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Improving patient safety and physician accountability using the hospital credentialing process

ABSTRACT: The lack of systematic oversight of physician performance has led to some serious cases related to physician competence and behaviour. We are currently implementing a hospital-wide approach to improve physician oversight by incorporating it into the hospital credentialing process. Our prop...

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Autores principales: Forster, Alan J, Turnbull, Jeff, McGuire, Shaun, Ho, Michael L, Worthington, JR
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Medicine Publications, Inc. 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148001/
https://www.ncbi.nlm.nih.gov/pubmed/21915238
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author Forster, Alan J
Turnbull, Jeff
McGuire, Shaun
Ho, Michael L
Worthington, JR
author_facet Forster, Alan J
Turnbull, Jeff
McGuire, Shaun
Ho, Michael L
Worthington, JR
author_sort Forster, Alan J
collection PubMed
description ABSTRACT: The lack of systematic oversight of physician performance has led to some serious cases related to physician competence and behaviour. We are currently implementing a hospital-wide approach to improve physician oversight by incorporating it into the hospital credentialing process. Our proposed credentialing method involves four systems: (1) a system for monitoring and reporting clinical performance; (2) a system for evaluating physician behaviour; (3) a complaints management system; and (4) an administrative system for maintaining documentation. In our method, physicians are responsible for implementing an annual performance assessment program. The hospital will be responsible for the complaints management system and the system for collecting and reporting relevant health outcomes. Physicians and the hospital will share responsibility for monitoring professional behaviour. Medical leadership, effective governance, appropriate supporting information systems and adequate human resources are required for the program to be successful. Our program is proactive and will allow our hospital to enhance safety through a quality assurance framework and by complementing existing safety activities. Our program could be extended to non-hospital physicians through regional health or provider networks. Central licensing authorities could help to coordinate these programs on a province- or state-wide basis to ensure uniformity of standards and to avoid duplication of efforts.
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spelling pubmed-31480012011-09-13 Improving patient safety and physician accountability using the hospital credentialing process Forster, Alan J Turnbull, Jeff McGuire, Shaun Ho, Michael L Worthington, JR Open Med Review ABSTRACT: The lack of systematic oversight of physician performance has led to some serious cases related to physician competence and behaviour. We are currently implementing a hospital-wide approach to improve physician oversight by incorporating it into the hospital credentialing process. Our proposed credentialing method involves four systems: (1) a system for monitoring and reporting clinical performance; (2) a system for evaluating physician behaviour; (3) a complaints management system; and (4) an administrative system for maintaining documentation. In our method, physicians are responsible for implementing an annual performance assessment program. The hospital will be responsible for the complaints management system and the system for collecting and reporting relevant health outcomes. Physicians and the hospital will share responsibility for monitoring professional behaviour. Medical leadership, effective governance, appropriate supporting information systems and adequate human resources are required for the program to be successful. Our program is proactive and will allow our hospital to enhance safety through a quality assurance framework and by complementing existing safety activities. Our program could be extended to non-hospital physicians through regional health or provider networks. Central licensing authorities could help to coordinate these programs on a province- or state-wide basis to ensure uniformity of standards and to avoid duplication of efforts. Open Medicine Publications, Inc. 2011-05-10 /pmc/articles/PMC3148001/ /pubmed/21915238 Text en http://creativecommons.org/licenses/by-nc-sa/2.5/ca/ Open Medicine applies the Creative Commons Attribution Share Alike License, which means that anyone is able to freely copy, download, reprint, reuse, distribute, display or perform this work and that authors retain copyright of their work. Any derivative use of this work must be distributed only under a license identical to this one and must be attributed to the authors. Any of these conditions can be waived with permission from the copyright holder. These conditions do not negate or supersede Fair Use laws in any country.
spellingShingle Review
Forster, Alan J
Turnbull, Jeff
McGuire, Shaun
Ho, Michael L
Worthington, JR
Improving patient safety and physician accountability using the hospital credentialing process
title Improving patient safety and physician accountability using the hospital credentialing process
title_full Improving patient safety and physician accountability using the hospital credentialing process
title_fullStr Improving patient safety and physician accountability using the hospital credentialing process
title_full_unstemmed Improving patient safety and physician accountability using the hospital credentialing process
title_short Improving patient safety and physician accountability using the hospital credentialing process
title_sort improving patient safety and physician accountability using the hospital credentialing process
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148001/
https://www.ncbi.nlm.nih.gov/pubmed/21915238
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