write an essay on why we need to follow health protocols?
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Answer:
As improvement practice and research begin to come of age, Mary Dixon-Woods considers the key areas that need attention if we are to reap their benefits
In the NHS, as in health systems worldwide, patients are exposed to risks of avoidable harm 1 and unwarranted variations in quality.234 But too often, problems in the quality and safety of healthcare are merely described, even “admired,”5 rather than fixed; the effort invested in collecting information (which is essential) is not matched by effort in making improvement. The National Confidential Enquiry into Patient Outcome and Death, for example, has raised many of the same concerns in report after report.6 Catastrophic degradations of organisations and units have recurred throughout the history of the NHS, with depressingly similar features each time.789
More resources are clearly necessary to tackle many of these problems. There is no dispute about the preconditions for high quality, safe care: funding, staff, training, buildings, equipment, and other infrastructure. But quality health services depend not just on structures but on processes.10 Optimising the use of available resources requires continuous improvement of healthcare processes and systems.5
The NHS has seen many attempts to stimulate organisations to improve using incentive schemes, ranging from pay for performance (the Quality and Outcomes Framework in primary care, for example) to public reporting (such as annual quality accounts). They have had mixed results, and many have had unintended consequences.1112 Wanting to improve is not the same as knowing how to do it.
In response, attention has increasingly turned to a set of approaches known as quality improvement (QI). Though a definition of exactly what counts as a QI approach has escaped consensus, QI is often identified with a set of techniques adapted from industrial settings. They include the US Institute for Healthcare Improvement’s Model for Improvement, which, among other things, combines measurement with tests of small change (plan-do-study-act cycles).8 Other popular approaches include Lean and Six Sigma. QI can also involve specific interventions intended to improve processes and systems, ranging from checklists and “care bundles” of interventions (a set of evidence based practices intended to be done consistently) through to medicines reconciliation and clinical pathways.
QI has been advocated in healthcare for over 30 years13; policies emphasise the need for QI and QI practice is mandated for many healthcare professionals (including junior doctors). Yet the question, “Does quality improvement actually improve quality?” remains surprisingly difficult to answer.14 The evidence for the benefits of QI is mixed14 and generally of poor quality. It is important to resolve this unsatisfactory situation. That will require doing more to bring together the practice and the study of improvement, using research to improve improvement, and thinking beyond effectiveness when considering the study and practice of improvement.
Answer:
1. Ensuring everyone has access to accurate information and removing harmful content
Connecting people to credible information on Facebook, Messenger, Instagram and WhatsApp
Combating COVID-19 misinformation across our apps
Investing $100 million in the news industry and supporting fact-checkers
Prohibiting exploitative tactics in ads and banning ads for medical face masks, hand sanitizer, disinfecting wipes and COVID-19 test kits
2. Supporting health and economic relief efforts
Matching $20 million in donations to support COVID-19 relief efforts and donating $25 million to support healthcare workers on the front line
Investing $100 million in small businesses and making it easier for people to support their local businesses
3. Keeping people connected
Making it easier for people to request or offer help in their communities
Helping local governments and emergency health organizations reach people on Facebook and Messenger, and collaborate using Workplace for free.
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