Consolidated controls in hospitals revealed the need for changes

 

        For the second year in a row State Health Care Accreditation Agency under the Ministry of Health (Accreditation agency) has been carrying out consolidated routine inspections of health care facilities. High-risk areas of health care services, especially concerning patient safety, have been addressed and inspected in 2016. Overall there were 26 health care facilities inspected in order to determine compliance with certain standards of secondary (hospital level) obstetrics, adult surgery and intensive care unit services. A number of violations have been detected and this situation reveals the need for local and systemic changes. Therefore Accreditation Agency is continuing implementation and development of this preventive activity in 2017. Accreditation Agency has already scheduled 30 consolidated routine inspections of healthcare providers for this calendar year.

         Consolidated routine inspections conducted in 2016 revealed systemic (common to all 26 facilities) problems and repeated violations of the legislation. The majority of inspected healthcare providers weren’t able to deliver 24/7 access to the patients of certain health care services due to a lack of healthcare specialists. Accreditation Agency has disclosed cases of practicing medicine without a license in approx. 40 % of inspected objects. Another big issue is the qualification factor - qualification of a number of healthcare specialists (especially obstetricians and neonatologists) didn‘t meet the requirements (i.e. lack of qualification). Moreover it was uncovered that approx. 1/2 of inspected objects have used medical devices after the expiration date and following ineffective (lack, irregular and poor-planned) maintenance programs of medical devices. Approx. 50 % of health care facilities inspected lacked mandatory first aid supplies and violated regulations concerning first aid requirements. Another issue revealed – failure of internal quality control system (i.e. ineffective or irregularly operated) and lack of qualification and training for quality control specialists. Accreditation agency considers these violations as the need for local and systemic changes.

          Accreditation agency has obliged all 26 healthcare providers inspected to take measures to eliminate the detected violations for a certain period of time. Depending on the nature and severity of the violation, various sanctions have been applied. Overall 4 objects for minor violations and 20 for severe violations of the law have been warned to eliminate the violations, otherwise causing license suspension. Additionally 2 healthcare facilities for a gross violation of the rules have resulted in a license restrictions. In order to improve the quality of health care services and to ensure the patient safety, Accreditation agency has submitted 108 recommendations for healthcare facilities. These recommendations covered a range of issues, e.g., structural changes, development of internal quality control systems and standard operating procedures (SOP), improving for medical records filling, ensuring the safe use of medical devices and etc.

         Accreditation agency notifies that some types of violations can be resolved locally, but there is also a need for systemic changes. Therefore Accreditation agency has submitted 9 suggestions regarding adjusting the legislation to the Ministry of Health.

        “Over the past two years consolidated routine inspections revealed the need for changes – local and systemic. Local ones must be carried out by the healthcare providers in order to ensure the quality of health care services. Systemic changes refer to legislation adjustments aimed at enhancing health care services. Accreditation agency will continue and develop this preventive activity. There are totally 30 inspections scheduled already for this year (2017). Furthermore information about health care facilities for a severe or repetitive violation of legislation will be available online at Accreditation agency website www.vaspvt.gov.lt. Publicity is very important as allows to keep patients informed about the competency, qualification and safety issues with a certain healthcare provider “, – says Nora Ribokienė, director of Accreditation agency.

        Consolidated routine inspections are carried out by experienced team of specialists in 4 departments of Accreditation agency – Department of Health care quality surveillance, Department of health care facilities licensing and supervision, Department of healthcare specialists licensing and Department of Medical devices market surveillance. Such joint actions allow to carry out the inspections in a high quality and cover the full range of activities. Furthermore it implicates rational use and optimization of both human and financial resources. During the inspection activities performed by Accreditation Agency healthcare providers are consulted and informed about the regulations regarding the quality of health care services, licensing of health care facilities and health care professionals, monitoring and supervision of health care services.

 

 

Informacija atnaujinta 2017-04-07

VASPVT

VALSTYBINĖ AKREDITAVIMO SVEIKATOS PRIEŽIŪROS VEIKLAI TARNYBA

prie Sveikatos apsaugos ministerijos

Jeruzalės g. 21,
LT-08420 Vilnius
Tel. (8 5) 261 5177 ,
Faks. (8 5) 212 7310 ,
El. paštas: vaspvt@vaspvt.gov.lt

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