Patient safety
A global agenda for action
What is patient safety
Patient safety is
The absence of preventable harm to a patient during
the process of health care
A component and a result of good quality health
services and quality of care
Improved health outcomes and health status
Why patient safety
1 in 10 patients harmed in hospital care
14 out of every 100 patients affected by HAI
2% patients subject to surgical complications for the
234 million surgical operations performed every year
6.3 events per patient days in the US annually due to
medical devices
20-40% health spending wasted due to poor quality of
care and safety failures
Sources: WHO global report on evidence on patient safety 2008, WHO 10 facts for patient safety accessed 2015
IBEAS report 2011
Source: IBEAS, a pioneer study on patient safety in Latin America, Towards safer health care, WHO, 2011
EMRO AFRO report 2011
Source: Patient safety in developing and transitional countries, New insights from Africa and the Eastern Mediteranean , WHO, 2011
Costs associated with safety
Summing what How much
Additional hospitalization Costs associated with safety
failures run into several billion
Litigation costs dollars annually
Infections acquired in Costs associated with HAI run
hospitals into US$7-8.2 billion annually in
US, €800 million in UK and
Disability
France, US$48 million in Turkey
Lost productivity
Costs associated with unsafe
Medical expenses injections run into US$535 million
direct medical costs
Sources: WHO global report on evidence on patient safety 2008, WHO 10 facts for patient safety accessed 2015
Patient safety is a serious
public health issue
1 in 1000,000 chance of a 1 in 300 chance
traveler of a patient
being harmed being harmed
while in an aircraft during health care
WHO and Patient Safety
2002: WHA55.18 resolution: Quality of care-patient
safety
2004: official launch of the WHO World Alliance for
Patient Safety – WHO Patient Safety Program
Since 2004:
-over 140 countries have worked to address challenges
of unsafe care
-WHO Patient Safety grew into a multi task program
working with a health system perspective
WHO Patient Safety
Currently working on 13 priority action areas
Organized under 5 main work streams
Research
Campaigns
Education and training
Implementing change
Patient engagement
Research
Strengthening capacity for patient safety research
Guide for developing training programs
Core competencies for patient safety researchers
Methods, measures and tools
Methodological guide for data poor settings
Patient safety in primary care
Rapidly assessing hazards
Human factors tools
Generating data & research small grants
Campaigns
Clean care: ‘Save lives: clean your hands’
The first patient safety challenge
136 Member States and autonomous areas pledged
support
5 May 2015 campaign theme: Strengthening health
care systems and delivery ‘hand hygiene is your
entrance door’
Safe surgery: ‘Safe surgery saves lives’
The second patient safety challenge
WHO guidelines on safe surgery and surgical checklist
Pulse oximetry project
Patient safety in robotic surgery
Global initiative for emergency and essential surgical care
Education and training
Patient safety curriculum for Medical schools
Patient safety multi professional curriculum
Training for leaders in patient safety
Learning from error workshop materials
Radiotherapy risk profile
Training materials in infection control
Introductory course to patient safety
Implementing change
patient safety measures and solutions
Reducing blood stream infections
Information model for patient safety
Reporting and learning systems
Hand hygiene implementation tools
Patient safety checklists
Safe surgery checklist
Safe childbirth
Trauma
Pandemic care
African partnership
for patient safety
Global partnership focused
on the WHO African region
“Only by working together
can we address this public Promotes safety
health issue, strengthen improvement uniting patient
health systems and make the safety efforts
delivery of health care safe
for every patient in Africa, Based on sustainable
every time.” hospital to hospital
partnership
Dr Marie-Paule Kieny, Assistant
Director-General – Health First priorities: preventing
Systems and Innovation, WHO health care associated
infections & safe surgery
To register: [Link]/patientsafety/implementation/apps
Patient engagement
Patient safety champions Patients for patients
communication series
- A global network
Webinars
- 21 champions in 2005
Advocacy
- >250 champions today
Literacy
- >50 countries involved
Engagement
- An electronic community Patients engagement in
medication safety
- Workshops
7day mother baby
- In country mCheck tool
- Regional
- Global
Patient Activation Measure
‘When patient activation levels change, health outcomes
and costs change too’
J. Green et al, Health Affairs, March 2015
Largest longitudinal study of Patient Activation Measure
with impact on cost and outcome
Relationship between changes in activation level and
health outcomes (over 32.000 patients)
Projected costs 31% lower for high PAM
Costs 14% higher when moving from PAM 4 to 3
Costs 27% higher when moving from PAM 4 to 2/1
Patient rights & Patient safety
Source: Exploring patient participation in reducing health-care-related safety risks, Delnoy et Hafner editors, WHO Europe 2013
Source: Exploring patient participation in reducing health-care-related safety risks, Delnoy et Hafner editors, WHO Europe 2013
Integrated approach with patient safety at
the core of high performing health systems
Bringing together all
factors which can
potentially impact the
quality and safety of
processes
Engaging the patient as co
producer of own health
Acknowledgements
Information sources used in this presentation draw from
WHO patient safety dedicated pages and materials
[Link]/patientsafety
The WHO Service Delivery and Safety Unit led by
Dr ET Kelley kelleye@[Link]
The WHO Patient safety and quality of care program
coordinated by
Dr N Dhingra Khumar dhingran@[Link]
The WHO Country Office led by
Dr SL Barber barbers@[Link]
Thank you
For further questions:
< valhaf@[Link] >
