1. Effects of external inspections
Einar Hovlid
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2. What do we know about the effects of inspections?
Inspections are widely used as means to improve the quality of services
Evidence to support that inspection can have an effect, but findings are contradictory
The effect is dependent on many factors
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3. Sub standard performance
Inspection
Sub standard performance
Correctiv meassures
Improved services
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4. Factors important for effect
Engagement Perceived relevance of the inspection and its findings What do we look for? How do we communicate what we find?
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5. Shoe insepction at Hovlid family 2016
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6. Findings from shoe inspection
Shoe handling was sub standard No written guidelines No common understanding of how we do the shoe handling Job descriptions poorly defined Poor education of shoe handlers
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7. Foredrag av Statens helsetilsyn
Improvment measures
Family managment (parents) did a risk analysis Family gathering, decided what to do Written agreement, job descriptions Weekly sallary Report to Shoe Inspectorat
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8. Foredrag av Statens helsetilsyn
Unannounced shoe inspection September 2017
Shoe handlers (children) version of what took place following the insepction in 2016.
We had a meeting where we were told what to do
It is not practical to do it like we were told to.
Takes too long time
No place in the rack, full of parents’ shoes
Sand in shoes
Parents never there, they do not really care what goes on
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9. Sub standard performance
Inspection
Sub standard performance
Correctiv meassures
Improved services
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10. Sepsis inspections in Norway 2016-17
Plannend and desinged to engage leaders and frontline workers by addressing what matters for the patients Emphasis on how we use data
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11. What matters in sepsis care
Early treatment with antibiotics Early triage Early diagnosis Timely assesment by doctor Collect data from patient recrods in a structured way
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16. Foredrag av Statens helsetilsyn
Learning points
Discoverd sub-standard care previously unknow for the hospitals Relevant indicators describing care that matters for the patients Use data in a structured way Data helped guide interviews and the inspection Use the same indicators for post inspection follow-up
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