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Establishing a Just Culture: Implications for the Veterans Health Administration Journey to High Reliability.
Fed Pract
September 2024
Veterans Health Administration Office of Quality and Patient Safety, Washington, DC.
Background: To establish a culture of safety and improve patient care, the Veterans Health Administration (VHA) is identifying and implementing necessary parameters and objectives across the health care landscape to enhance services on its journey to becoming a high reliability organization (HRO).
Methods: This quality improvement initiative sought to increase the understanding of factors that influence the establishment and sustainment of a just culture and identify specific methods for improving their implementation. Focus groups of HRO leads at 16 VHA hospital facilities identified emergent themes, facilitators, and barriers to maintaining a just culture and developed recommendations for enhancing both psychological safety and accountabilitity.
Integrating competency-based, interprofessional teamwork education for students: guiding principles to support current needs and future directions.
Front Med (Lausanne)
January 2025
Department of Anesthesiology and Pain Management, Offices of the Undergraduate Medical Education and Quality, Safety and Outcomes Education, UT Southwestern Medical Center, Dallas, TX, United States.
Interprofessional teamwork is vital to effective patient care, and targeting healthcare learners earlier in their education can lead to greater improvement in confidence and competence in teamwork skills. Despite this, institutions have continued struggling to integrate competency-based interprofessional teamwork curriculum in undergraduate health care professions' education. The current article provides guidance related to design, implementation, and assessment for institutions seeking to implement competency-based teamwork education and training strategies for healthcare students.
View Article and Find Full Text PDFUnmet medical needs definition and incentives: stakeholders perspectives on the reform of the EU pharmaceutical legislation.
Front Med (Lausanne)
January 2025
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Introduction: The 2020 pharmaceutical strategy for Europe stressed that rethinking regulatory policies to foster innovation in disease areas with unmet medical needs (UMN) is one of the European Commission's (EC) priority areas. To understand stakeholders' views regarding appropriate UMN criteria and incentives, the EC developed a survey and launched it for public consultation between September and December 2021. This study aims to assess stakeholders' views on the policy revisions proposed by the EC, particularly those regarding the definition of UMN, its criteria and incentives and evaluate how stakeholders' views are reflected in the proposed reform of the EU pharmaceutical legislation of 2023.
View Article and Find Full Text PDFTowards a European health information system: The BRIDGE Health, InfAct and PHIRI projects.
J Health Monit
December 2024
Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany.
Background: National health systems in Europe are facing similar challenges - demographic change, a rising burden of disease due to chronic non-communicable diseases, and health inequalities. Comparable health data and knowledge sharing between countries are therefore an important basis for policy decision-making. However, health information in the European Union (EU) is fragmented and approaches to establishing a comprehensive system are largely project-based.
View Article and Find Full Text PDFExamining the integration of refugees into the national health system in Uganda: an analysis using the policy triangle framework.
Confl Health
January 2025
Department of Community Health and Behavioural Science, School of Public Health, College of Health Sciences, Makerere University, Mulago Hill Road, P.O. Box 7072, Kampala, Uganda.
Background: Uganda has been confronted with a sustained influx of refugees for decades. This prompted the government to explore opportunities to integrate refugees into local service structures including its national health system. This paper chronicles the history of policies and strategies that have influenced the integration of refugees into the national health system in Uganda and investigates factors that impacted policy evolution and progression.
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