1. Patient and Work Safety Based on Evidence
prof. MUDr. Martin Rusnák, CSc.
prof. MUDr. Viera Rusnáková, CSc., MBA
Faculty of healthcare and social work, trnava univ., slovakia

2. rusnakm@truni.sk; viera.rusnakova@truni.sk
Aims Quality at the Heart of Health Care means Safety for Patients and Staff

3. Quality and Safety. Why and How?
Quality and safety represents the management processes selected to enable compliance with standards of performance and the methods to routinely reassess the level of compliance.
The improvement philosophy of quality and safety management targets the implementation of strategies for raising the bar in performance, not focusing on the deficiencies that need correction.
The ultimate goal of quality and safety management is to improve the health of a population through identifying unwanted variation, instituting control strategies aimed at risk factors that affect the quality of care, and providing interventions that positively influence customer (patient) assessments of the quality of their care and their health outcomes.
Source: Oleske, D.M., Epidemiology and the Delivery of Health Care Services: Methods and Applications. 2009: Springer New York Dordrecht Heidelberg London.

4. rusnakm@truni.sk; viera.rusnakova@truni.sk

5. rusnakm@truni.sk; viera.rusnakova@truni.sk
Source: OECD Indicators.
Patient Experiences Surveys

6. rusnakm@truni.sk; viera.rusnakova@truni.sk
Points of Departure
Source: GOTTWALD, M. & LANSDOWN, G Clinical Governance: Improving The Quality Of Healthcare For Patients And Service Users, Mcgraw-Hill Publ.Comp.

7. Breakdown of components from the definition of clinical governance
Source: Gottwald, M. and G. Lansdown (2014). Clinical Governance: Improving The Quality Of Healthcare For Patients And Service Users. Maidenhead, Berkshire, England, Mcgraw-Hill Publ.Comp.

8. Public Health and Clinical Practice Guidelines Adapted to Local Conditions
Principle: use already developed guidelines and adapt them to Local environment
Focus on patient and workers safety first
Use ADAPTE and AGREE processes

9. Audit and Peer Review Licencing – minimal standards
Accreditation – level of care
Peer review
Indicators – monitoring and evaluation

10. Evidence Based Public Health
Public health Practice Guidelines
Protocols
Check lists
Public demand for standardized services

11. Education and Training
Training of Trainers
Training within Institutions
Learning by Doing

12. Continuous Quality Improvement
Quality Monitoring and Evaluation
Quality Reporting
Quality Projects/Initiatives
Quality Circles

13. Implementation

14. rusnakm@truni.sk; viera.rusnakova@truni.sk
When you can measure what you are speaking about, and express it in numbers, you know something about it. Lord Kelvin

15. rusnakm@truni.sk; viera.rusnakova@truni.sk
Let‘s join our skills and experiences to help our communities by measuring and knowledge based intervening to improve quality of life individually and globally.