Patient Safety

28
Rob Jansen Prague Patient Safety April 11 th 2013 Patient Safety Education and training to European Specialist in Laboratory Medicine 1

description

Patient Safety. Education and training to European Specialist in Laboratory Medicine. Why Patient safety. 70% of medical decision based on laboratory medicine Risk of wrong result or wrongly interpreted result leads to wrong treatment, possibly causing dead - PowerPoint PPT Presentation

Transcript of Patient Safety

Page 1: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient SafetyEducation and training to

European Specialist in Laboratory Medicine

1

Page 2: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Why Patient safety• 70% of medical decision based on laboratory

medicine• Risk of wrong result or wrongly interpreted

result leads to wrong treatment, possibly causing dead

• Therefore: right specialist

2

Page 3: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient SafetyHarmonisation

3

Page 4: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

What should be harmonised?

• Laboratory investigation and analysis• Laboratory data transfer (e-lab

communication)• Laboratory data interpretation

Therefore• Specialist Laboratory Medicine

4

Page 5: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory investigation

• Quality- Right result- Right time- Rightly taken sample- Right calibration or harmonisation

5

Page 6: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory data transfer

• Quality- Right result- Right time- Right units- Right calibration or harmonisation

6

Page 7: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectationLaboratory data interpretation

• Quality- Right interpretation- Right consult - Right time (24/7)

7

Page 8: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectation

HarmonisationSame result, same

interpretation, same consult everywhere

8

Page 9: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Patient expectation

safetyHarmonised

European specialist in laboratory medicine

9

Page 10: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

The Development

of Common Training

Harmonisation10

Page 11: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Why Common Training?

• Cardiologist ≠ Cardiologist• Urologist ≠ Urologist

• Clinical biochemist ≠ Clinical Biologist ≠ Clinical chemist ≠ Biological Chemist

11

Page 12: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 1

2

Harmonization is needed

Page 13: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 1

3

Harmonization is needed

Page 14: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 1

4

Harmony in music

Page 15: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Harmonization

The right road, the right fruit, the good music for

Specialists in Laboratory Medicine

Directive Recognition Professional Qualifications1

5

Page 16: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Why Harmonisation?Why Common

Training?

ForPatient safety!

16

Page 17: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

The EC4 European Register of

Specialists in Laboratory Medicine

17

Page 18: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory Medicine

• Directive on Recognition of Professional Qualifications 2005/35/EC (DG Market): common training

• Quality standard for our profession

18

Page 19: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory Medicine

• Kept by Foundation EC4• Foundation Board• Board of Governors

- National representatives of EFLM related national societies

• Registration Commission- National representatives of NLMRC

19

Page 20: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in Laboratory

Medicine

• European Syllabus (to be revised)

• Code of Conduct• Guide to the Register• Equivalence of Standards of

National Register(s)

20

Page 21: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Applicants to the European Register of Specialists in

Laboratory Medicine• Member of national Register of EU member

state• National Register granted Equivalence of

Standards• Fulfill criteria of Guide to the Register

21

Page 22: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Applicants to the European Register of Specialists in

Laboratory Medicine• Medical education• Pharmaceutical (biologiste) education• Scientific education

• Harmonised specialist training?

22

Page 23: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in

Laboratory Medicine• Registration• Re-registration (CPD, re-

registration in national register)

• Automatic registration• Equivalence of Standards

revised23

Page 24: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 2

4

Rob Jansen November 9th 2011

Level of training

0

2

4

6

8

10

12

14

AT

mB

Em

BE

pB

Es

BG

mC

Ys

CZ

mC

Zs

DK

mD

Ks

EE

mF

Im FIs

FR

mF

Rp

DE

mD

Es

ELm ELp ELs

HU

mH

Up

IEm

IEs

ITm

ITp

ITs

LVm

LVs

LTm

LUm

LUp

LUs

MT

mN

Lm NLs

PLm PLs

PT

mP

Tp

RO

mS

Km

SK

pS

Ks

SLm SLp SLs

ES

mE

Sp

ES

sS

Em

UK

mU

Ks

Yea

rs Training non-regulatedTraining regulatedAcademic education

Page 25: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 2

5

Level of training requirements

• a total duration of education plus training of ten years

• a minimum duration of academic education including a masters degree in medicine, pharmacy or science, of four years plus one year academic development

• flexibility in the additional academic development year consisting of academic education, a PhD, year of scientific research resulting in published peer reviewed article

• a minimum duration of training of four years plus one year additional experience

• registration in the appropriate national register if it exists

• flexibility in the additional experience year consisting of extra academic education, a PhD, work experience, extra training years, courses, traineeships

Page 26: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013 2

6

Rob Jansen November 9th 2011

Training content

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

ATm

BE

mB

Ep

BE

sB

Gm

CY

sC

Zm CZs

DK

mD

Ks

EE

mFI

m FIs

FRm

FRp

DE

mD

Es

ELm ELp

ELs

HU

mH

Up

IEm IEs

ITm ITp

ITs

LVm

LVs

LTm

LUm

LUp

LUs

MTm

NLm NLs

PLm PLs

PTm PTp

RO

mS

Km

SK

pS

Ks

SLm SLp

SLs

ES

mE

Sp

ES

sS

Em

UK

mU

Ks

genetics and IVF

microbiology

haematology

general chemistry

Page 27: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

European Register of Specialists in

Laboratory Medicine• European Standard for professional

qualifications• Co-operation with UEMS• Basis for Common Training system of EC

Directive on Recognition of Professional Qualifications?

• Name of Profession same in all countries• Harmonised requirements

27

Page 28: Patient  Safety

Rob Jansen Prague Patient Safety April 11th 2013

Harmonisation in Europe

28