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Consumer Protection in Healthcare (Trust (Transparency (Follow evidence…
Consumer Protection in Healthcare
Cause of preventable death
Diagnostic errors
Inadequate fluid and drug management
Poor clinical monitoring
Problems in Care
Acts of Commission: Incorrect treatment/management
Unintended harm
Acts of Omission: Failure to treat with evidence
Never events: Serious events that should never happen if follow guidelines
What makes good Quality healthcare?
Processes of care changes
Improves outcomes: PROM
Structure
3 International deficiencies in healthcare
Different practice: Different Drs treat similar pts differently
Failure to measure outcomes.
Weak evidence base
Trust
Improve functioning of patient
Effective and effficient treatment
Manage chronically ill patients
No harm
Lacks legislation
Transparency
Follow evidence-based guidelines
Equity- Fairness
Activity rates (productivity)
Summary Hospital-level Mortality Indicator
HES: Hospital Episode Stats: Duration of stay, responsible staff, Dx.
Corruption- Hospices
Mortality rates 30 days from discharge vs. expected