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Ethics and quality improvement

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Ethics and quality improvement

  1. 1. Astrid Grgurich
  2. 2. Ethics NormativeMetaethics Ethics
  3. 3. When an outcome of a process or system does not meet the necessary or desired quality.To identify areas/processes that are causing deficit to a final outcome.To test and implement positive change. To monitor progress of outcomes.
  4. 4. Reduce harm and Ethical QI projets Is it justified andGoal of QI ? waste implications delayed/cancelled neceiessary?
  5. 5.  Health care organizations should recognize that QI cannot always be meaningfully differentiated from other activities that occur in the clinical arena, notably treatment and research
  6. 6.  Health care organizations should ensure that the rights and interests of patients involved in all health care activities – including QI – are adequately protected.
  7. 7.  Health care organizations should take care that efforts designed to protect patients do not unnecessarily encumber the QI process.
  8. 8.  Health care organizations should clearly define the locus of responsibility for the ethical conduct of QI.
  9. 9.  Health care organizations should proactively promote the ethical conduct of QI.
  10. 10.  QI activities should produce benefits that outweigh their potential burdens or risks.
  11. 11.  QI activities should respect each patient’s right to self-determination.
  12. 12.  QI activities should preserve patients’ privacy and confidentiality.
  13. 13.  QI activities should be fairly distributed across patient groups.
  14. 14.  Health care organizations should develop specific policies and procedures that fit their unique circumstances and needs
  15. 15.  Baily, M., Bottrell, M., Lynn, J., & Jennings, B. (2006). The ethics of using QI methods to improve health care quality and safety. Garrison, NY: The Hasting’s Center. Barclay, L. (2007). Guidelines issued for ethics of quality improvement. Annals of internal medicine, 146, 666-673. Gensler, H. (2011). Ethics. New York, NY: Routledge. Jennings, B., Baily, M., Bottrell, M., & Lynn, J. (Eds.). (2007). Health care quality improvement: Ethical and regulatory issues. Garrison, NY: The Hastings Center. National Centre for Ethics in Health Care. (2006). Recommendations for the ethical conduct of quality improvement. Retrieved from http://www.ethics.va.gov/docs/necrpts/NEC_Report_20020501_Ethical_Conduct_ of_Quality_Improvement.pdf U.S. Department of Health & Human. (2011). Report to congress: National strategy for quality improvement in health care. Ontario: Queens Printer. World Health Organization. (2000). Operational guidelines for ethics committees that review biomedical research. Geneva, Switzerland: Author. World Health Organization. (2012). Ethics. Retrieved from http://www.who.int/topics/ethics/en/

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