African Partnerships for Patient Safety (APPS)

1. African Partnerships for Patient Safety (APPS)

3. APPS • WHO programme-Patient Safety • Patient Safety Initiative started in 2004 by Liam Donaldson • Developed in Western countries • 2007: funds secured to support APPS project (60th anniversary NHS) • September 2008 WHO Africa • Resolution passed on patient safety

4. Funding • DoH funded-DFID • Lead by WHO Geneva • NPSA co-ordinate English arm of project • Funded for 2 years initially

5. The Partners 1st Wave - October 2009 • COCH – Uganda (Kisiizi) • Leicester – Ethiopia • Middlesbrough - Malawi • Francophone • HUG – Mali / Cameroon / Senegal

6. The Partners 2nd Wave November – 2011 • St George’s London – Kumasi Ghana • Ipswich – Beira Mozambique • Imperial College – Butare Rwanda • North Cumbria – Mbeya Tanzania • Guy’s & St Thomas’ – Ndola Zambia

7. Process • Situational Analysis (both partners) • Summer 2009 • 12 Action areas of Patient Safety • Evaluation of findings • Agreement by African Hospitals to focus on 3 / 4 action areas • Principle action area for all partners • Health care associated infections (HCAIs)

8. Launch • Kampala October 2009 • Development of project plan • Agreement of action areas • Emphasis on partnership working • Sharing ideas and knowledge

9. Action Areas • Patient Safety and Health Services Development • National Patient Safety Policy • Patient Safety Knowledge and Learning • Raising Patient Safety Awareness • Health Care Associated Infections • Health Care Worker Protection

10. Action Areas – cont. • Health Care Waste Management • Safe Surgical Care • Medication Safety • Patient Safety Partnerships ( patients, family, health workers & policy makers) • Funding for Patient Safety • Surveillance and Research in Patient Safety

11. Action Areas - 1 HCAIs • Hand hygiene (production of ABHR) • Development of infection control • Lead for infection control • Infection control committee • Antimicrobial prescribing

13. 2. Healthcare Waste Management • Lead person at Kisiizi • Policies and procedures to handle waste within Kisiizi • Training • Disposal of waste • Incineration • Waste Compound

14. 3. WHO Safe Surgical Checklist • Lead person at Kisiizi • Education and Training • Development of audit processes • Recording practice • System for recording adverse surgical events

15. 4. Medication Safety • Antibiotic prophylaxis • Links in with pharmacy project funded by THET bid

16. Opportunities for Ugandan Obstetric Hub • WHO support • Assist in the development of spread across Uganda • Improve Patient Safety within individual Health Units • Select Action Areas which can be supported by the fure Fellows programme

17. Key Priority Hand Hygiene

18. Future Development • WHO Safe Childbirth Checklist