with respect.
    [Show full text]
  • From Safety-I to Safety-II: a White Paper
    From Safety-I to Safety-II: A White Paper Professor Erik Hollnagel University of Southern Denmark, Institute for Regional Health Research (IRS), Denmark Center for Quality, Region of Southern Denmark Professor Robert L Wears University of Florida Health Science Center Jacksonville, United States of America Professor Jeffrey Braithwaite Australian Institute of Health Innovation, Macquarie University, Australia First published in 2015 by The Authors Printed and bound by: © Erik Hollnagel, Robert L Wears, Jeffrey Braithwaite This report is published by the authors for information purposes. It may be copied in whole or in part, provided that the original document is mentioned as the source and it is not used for commercial purposes (i.e. for financial gain). The information in this document may not be modified without prior written permission from the authors. National Library of Congress Cataloguing-in-Publication data: Suggested citation: Hollnagel E., Wears R.L. and Braithwaite J. From Safety-I to Safety-II: A White Paper. The Resilient Health Care Net: Published simultaneously by the University of Southern Denmark, University of Florida, USA, and Macquarie University, Australia. ISBN: TBA From Safety-I to Safety-II: A White Paper Executive summary The publication of the IOM report To Err is Human in 2000 served as a catalyst for a growing interest in improving the safety of health care. Yet despite decades of attention, activity and investment, improvement has been glacially slow. Although the rate of harm seems stable, increasing demand for health services, and the increasing intensity and complexity of those services (people are living longer, with more complex co-morbidities, and expecting higher levels of more advanced care) imply that the number of patients harmed while receiving care will only increase, unless we find new and better ways to improve safety.
    [Show full text]
  • Patient Safety First Leading Experts Survey the Governance of Clinical Care
    PATIENT Each year more people die in health care accidents than in road accidents. Increasingly complex medical treatments and overstretched health systems create more opportunities for things to go wrong, and they do. Judith Healy Patient safety is now a major regulatory issue around the world, and Australia has been at its leading edge. Self-regulation by professional and industry groups is now widely regarded as insufficient, and government is stepping in. SAFE SAFE Y In Patient Safety First leading experts survey the governance of clinical care. Framed within a theory of responsive regulation, core regulatory approaches to patient safety PATIENT are analysed for their effectiveness, including information systems, corporate and public institution governance models, the design of safe systems, the role of medical & boards, open disclosure and public inquiries. Dugdale Paul Patient Safety First includes chapters by Bruce Barraclough, John Braithwaite, Stephen Duckett and Ian Freckleton SC. It is essential reading for all medical and legal SAFE Y professionals working in patient safety as well as readers in public health, health policy and governance. FIRST JUDITH HEALY is Associate Professor in the Regulatory Institutions Network at the Australian National University. She is co-editor of Hospitals in a Changing Europe and Accessing Health Care. PAUL DUGDALE is Director of Chronic Disease Management for ACT Health and Associate Professor of Public Health at the Australian National University. He is the FIRST author of Doing Health Policy
    [Show full text]
  • Annual Report 2006
    CENTRE FOR CLINICAL GOVERNANCE RESEARCH IN HEALTH Annual Report 2006 Centre for Clinical Governance Research in Health The Centre for Clinical Governance Research in Health undertakes strategic research, evaluations and research- based projects of national and international standing with a core interest to investigate health sector issues of policy, culture, systems, governance and leadership. TABLE OF CONTENTS 1. Centre Mission Statement 2 2. Objectives and Principles 4 3. Director's Review 6 4. Management Committee 12 5. Staff Listing 14 6. Staff Profiles 16 7. Full Time Scholarship Research Students 32 8. Part –time Off-campus Research Students 37 9. Research Student Projects 42 10. Centre Projects 50 11. Collaborations 79 12. Education and Extension Activities 82 13. Publications and Presentations 2003-2006 84 14. Financial Overview 124 15. Centre Enquiries 126 Centre for Clinical Governance Research in Health ● UNSW ● Annual Report i CENTRE STAFF 2006 A Group of Centre staff at a meeting in November, 2006. Standing (left to right): Joanne Travaglia, Professor Jeffrey Braithwaite. Seated (left to right): Peter Nugus, Sue Christian-Hayes, Dr David Greenfield. The full complement of Centre staff is listed below. Centre for Clinical Governance Research in Health ● UNSW ● Annual Report 1 Mission Statement MISSION The Centre for Clinical Governance Research in Health is an International research capability in the Faculty of Medicine at the University of New South Wales. Its core focus and mission are to investigate and provide new knowledge about policy, governance, organisation, work and leadership in the health sector. As a health research facility, the Centre strives to be theoretically and methodologically progressive and industry-relevant.
    [Show full text]
  • Jeffrey Braithwaite
    Big systems transformation in the context of complexity: from British Columbia to the world and back February 27, 2019 British Columbia Quality Forum, Canada Jeffrey Braithwaite, PhD, FIML, FCHSM, FFPHRCP, FAcSS, Hon FRACMA, FAHMS Professor and Director Australian Institute of Health Innovation Director Centre for Healthcare Resilience and Implementation Science President Elect International Society for Quality in Health Care (ISQua) Disclosure I have no affiliations with any commercial organizations THE INTERNATIONAL SOCIETY FOR QUALITY IN HEALTH CARE ISQua's Mission Statement: “To inspire and drive improvement in the quality and safety of health care worldwide through education and knowledge sharing, external evaluation, supporting health systems and connecting people through global networks.” Our vision is to be the global leader of transformation in healthcare quality and safety. ISQua’s Fellowship Programme IEEA ACCREDITATION ISQua’s External Evaluation Association (IEEA) Big systems transformation in the context of complexity: from British Columbia to the world and back February 27, 2019 British Columbia Quality Forum, Canada Jeffrey Braithwaite, PhD, FIML, FCHSM, FFPHRCP, FAcSS, Hon FRACMA, FAHMS Professor and Director Australian Institute of Health Innovation Director Centre for Healthcare Resilience and Implementation Science President Elect International Society for Quality in Health Care (ISQua) Australian Institute of Health Innovation Our mission is to enhance local, institutional and international health system decision-making
    [Show full text]