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Patient Safety Organization
A patient safety organization (PSO) is an organization that seeks to improve medical care by advocating for the reduction of medical errors. Common functions of patient safety organizations include health care data collection, reporting and analysis on health care outcomes, educating providers and patients, raising funds to improve health care, and advocating for safety-oriented policy changes. In the United States, the term typically refers only to PSOs that have been formally recognized by the Secretary of Health and Human Services and listed with the Agency for Healthcare Research and Quality. A federally-designated PSO differs from a typical PSO in that it provides health care providers in the U.S. privilege and confidentiality protections in exchange for efforts to improve patient safety. In the 1990s, reports in several countries revealed a staggering number of patient injuries and deaths each year due to avoidable errors and deficiencies in health care, among them ...
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Medical Errors
A medical error is a preventable adverse effect of care ("iatrogenesis"), whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailments. The incidence of medical errors varies depending on the setting. The World Health Organization has named adverse outcomes due to patient care that is unsafe as the 14th causes of disability and death in the world, with an estimated 1/300 people may be harmed by healthcare practices around the world. Definitions A medical error occurs when a health-care provider chooses an inappropriate method of care or improperly executes an appropriate method of care. Medical errors are often described as human errors in healthcare. There are many types of medical error, from minor to major, and causality understanding and assessing if the likelihood that the specific event or factor was responsible for the negative outco ...
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National Patient Safety Agency
The National Patient Safety Agency (NPSA) was a special health authority of the National Health Service (NHS) in England. It was established in 2001 to monitor patient safety incidents, including medication and prescribing error reporting, in the NHS. Since 1 April 2005 it had also overseen safety aspects of hospital design and cleanliness, as well as food (transferred from NHS Estates). This extended its remit to include safety in medical research, through the Central Office for Research Ethics Committees (COREC). Between 2005 and April 2012 it hosted the National Clinical Assessment Service that aims to help in resolving concerns about the performance of individual doctors and dentists. Finally, it also managed the contracts with the three confidential enquiries: National Confidential Enquiry into Patient Outcome and Death; Confidential Enquiry into Maternal Deaths in the UK; National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. This responsi ...
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Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. The EBM Pyramid is a tool that helps in visualizing the hierarchy of evidence in medicine, from least authoritative, like expert opinions, to most authoritative, like systematic reviews. Adoption of evidence-based medicine is necessary in a human Rights-based approach to development, rights-based approach to public health and a precondition ...
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Bill Clinton
William Jefferson Clinton (né Blythe III; born August 19, 1946) is an American politician and lawyer who was the 42nd president of the United States from 1993 to 2001. A member of the Democratic Party (United States), Democratic Party, he previously served as the attorney general of Arkansas from 1977 to 1979 and as the governor of Arkansas from 1979 to 1981, and again from 1983 to 1992. Clinton, whose policies reflected a centrist "Third Way" political philosophy, became known as a New Democrats (United States), New Democrat. Born and raised in Arkansas, Clinton graduated from Georgetown University in 1968, and later from Yale Law School, where he met his future wife, Hillary Clinton, Hillary Rodham. After graduating from law school, Clinton returned to Arkansas and won election as state attorney general, followed by Governorships of Bill Clinton, two non-consecutive tenures as Arkansas governor. As governor, he overhauled the state's education system and served as Chai ...
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Northern Ireland Public Services Ombudsman
The office of the Northern Ireland Public Services Ombudsman (NIPSO), formerly known as the Northern Ireland Ombudsman, was first established in Northern Ireland in 1969. The role of an independent ombudsman An ombudsman ( , also ) is a government employee who investigates and tries to resolve complaints, usually through recommendations (binding or not) or mediation. They are usually appointed by the government or by parliament (often with a sign ... was originally created as a response to the Northern Ireland civil rights movement, and complaints of institutional bias and discrimination in the areas of housing and jobs. Among the office's governing statutes were the Commissioner for Complaints Act (Northern Ireland) 1969, and the later Ombudsman (Northern Ireland) Order 1996 and Commissioner for Complaints (Northern Ireland) Order 1996. In April 2016, under the , the Office of Northern Ireland Public Services Ombudsman (NIPSO) was established to consolidate the former off ...
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Public Services Ombudsman For Wales
The Public Services Ombudsman for Wales () was established bsection 1(1)of the Public Services Ombudsman (Wales) Act 2005. The Public Services Ombudsman for Wales brings together the jurisdictions of various offices he replaced, namely the Local Government Ombudsman for Wales, the Health Service Ombudsman for Wales, the Welsh Administration Ombudsman and the Social Housing Ombudsman for Wales. The Ombudsman has a dual role. Firstly, under the above Act, he investigates complaints by members of the public concerning maladministration, failure in a relevant service or failure to provide a relevant service by any "listed authority" in Wales. Secondly, under the Local Government Act 2000, he is responsible for policing ethical standards in local authorities. The Ombudsman is appointed by the Monarch. The current Ombudsman is Michelle Morris who was appointed in April 2022. Maladministration and failure of service The "listed authorities" subject to the Ombudsman's supervision in ...
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Scottish Government
The Scottish Government (, ) is the executive arm of the devolved government of Scotland. It was formed in 1999 as the Scottish Executive following the 1997 referendum on Scottish devolution, and is headquartered at St Andrew's House in the capital city, Edinburgh. It has been described as one of the most powerful devolved governments globally, with full legislative control over a number of areas, including education, healthcare, justice and the legal system, rural affairs, housing, the crown estate, the environment, emergency services, equal opportunities, public transport, and tax, amongst others. Ministers are appointed by the first minister with the approval of the Scottish Parliament and the monarch from among the members of the Parliament. The Scotland Act 1998 makes provision for ministers and junior ministers, referred to by the current administration as Cabinet secretaries and ministers, in addition to two law officers: the lord advocate and the solicito ...
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Patient Safety Commissioner For Scotland
The Patient Safety Commissioner for Scotland is a public office to provide scrutiny of care that is independent of both government and the health service. The commissioner will "advocate for systemic improvement in the safety of health care, including forensic medical examinations, in Scotland and promote the importance of the views of patients and other members of the public in relation to the safety of health care". They have a remit that covers all health care providers operating in Scotland including the NHS, NHS contracted and independent healthcare providers. The commissioner will be responsible formal investigations being conducted where there are concerns and safety issues are possible, making use of patients and members of the public. The commissioner has been given the authority to require people to provide information. History An independent review by Baroness Cumberlege into harm sustained by patients reported in July 2020, with recommendations directed towards th ...
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Patient Safety Commissioner
The Patient Safety Commissioner is a UK public position, overseeing an independent advisory body of the same name. The position was created following the passing of the ''Medicines and Medical Devices Act 2021'', effective on 11 February 2021, promoting patient safety. This entails listening, advocating, holding the system to account, monitoring trends, and demanding action where necessary as recommended by the Cumberlege Report.{{Cite web, title=First Do No Harm: The report of the Independent Medicines and Medical Devices Safety Review, url=https://www.immdsreview.org.uk/downloads/IMMDSReview_Web.pdf, access-date=2024-07-03, archive-date=2024-03-08, archive-url=https://web.archive.org/web/20240308231539/https://www.immdsreview.org.uk/downloads/IMMDSReview_Web.pdf, website=The Independent Medicines and Medical Devices Safety Review The Commissioner's work is politically independent, and the position of a commissioner lasts three years. See also *Patient Safety Commissioner for ...
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National Patient Safety Agency
The National Patient Safety Agency (NPSA) was a special health authority of the National Health Service (NHS) in England. It was established in 2001 to monitor patient safety incidents, including medication and prescribing error reporting, in the NHS. Since 1 April 2005 it had also overseen safety aspects of hospital design and cleanliness, as well as food (transferred from NHS Estates). This extended its remit to include safety in medical research, through the Central Office for Research Ethics Committees (COREC). Between 2005 and April 2012 it hosted the National Clinical Assessment Service that aims to help in resolving concerns about the performance of individual doctors and dentists. Finally, it also managed the contracts with the three confidential enquiries: National Confidential Enquiry into Patient Outcome and Death; Confidential Enquiry into Maternal Deaths in the UK; National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. This responsi ...
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Guideline (medical)
A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine. They usually include summarized consensus statements on best practice in healthcare. A healthcare provider is obliged to know the medical guidelines of their profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment. Background Modern clinical guidelines identify, summarize and evaluate the highest quality evidence and most current data about prevention, diagnosis, pro ...
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