Quality Management in Health with thesis
Master	TR-NQF-HE: Level 7	QF-EHEA: Second Cycle	EQF-LLL: Level 7

General course introduction information

Course Code:

SKY586

Course Name:

Accreditation in Health and Patient Safety

Course Semester:

Fall

Course Credits:

Theoretical	Practical	Credit	ECTS
3	0	3	10

Language of instruction:

Course Requisites:

Does the Course Require Work Experience?:

Yes

Type of course:

Department Elective

Course Level:

Master

TR-NQF-HE:7. Master`s Degree

QF-EHEA:Second Cycle

EQF-LLL:7. Master`s Degree

Mode of Delivery:

Face to face

Course Coordinator :

Dr.Öğr.Üyesi YILDIRIM BEYAZIT GÜLHAN

Course Lecturer(s):

Dr.Öğr.Üyesi HATİCE SEMRİN TİMLİOĞLU İPER

Course Assistants:

Course Objective and Content

Course Objectives:

The purpose of this course; The aim of this course is to reflect the concept of accreditation to health services and to provide students with a vision on how it is integrated into service processes in line with the requirements of the standard, based on an international accreditation standard. In addition to accreditation standards, risk points in processes that are risky in terms of “patient safety” and precautions to prevent these risks will be presented by considering the principles of human factor engineering, and the students will be informed about national laws and regulations on both subjects and accreditation requirements. they will be able to follow them up to date and add comments.

Course Content:

Definition of accreditation, returns, Joint Commission International Hospital Accreditation Standards, high-risk processes in healthcare institutions, patient safety goals and reflections on institutional policies, national patient and employee safety notification, reflection of errors in healthcare institutions and reducing risk by preventing errors

Learning Outcomes

The students who have succeeded in this course;

Learning Outcomes

1 - Knowledge
Theoretical - Conceptual
1) Establish an establishment procedure in line with the requirements of accreditation standards and define measurement methods for monitoring the performance of the created procedure in the field (homework) Explain the relationship between risk management and patient safety in health institutions in accordance with the requirements of the standard and national communiqué (participation in the questions asked during the course presentation + final exam - related questions)
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
Field Specific Competence
1) Identify events related to situations in which corrective and preventive methods are used in risk management and define related quality techniques (final exam - related questions). It fulfills the requirements regarding patient safety and patient and employee safety and can discuss the differences in terms of application in health institutions (midterm). Can discuss the requirements of accreditation standards and relate them to processes in health institutions (final exam - related questions)
Competence to Work Independently and Take Responsibility

Lesson Plan

Week	Subject	Related Preparation
1)	What is Accreditation What Accreditation Aims to Achieve JCI Accreditation Benefits of JCI Accreditation JCI Standards	• Course notes • Joint Commission Accreditation Standards Handbook
2)	Continuing Care and Maintenance Rights of Patients and Their Relatives	• Course notes • Joint Commission Accreditation Standards Handbook • Official newspaper - patient rights regulation
3)	Patient Evaluation Laboratory Services Imaging Services	• Course notes • Joint Commission Accreditation Standards Handbook • Official newspaper - radiation safety regulation
4)	Patient care Infection Control and Prevention	Course notes • Joint Commission Accreditation Standards Handbook • Official newspaper - regulation of medical waste control • Official newspaper - Patient and Employee Safety Communiqué
5)	Anesthesia and Surgical Care Surgical Procedures, Error Concept and Patient Safety Relationship	Beecher, H.K., The First Anesthesia Death and Some Remarks Suggested By It on the Fields of the Laboratory and the Clinic in the Appraisal of New Anesthetic Agents ”Anezthesiology, Vol. 2, 1941 UCLA (Center for Patient Safety and Quality), Volume 1, Issue 1, January 2002) • The Joint Commission, WHO Collaborating Center for Patient Safety Solutions. (2007). Performance of correct procedure at correct body site. Patient Safety Solutions, 1 (4) • Sample posters
6)	Drug Management and Usage Drug Management and Usage, The Concept of Error and Patient Safety Relationship	Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook
7)	Education of Patients and Their Relatives Management, Leadership and Guidance Employee Qualifications and Training	Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook
8)	Facility Management and Security	• Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook • Official newspaper - regulations on the management of hazardous chemicals
9)	Information Management and Communication	• Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook • Official newspaper - regulations on the management of hazardous chemicals
10)	Quality Improvement and Patient Safety	• Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook
11)	International Patient Safety Goals	• Course notes • Joint Commission Accreditation Standards Handbook • World Health Organization (WHO) and Safe Drug Practices Institute (ISMP) organizations resources
12)	Types of Accreditation Audit Audit Process Trace Method	• Course notes • Joint Commission Accreditation Standards Handbook • Joint Commission Accreditation Standards Inspection Handbook
13)	Patient Safety Definition Establishing Corporate Culture and Security Culture Strategic Target: Patient Safety Organizations and Objectives of Patient Safety Approaches to Patient Safety The Human Factor and the Concept of Error	• Course notes • Joint Commission Accreditation Standards Handbook • The Importance of Human Factor Engineering in Healthcare Organizations and Application Examples in the Field of Patient Safety
14)	Patient Identification, Error Concept and Patient Safety Relationship Errors in Management of the Care Environment and Its Relationship with Patient Safety Patient falls, the concept of error and the relationship between patient safety	• Course notes • The Importance of Human Factor Engineering in Healthcare Organizations and Application Examples in the Field of Patient Safety • The Joint Commission, WHO Collaborating Center for Patient Safety Solutions. (2007). Patient identification, Patient Safety Solutions, 1 (2) • The Joint Commission, WHO Collaborating Center for Patient Safety Solutions. (2007). Communication during patient hand-overs. Patient Safety Solutions, 1 (3). • Official newspaper - Patient and Employee Safety Communiqué

Sources

Course Notes / Textbooks:

Joint Commission Uluslararası Standartları El Kitabı
Joint Commission Uluslararası Standartları Denetim El Kitabı
Sağlık Kuruluşlarında İnsan Faktörü Mühendisliğinin Önemi ve Hasta Güvenliği Alanında Uygulama Örnekleri, Dr. Özlem Yıldırım

References:

http://www.who.int/en/
www.ismp.org
• Beecher, H.K., The First Anesthesia Death and Some Remarks Suggested By It on the Fields of the Laboratory and the Clinic in the Appraisal of New Anesthetic Agents” Anezthesiology,Vol.2, 1941
• Bliss JP, Dunn MC. (2000). Behavioural implications of alarm mistrust as a function of task workload. Ergonomics, 43:1283–1300.
• Bliss JP, Gilson RD, Deaton JE. (November 1995). Human probability matching behaviour in response to alarms of varying reliability. Ergonomics, 2300–12.
• Edworthy J, Hellier E. (2005). Fewer but better auditory alarms will improve patient safety. Quality and Safety in Health Care,14:212-215
• Fairbanks RJ, Caplan S. (2004). Poor interface design and lack of usability testing facilitate medical error. JC Journal on Quality and Safety, 30(10):579-584.
• Joint Commission Resources. (2006). Sentinel event alert: Tubing misconnections – a persistent and potentially deadly occurrence. Environment of Care News, Volume 9, Number 8, p. 4-5(2)
• Joint Commission Resources. (2008). Medication Use: A Systems Approach to Reducing Errors. 2nd ed, Oakbrook Terrace, Illinois.
• Kaye R, Crowley J. (2000). Medical Device Use-Safety: Incorporating Human Factors Engineering into Risk Management. US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health, Washington, DC, USA.
• Koutantji M, Davis R, Vincent C, et al. The patient’s role in patient safety: engaging patients, their representatives, and health professionals. Clin Risk;11:99–104; 2005.
• Kroemer K.H.E, Grandjean E. Fitting the task to the human, A textbook of occupational ergonomics, Fifth edition, Taylor and Francis Group, p. 319-346
• Leape L. Error in medicine. JAMA 1994;272:1851–7.
• Levien TL. (2006). International drug name confusion. Hospital Pharmacy, 41(7):697-709
• Look-Alike Sound-Alike Medication Names, Patient Safety Solutions, Volume 1, Solution 1, May 2007, WHO Collaborating Center for Patient Safety Solutions
• McEvoy G.K., ed.: Peginterferon alfa. In: AHFS Drug Information 2004. Bethesda, MD: American Society of Health-System Pharmacists, 2004, pp 755–759.
• Medication Errors Related to Product Names, Santell, John P.; Cousins, Diane D., Joint Commission Journal on Quality and Patient Safety, Volume 31, Number 11, November 2005 , pp. 649-654(6), Joint Commission Resources
• Murthy VSSN, Malhotra SK, Bala I, et al. Detrimental effects of noise on anaesthetists. Canadian J Anaesth 1995;42:608–11.
• National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). (2006). Recommendations to Reduce Medication Errors Associated with Verbal Medication Orders and Prescriptions. Oakbrook Terrace, IL.
• Norman D. The psychology of everyday things. New York: Basic Books, 1988:42.
• Park K. Human error. In: Salvendy G, ed. Handbook of human factors and ergonomics, 2nd ed. New York: John Wiley & Sons, :150–71, 1997.
• Patel VL, Kushniruk AW, Yang S, et al. Impact of a computer-based patient record system on data collection, knowledge organization, and reasoning. J Am Med Inform Assoc 2000;7:569–85.
• Reason J. Human error. Cambridge: Cambridge University Press, 1990.
• Reason J. Human error: models and management. BMJ; 320:768–70; 2000.
• Reason J. Managing the risks of organizational accidents. Aldershot, UK: Ashgate Publishing, 1997:1–126.
• Richardson WC, Briere R, eds. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press, 2001.
• Safe Design of Health Care Facilities, Safe design of healthcare facilities, J Reiling, Qual Saf Health Care 2006;15(Suppl I):i34–i40. doi: 10.1136/qshc.2006.019422
• Santell JP, Cousins DD. (2005). Medication errors related to product names. Joint Commission Journal on Quality and Patient Safety, 31(11):649-654.
• Spath PL. Partnering with patients to reduce medical errors. Chicago: AHA Press, 2004
• Ternov S. The human side of mistakes. In: Spath PL, eds. Error reduction in health care. San Francisco: Jossey Bass, 2000:97–138.
• The Joint Commission, WHO Collaborating Centre for Patient Safety Solutions. (2007). Performance of correct procedure at correct body site. Patient Safety Solutions, 1(4)
• To Err is Human, Building a Safer Health System, Institute of Medicine
• UCLA (Center for Patient Safety and Quality), Volume 1, Issue 1, January 2002 )
• Ulrich R, Zimring C. The role of the physical environment in the hospital of the 21st century: a once-in-a-lifetime opportunity, Report to The Center for Health Design, for the Designing for the 21st Century Hospital Project, 2004:3.
• Van Cott H: Human errors: Their causes and reduction. In Bogner MS (ed): Human Error in Medicine. Hillsdale, NJ: Lawrence Erlbaum Associates, pp 53–66, 1994.
• Veasey S, Rosen R, Barzansky B, et al. Sleep loss and fatigue in residency training: a reappraisal. JAMA 2002;288:1116–23.
• Warltier DC, Howard SK, Rosekind MR, et al. Fatigue in anesthesia, Anesthesiology 2002;97:1281–94.
• Welch DL. Human error and human factors engineering in health care. Biomed Instrum Technol ;31:627–31; 1997.
• Woods DD, et al: Behind Human Error: Cognitive Systems, Computers and Hindsight. Crew Systems Ergonomic Information and Analysis Center, Wright-Patterson U.S. Air Force Base, Dayton, OH, 1994.

Course-Program Learning Outcome Relationship

Learning Outcomes	1	2
Program Outcomes
1) Identify and analyze problems in healthcare delivery Can lead in the solution of problems related to quality management in the health sector, develop strategic approaches, and produce solutions related to problems. It can follow scientific and legal developments related to quality management in health, interpret it by combining it with information from different disciplines and create new information. It gives importance to team work and shares information.
2) By making due diligence using research and development methods, it makes new arrangements and improvements in the light of the data obtained, and solves the problems that arise using these methods. It gives importance to patient, employee and facility security, acts within the principles of medical ethics, contributes to the development of patient-patient relatives-health worker relations. Can establish quality management-accreditation systems in health, supervise, continuously improve and develop these systems in all areas of the health sector. It increases efficiency. Can manage scientific studies related to Quality in Health independently.

Course - Learning Outcome Relationship

No Effect	1 Lowest	2 Low	3 Average	4 High	5 Highest

	Program Outcomes	Level of Contribution
1)	Identify and analyze problems in healthcare delivery Can lead in the solution of problems related to quality management in the health sector, develop strategic approaches, and produce solutions related to problems. It can follow scientific and legal developments related to quality management in health, interpret it by combining it with information from different disciplines and create new information. It gives importance to team work and shares information.
2)	By making due diligence using research and development methods, it makes new arrangements and improvements in the light of the data obtained, and solves the problems that arise using these methods. It gives importance to patient, employee and facility security, acts within the principles of medical ethics, contributes to the development of patient-patient relatives-health worker relations. Can establish quality management-accreditation systems in health, supervise, continuously improve and develop these systems in all areas of the health sector. It increases efficiency. Can manage scientific studies related to Quality in Health independently.

Learning Activity and Teaching Methods

Expression
Lesson
Homework

Assessment & Grading Methods and Criteria

Written Exam (Open-ended questions, multiple choice, true-false, matching, fill in the blanks, sequencing)
Homework
Presentation

Assessment & Grading

Semester Requirements	Number of Activities	Level of Contribution
Attendance	14	% 10
Homework Assignments	5	% 20
Midterms	1	% 30
Final	1	% 40
total		% 100
PERCENTAGE OF SEMESTER WORK		% 60
PERCENTAGE OF FINAL WORK		% 40
total		% 100

Workload and ECTS Credit Grading

Activities	Number of Activities	Duration (Hours)	Workload
Course Hours	14	3	42
Study Hours Out of Class	14	14	196
Homework Assignments	5	10	50
Midterms	1	1	1
Final	1	2	2
Total Workload			291