## Lecture Topics: 1. Introduction and basic concepts: the interconnection of safety, quality, and sustainability; their interdependencies and challenges. The importance of these three pillars for modern healthcare systems. Global and local context (e.g. WHO, Czech legislation). 2. Patient and healthcare worker safety: key aspects of safety, prevention of adverse events, medication and prescribing errors, and safety of healthcare facilities and working environments. 3. Tools and methods of risk management: Root Cause Analysis (RCA), Failure Mode and Effects Analysis (FMEA). Technologies supporting safety: electronic health records, alert systems, telemedicine. Safety culture: education and involvement of healthcare professionals in safety processes. 4. Quality in healthcare: definition and dimensions of healthcare quality ? accessibility, effectiveness, safety, equity, and patient-centred care. Quality management in healthcare organisations ? quality indicators and their measurement. 5. Accreditation processes and quality standards. 6. Continuous quality improvement: implementation of change using PDSA, Lean, and Six Sigma methods. 7. The role of clinical guidelines in ensuring quality of care. 8. Sustainability of healthcare systems: environmental sustainability ? environmental impact of healthcare facilities, waste, energy and water consumption, ?green hospitals?. Economic sustainability: cost management and efficient healthcare financing, evaluation of economic efficiency of interventions (e.g. cost-effectiveness analysis). Social sustainability: ensuring equitable access to healthcare, prevention and health promotion as key factors in reducing long-term system burden. 9. Integration of safety, quality, and sustainability: how safety and quality contribute to healthcare system sustainability. Synergies between digitalisation, technological innovation, and these three pillars. Case studies: successful examples of integration of safety, quality, and sustainability. 10. Challenges and future trends: digitalisation of healthcare ? artificial intelligence, personalised medicine, telemedicine. Global threats: pandemics, climate change, migration. Vision of a future healthcare system: resilient, sustainable, and safe.
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The course *Safety, Quality and Sustainability in Healthcare* provides a comprehensive overview of the interconnection of three key pillars of healthcare systems: patient safety, quality of care, and long-term sustainability. The course focuses on analysing challenges, designing systemic solutions, and implementing strategies that improve the efficiency of healthcare services, minimise risks for patients and healthcare professionals, and ensure the long-term resilience and sustainability of healthcare systems. It integrates theoretical knowledge with practical skills and prepares doctoral students for an active role in research and innovation within healthcare systems, with the aim of ensuring safety, quality, and long-term sustainability of care.
After completing the course, the student will be able to: 1. Understand the basic principles and interconnections of safety, quality, and sustainability in healthcare. 2. Analyse current challenges and propose systemic solutions for healthcare organisations. 3. Apply tools and methods of quality and safety management and integrate them into practice. 4. Evaluate the impact of healthcare interventions on the sustainability of the system. 5. Contribute to research and practice in the fields of safety, quality, and sustainability.
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[1] National Health Service. (2019). The NHS Long Term Plan. Retrieved from https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/.
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[1] National Health Service. (2019). The NHS Long Term Plan. Retrieved from https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/.
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[10] World Health Organization. (2021). Global strategic directions for nursing and midwifery 2021-2025. In Global strategic directions for nursing and midwifery 2021-2025. Retrieved from https://www.who.int/publications/i/item/9789240033863.
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[3] World Health Organization. (2019). Global Patient Safety Action Plan 2021?2030: Towards Eliminating Avoidable Harm in Health Care. Retrieved from https://www.who.int/publications/i/item/9789240032705.
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[4] World Health Organization. (2020). WHO Global Strategy on Health, Environment and Climate Change: The Transformation Needed to Improve Lives and Well-Being Sustainably Through Healthy Environments. Retrieved from https://www.who.int/publications/i/item/9789240000377.
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[9] World Health Organization, Regional Office for Europe. Retrieved from https://www.euro.who.int/en/publications/abstracts/improving-healthcare-quality-in-europe-characteristics,-effectiveness-and-implementation-of-different-strategies-2019.
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Braithwaite, J., Mannion, R., Matsuyama, Y., Shekelle, P. G., Whittaker, S., Al-Adawi, S.. & Hughes, C. F. (2018). The future of health systems to 2030: a roadmap for global progress and sustainability. International Journal for Quality in Health Care, 30(10), 823-831..
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Busse, R., Klazinga, N., Panteli, D., & Quentin, W. (2019). Improving healthcare quality in Europe: characteristics, effectiveness and implementation of different strategies (2019) (p. 20203170674)..
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[3] Haque, M., McKimm, J., Sartelli, M., Dhingra, S., Labricciosa, F. M., Islam, S.. & Charan, J. (2020). Strategies to prevent healthcare-associated infections: a narrative overview. Risk management and healthcare policy, 1765-1780.
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[4] Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S.. & Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet global health, 6(11), e1196-e1252..
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[5] Lawomirski, L., Auraaen, A., & Klazinga, N. S. (2018). The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. OECD Health Working Papers..
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[6] National Academies of Sciences, Medicine, Medicine Division, Board on Global Health, & Committee on Improving the Quality of Health Care Globally. (2018). Crossing the global quality chasm: improving health care worldwide..
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[8] Squires, J. E., Graham, I. D., Hutchinson, A. M., Linklater, S., Brehaut, J. C., Curran, J.. & Grimshaw, J. M. (2015). Understanding context in knowledge translation: a concept analysis study protocol. Journal of advanced nursing, 71(5), 1146-1155..
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