Veja como você pode navegar pelos conflitos relacionados à segurança do paciente e à qualidade do atendimento como gestor de saúde.

Establecer toda la parte documental, sobre seguridad del paciente y atención centrada en el paciente, por medio de un proceso de capacitación en cascada socializarlo a todo el personal para la aplicación de procesos, flujos y procedimientos; luego establecer un sistema de alerta y notificación para resolver de inmediato y registrar la resolución del evento adverso. Todo esto debe reflejarse en indicadores específicos para poder establecer los controles pertinentes

In addressing conflict in healthcare, stepping back to see the situation in terms of healthcare workers perspectives, and client side are relevant. Then the resolution of such demands 1. Respecting patients concerns and reassuring institution and leadership will always guide team to unconstitutionally offer the level best care, and 2. Acknowledging the efforts of staff, citing formerly achieved milestones and services, to keep the reputation and professionalism at high momentum as usual.

As a healthcare professional, successfully navigating conflicts related to patient safety and quality care requires a comprehensive understanding of the situation. This truly means listening attentively to everyone involved, gathering precise information, and recognizing the key issues at play. It's vital to cultivate an atmosphere where staff can express their concerns without fear of repercussions. By considering all viewpoints, we can effectively resolve conflicts and ensure the best outcomes for patient care. “Every patient deserves equal treatment, regardless of their background or circumstances. We cannot compromise on quality while striving for the best possible care for our patients.”

Understanding the actual cause and investigating it thoroughly is the key. Nothing should be overlooked. Applying simple steps for most of the routine problems can avoid it becoming a bigger problem. Keep it simple, approachable and preventing it from reaching a complex status should be practised.

This is certainly one of the most challenging situations one encounters in the healthcare sector: the stakes are high, the stakeholders come from a variety of backgrounds with varying opinions, biases, training and experience. The bottom line is institutional culture: we hear the adage that 'culture eats a strategy for breakfast'. If an organization has a solid foundation, then teams can address the challenges of patient safety: by feeling safe to speak up, sharing opinions respectfully and approaching it through a multidisciplinary solution to patient safety and other hospital processes. The leadership plays a crucial role here in leading. The end product is successful patient outcomes: this is value based care.

Para implementar a segurança do paciente em instituições hospitalares é de suma importância o apoio da alta gestão em busca de melhorias nos processos, sem essa parceria é muito difícil manter tudo o que foi alcançado. Lembrando sempre de envolver a equipe multidisciplinar, é preciso ter mais de um olhar, mais ideias e colocá-las em prática para melhorarmos o sistema. Sem esquecer do envolvimento da equipe da ponta, eles que passam a maior parte do tempo na assistência com o paciente, muitas vezes encontramos ideias e talentos que apenas o gestor não conseguiria. Essas mudanças de processo devem acontecer de maneira transversal, sem esquecer de envolver o paciente no cuidado saber sua opinião com uma escuta ativa e gentil.

Something which is very helpful is to engage stakeholders during the decision making process itself. Have complete clarity that decision/ resolution should be an outcome of keeping patient as a priority. Healthcare is not about having doctors or nurses only it is an intricate ecosystem and each component is vital, however with such multiple stakeholders conflicts are bound to emerge. I have seen that if patient safety and organisational vision is clear to all then it is easy to arrive at a decision. Not necessarily the decision is favourable to all stakeholders but it should be taken basis priority towards the patient and organisational vision &culture.

Engage stakeholders through regular meetings, forums, or focus groups to gather diverse perspectives on patient safety and care quality. Encourage active participation by providing a platform for all voices to be heard, ensuring inclusivity in decision-making processes. Foster transparency by sharing information about protocols, outcomes, and improvement initiatives. Seek input from frontline staff to understand operational challenges and identify solutions collaboratively. Empower patients and families by educating them on their rights and involving them in care planning discussions. Establish feedback mechanisms to continuously assess and address concerns promptly.

Engaging key stakeholders via a common dialogue session allows all stakeholders to clearly understand each other’s expectations. Doctors and nurses will be able to achieve a synergistic instead antagonistic effect in terms of conflict resolution. The main goal should be firmly focused on achieving the best clinical outcome for the patient.

The patient is always at the core of the healthcare universe. Ensuring safety and quality may not seem to directly impact revenue but, rest assured, it is worth every effort and capital. Freedom and ambiguity to report incidents, timely root cause analysis, robust systems in place, and constant quality checks will help escalate positive patient feedback and build a robust healthcare brand.

Agregar segurança para o paciente trazendo trabalho agregado não é custoso a longo prazo, visto que isso com o tempo se torna rotina e com certeza menor custo.

Uma ótima ferramenta de análise para essa perspectiva é o BOW TIE, que permite um análise de causas e consequências. Essa ferramenta direciona a elaboração de um plano de ação para prevenção e mitigação.

Para resolver conflictos, evalúa cómo las soluciones impactarán la atención al paciente, considerando la organización, recursos y moral del equipo. Prioriza la seguridad del paciente y toma decisiones que aseguren calidad en el cuidado.

Es importante tener una visión integral de las consecuencias de las decisiones, para ayudar a tenerlos visibles puedes apoyarte en la matriz de riesgos. Y lo más importante recuerda humanizar las decisiones estratégicas estableciendo como impactaran la vida y la salud de los usuarios finales.

Na minha experiencia de 24 anos como Enfermeira, sempre prezei pela Seguranca do Paciente. Mas, vejo como realidade o seguinte cenário: o Subdimensionamento de equipe, apesar da clara legislacao e empresas oferecendo baixos salarios e subsidios nao atrativos. Como consequencia, uma alta rotatividade de profissionais, que exige uma energia dispendida enorme para treinamentos, e o PDCA nao gira com eficiencia. Assim, a Matriz de Riscos continua com escores elevados e a Gestao de riscos com registros repetitivos e sem tratamento de CAUSA RAIZ. A pergunta é: Se sabemos onde estamos errando, porque ainda nao fizemos o correto? Fica aqui minha humilde contribuicao.

Improving conflict management in patient health care systems requires a multifaceted approach focusing on communication, patient-centered care, training, collaboration, and support systems. Health care providers should be trained in active listening and clear communication, ensuring patients are involved in decision-making and can provide feedback through established channels.

4. **Developing Solutions:** - **Collaborative Problem-Solving:** Involve all relevant parties in brainstorming potential solutions to the issues identified. 6. **Fostering a Culture of Continuous Improvement:** - **Training and Education:** Provide regular training on patient safety, conflict resolution, and communication skills. - **Encouraging Reporting:** Create mechanisms for anonymous reporting and regularly survey staff on their comfort level in voicing concerns. - **Recognizing and Rewarding:** Recognize and reward teams and individuals who contribute significantly to improving patient safety and quality of care.

Toda mudança traz alterações tanto pro bem quanto pro mal. Pra minimizar os impactos negativos que uma mudança mais profunda possa causar no engajamento dos colaboradores, é crucial um gestor ter uma conversa franca com todos de sua equipe, com escuta ativa de sugestões e críticas, deixando claro os porquês e quais os ganhos esperados com a mudança.

This statement underscores the importance of ongoing evaluation and vigilance in healthcare conflict resolution. One has to keep these points for consideration: 1. Structured, well planned monitoring 2. Continuous Assessment 3. Managerial Responsibility 4. Patient-Centered Focus

Es clave una llamada de seguimiento unos días después . Comprobar que las medidas han sido eficaces y que el paciente ha quedado satisfecho

Tracking and trending events for individual users it’s should be welcomed especially to engage the staff of that department; by making them aware of how many falls for example and and making everyone accountable to reduce falls on their unit. This should be a gotcha moment but rather what WE going to do about reducing the number of falls.

"In God we trust, all others bring data." Without monitored results, the sector will be managed by feelings, which can fail. Define clear processes and KPIs that need to be monitored. Analyze these indicators regularly to ensure that the implemented changes are producing the expected results. Develop an efficient action plan, whether to maintain good results or to improve poor ones. Define performance indicators, customer satisfaction, and other relevant criteria for continuous performance evaluation. Regularly monitoring and analyzing these data allows you to identify areas for improvement and implement corrections quickly, ensuring that patient safety and quality of care are always prioritized.

Monitoring outcomes after implementing conflict resolution changes is crucial for ensuring patient safety and quality of care. By setting up mechanisms to track indicators like incident reports and patient feedback, healthcare managers can gauge the effectiveness of interventions and make necessary adjustments. This vigilance demonstrates a dedication to continuous improvement and the overall wellbeing of patients. Regular review of these metrics is essential for refining strategies and maintaining high standards in healthcare delivery.

Das wichtigste ist eine Sicherheitskultur. Für jeden Mitarbeiter muss es selbstverständlich sein, dass Fehler als Lernchancen begriffen werden. Die wichtigste Erkenntnis jeder macht Fehler, wichtig ist das man daraus lernt.

One thing which is well known and I have personally experienced is that culture can enhance harmony or fuel conflicts. Working on culture making sure that there is psychological safety helps to prevent future conflicts. A culture of tolerance and inclusion , valuing everyone does help.

Culture is key. When staff feel safe to speak up regarding unsafe procedures, patient safety is enhanced. Near miss reporting for errors help identify gaps before they result in potential harm. The only way to encourage this is to ensure staff are able to speak up regardless of position and traditional health care hierarchy. It can result in conflict, it if you put the patient in the middle and focus on what’s best for their outcome, it can remove some of the conflict as all are aligned on what we are here for.

- Doctors, nurses, and staff often face heavy workloads, long hours, and intense pressure to perform at a high level. This can lead to burnout, short tempers, and a lack of empathy that makes it difficult to maintain a positive culture. - Creating a positive culture starts at the top. Healthcare leaders must model the behaviors they want to see, such as active listening, conflict resolution, and putting patients first. - Fostering a positive culture is not a one-time event but an ongoing process that requires regular reinforcement. Conflict resolution and communication skills training should be provided to all staff on a regular basis.

A culture of high reliability first begins with the leadership. Every staff member within the hospital needs to feel empowered when they observe and or are part of an adverse event. Keeping the patient front of mind is key in reporting events.

Navigating conflicts regarding safety and quality of care for patients should begin with the fundamental belief that safety and quality are what every patient deserves. As the leader of a team of physicians and nurses responsible for the development of medical policies that determined access to medically necessary care for 3.8 million subscribers, we relied upon evidenced based data, supported by well designed clinical research and published in peer reviewed resources. We discussed conflicting information or view points but resolved them by what was safe, resulting quality outcomes, patient satisfaction and cost effectiveness.

Pour une efficacité et efficience il faut encourager une culture de communication ouverte où le staff se sent à l’aise de signaler des problèmes de sécurité et de qualité. Dans le cadre de votre plan de formation annuel planifiez des formations et des ateliers sur la sécurité des patients et la qualité des soins avec des protocoles et procédures à suivre. (Sans oublier la gestion du stress, la relation patients/soignants pour éviter tout problème lié à la sécurité et à la qualité des soins) Des audits qualités permettront de suivre les pratiques et d’ajuster si nécessaire. Enfin il faut impliquer les médecins, les infirmières, et les autres professionnels de la santé, dans le processus de prise de décision et de résolution des conflits.

I found nonjudgmental listening to colleagues would reveal more facts, and run discussions at ease. Academic discussions are at same time geared towards covering patient care issues.

Navigating conflicts between patient safety and quality as a manager in a healthcare setting requires a balanced approach that prioritizes both aspects while resolving disputes effectively. Here are detailed strategies to help you manage these conflicts: 1. Understand the Sources of Conflict. 2. Establish Clear Priorities and Policies. 3. Foster a Collaborative Culture.

Como gestor de saúde, navegar pelos conflitos relacionados à segurança do paciente e à qualidade do atendimento é essencial para promover um ambiente saudável e eficiente. Aqui estão algumas estratégias que você pode considerar: Identificar rapidamente as situações conflituosas: Esteja atento a sinais de conflito entre membros da equipe ou com pacientes. Quanto mais cedo você identificar, mais fácil será intervir. Entender as origens do conflito: Explore as causas subjacentes dos conflitos. Pergunte às partes envolvidas sobre suas perspectivas e preocupações. Isso ajudará a abordar as raízes do problema. Utilizar técnicas de negociação e comunicação eficazes: Desenvolva habilidades de comunicação e negociação. soluções colaborativas.