Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Deviance Reporting as a Tool in Continuous Quality Improvement. Regulation and Stimulation through Legislation

Deviance Reporting as a Tool in Continuous Quality Improvement. Regulation and Stimulation... <jats:sec><jats:title>Abstract</jats:title><jats:p>Since 1994 all Norwegian hospitals have to report events of deviance (i.e. events that caused or might cause harm to any patient) to the "Database for Reported Events" of the Norwegian Board of Health. In 1997 in total 4,433 events were reported, of these 620 had 'major negative effect to the patient', while 113 were classified as unnatural deaths. Huge differences exist in the frequencies of hospitals' deviance reporting, ranging from less than one to more than 100 reports per 100.000 patient days.The regulation by law to report any major deviance event, enforces the local quality improvements in the hospital. The dialogue within and with the hospitals is stressed, to ensure the continuous quality improvement 'within service'. The legal regulations cause fear of sanctions from national authorities — which is not the purpose for the national system for deviance reporting. So far, the obligation to report to the national database seems to stimulate and fertilise the local handling of deviance events within the hospitals, as the number of events reported is steadily increasing.A survey including all hospitals and their owners indicate that the hospital managers only to some degree actually use the experiences gained through deviance reporting to stimulate continuous quality improvement, as the feed-back loop is not used systematically. The knowledge on infirmities, reported as deviance events, is only rarely taken into consideration in long-term planning and budgeting by the hospital owners.</jats:p> </jats:sec> http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Health Law Brill

Deviance Reporting as a Tool in Continuous Quality Improvement. Regulation and Stimulation through Legislation

Eggen; Eliassen
European Journal of Health Law , Volume 6 (2): 173 – Jan 1, 1999
Download PDF
8 pages

Loading next page...
 
/lp/brill/deviance-reporting-as-a-tool-in-continuous-quality-improvement-u053wW97PG

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Brill
Copyright
© 1999 Koninklijke Brill NV, Leiden, The Netherlands
ISSN
0929-0273
eISSN
1571-8093
DOI
10.1163/15718099920522776
Publisher site
See Article on Publisher Site

Abstract

<jats:sec><jats:title>Abstract</jats:title><jats:p>Since 1994 all Norwegian hospitals have to report events of deviance (i.e. events that caused or might cause harm to any patient) to the "Database for Reported Events" of the Norwegian Board of Health. In 1997 in total 4,433 events were reported, of these 620 had 'major negative effect to the patient', while 113 were classified as unnatural deaths. Huge differences exist in the frequencies of hospitals' deviance reporting, ranging from less than one to more than 100 reports per 100.000 patient days.The regulation by law to report any major deviance event, enforces the local quality improvements in the hospital. The dialogue within and with the hospitals is stressed, to ensure the continuous quality improvement 'within service'. The legal regulations cause fear of sanctions from national authorities — which is not the purpose for the national system for deviance reporting. So far, the obligation to report to the national database seems to stimulate and fertilise the local handling of deviance events within the hospitals, as the number of events reported is steadily increasing.A survey including all hospitals and their owners indicate that the hospital managers only to some degree actually use the experiences gained through deviance reporting to stimulate continuous quality improvement, as the feed-back loop is not used systematically. The knowledge on infirmities, reported as deviance events, is only rarely taken into consideration in long-term planning and budgeting by the hospital owners.</jats:p> </jats:sec>

Journal

European Journal of Health Law – Brill

Published: Jan 1, 1999

There are no references for this article.