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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Perspective: Physician leadership in quality.

Peter J Pronovost¹, Marlene R Miller, Robert M Wachter

¹Department of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group, Johns Hopkins University School of Medicine, Baltimore, Maryland 21231, USA. ppronovo@jhmi.edu

Academic Medicine : Journal of the Association of American Medical Colleges

|November 27, 2009

Summary

Advancing patient safety requires developing physician-leaders in quality and safety science. Academic medical centers need better infrastructure and integrated roles to support these crucial leaders.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Healthcare Management
Patient Safety Science
Medical Education

Background:

Biomedical advances contrast with slow progress in patient safety and quality of care.
A key barrier is the shortage of physician-leaders trained in quality and safety science.
Academic medical centers (AMCs) face significant challenges due to insufficient training and infrastructure for these leaders.

Purpose of the Study:

To identify critical factors hindering progress in healthcare quality and safety.
To propose actionable initiatives for accelerating advancements in patient safety.
To advocate for the development and support of physician-leaders in quality and safety.

Main Methods:

The study reviews the current state of quality and safety leadership in AMCs.
It analyzes the deficiencies in training, infrastructure, and organizational roles.
Recommendations are based on limited empirical evidence and expert consensus.

Main Results:

There is a paucity of physician-leaders due to inadequate training and a failure to recognize healthcare delivery as a science.
Existing infrastructure in AMCs often lacks defined roles, clear responsibilities, and adequate support for quality and safety leaders.
Proposed initiatives include investing in quality and safety science, revising governance, and integrating roles.

Conclusions:

Significant improvements in patient safety and quality require strategic investment in physician-leaders.
Creating integrated roles, such as a vice dean for quality and hospital director of quality and safety, is crucial.
AMCs must provide robust support for the educational and operational functions of these leaders.