Effective Leadership to Prevent Errors
Surgery center leadership structures and systems must be established to ensure and perpetuate a Culture of Safety. The measure assesses whether surgery centers have taken action across four dimensions:
- Awareness, including ensuring regular board conversations about safety issues, including patients and their families in safety and quality committees, reporting events to the community, and communicating with staff
- Accountability, including sustaining a patient safety program, appointing safety-specific leadership, incorporating system performance into performance reviews and compensation, and reporting events to accountability programs
- Ability, including dedicating patient safety program budgets to permit investments to support patient safety programs
- Action, including engaging the CEO and senior leadership in patient safety meetings
Reporting Period
- Latest 24 months prior to Survey submission
Patients Included in the Measure
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Outpatients (Patients who are admitted and discharged on the same day)
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Adults and Children