title: [Patient safety in management contracts].
abstract: Patient safety is becoming commonplace in management contracts. Since our experience in patient safety still falls short of other clinical areas, it is advisable to review some of its characteristics in order to improve its inclusion in these contracts. In this paper opinions and recommendations concerning the design and review of contractual clauses on safety are given, as well as reflections drawn from methodological papers and informal opinions of clinicians, who are most familiar with the nuances of safe and unsafe practices. After reviewing some features of these contracts, criteria for prioritizing and including safety objectives and activities in them, and key points for their evaluation are described. The need to replace isolated activities by systemic and multifaceted ones is emphasized. Errors, limitations and improvement opportunities observed when contracts are linked to indicators, information and adverse event reporting systems are analysed. Finally, the influence of the rules of the game, and clinicians behaviour are emphasised.
authors: Subdirección de Evaluación Asistencial, Servei de Salut de les Illes Balears, Palma de Mallorca, España. carlos.campillo@ibsalut.es
authors: C
authors: C
authors: Campillo-Artero
mesh_terms: D032982:Contracts / Q000331:legislation & jurisprudence* / Q000592:standards; D006040:Goals; D019983:Guideline Adherence; D058016:Health Facility Administration / Q000331:legislation & jurisprudence*; D006292:Health Priorities; D006801:Humans; D008505:Medical Staff, Hospital; D016134:Organizational Policy; D061214:Patient Safety / Q000331:legislation & jurisprudence* / Q000592:standards; D058996:Quality Improvement; D012308:Risk Management / Q000331:legislation & jurisprudence / Q000458:organization & administration / Q000592:standards; D017751:Safety Management / Q000331:legislation & jurisprudence* / Q000592:standards; D013030:Spain