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Patient Safety in the Eastern Mediterranean Region

Patient Safety in the Eastern Mediterranean Region. Capacity Development Workshop on Health Systems Alexandria, Egypt 8-12 June, 2008. The Scope of the Problem. Patient harm inflicted by health care facilities is a global problem

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Patient Safety in the Eastern Mediterranean Region

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  1. Patient Safety in the Eastern Mediterranean Region Capacity Development Workshop on Health Systems Alexandria, Egypt 8-12 June, 2008

  2. The Scope of the Problem • Patient harm inflicted by health care facilities is a global problem • It is estimated that 10% of all inpatient visits result in unintended harm in developed countries • On average, 2.2 million individuals from our Region are harmed every year in health care facilities • Potentially preventable in 50-80% of cases

  3. Introduction Why medical errors occur • Mostly system errors rather than individual • Poor infrastructure • Lack of standards and protocols • Poor technical design of medical equipment • Weak safety culture: Denial & Blame • Ineffective Communication

  4. The response of WHO • World Alliance for PS launched in 2005, in response to WHA Resolution urging Member States to pay the closest possible attention to PS

  5. Regional Strategy for Patient Safety 5 Axes to enhance the safety of patients EMR PS Strategy

  6. Steps towards Patient Safety in EMR Research

  7. Research • Initiated a rapid assessment questionnaire to determine PS status in countries • PS research project: To determine the prevalence of adverse events in health care facilities by medical record review using a validated tool

  8. Looking forward by looking back!

  9. Patient Safety Training workshop: Assessing unsafe practice EMRO, Cairo, December 2005 Inauguration of Patient Safety Research Workshop, EMRO, Cairo, May, 2006 Snapshots of the Patient Safety research project On-site Training on Medical Record Review

  10. Research for determination of adverse events in EMR Morocco Sudan Egypt Jordan

  11. 15,000 records have been reviewed and analyzed from 27 hospitals in the Region following these steps:

  12. Tools introduced in 2007 during the 3rd research meeting Include observation, staff interview and focus groups Pilot testing already initiated in Jordan and Tunisia Research • Initiated a rapid assessment questionnaire to determine PS status in countries • PS research project (EMRO/AFRO) update • Introduction of alternative tools for AE determination in data-poor environments

  13. Small Research Grant for Patient Safety

  14. Steps towards Patient Safety in EMR Research Challenges

  15. Challenges 1. Clean care is Safer Care 2. Safe Surgery Saves Lives

  16. Political commitment • Technical document • Pilot testing • Implementation

  17. 1st GPSC: Clean Care is Safer Care √ √ √ √ √ √ √ √ √ √ √ √ √ √ Launched Challenge Pilot site

  18. Hand Hygiene Campaigns MOH Kuwait MOH Saudi Arabia

  19. 2nd GPSC: Safe Surgery Saves Lives Pilot site for surgical checklist

  20. Steps towards Patient Safety in EMR Research Challenges Patients (PFPS)

  21. Advocacy and introduction of PFPS in TV show-Tunisia PFPS & PSFHI implementation in Pakistan Proposal: PSFHI implementation in Egypt, Jordan, Morocco Introduction of PS in med curricula, Egypt PS proposal in Lebanon Patients For PS 1st Regional WS in March, 2007

  22. Steps towards Patient Safety in EMR Research Challenges PSFHI Patients (PFPS)

  23. The Patient Safety Friendly Hospital Initiative PRINCIPLE Project to implement safe practices in health care facilities by assessing adherence to PS guidelines developed by WHO Incorporates all PS concepts and programmes, e.g. PFPS, CCSC, SSSL, research etc. PROGRESS Developed a Regional proposal Circulated proposal to WRs and country offices Initiated guideline development

  24. The Patient Safety Friendly Hospital Initiative • Future plans • Need to: • recruit experts to finalize & review guidelines • hold a regional WS for advocacy & training • provide technical support for national implementation

  25. Steps towards Patient Safety in EMR Research Challenges PSFHI Patients (PFPS) Solutions

  26. Steps towards Patient Safety in EMR Research Challenges PSFHI Patients (PFPS) Solutions Education Classification

  27. Challenges • Integrating all PS activities • Global information dissemination • Culture • Funding restrictions • Providing technical and financial support for country-level activities

  28. Opportunities • Research study results & training • Political commitment • Emerging expertise • Strong collaborative efforts with HQ and WAPS

  29. Future prospects • Expansion of research studies • Dissemination of results of research study to drive change • Testing of alternative tools for AE determination • Galvanizing commitment to PS challenges across the Region

  30. Future prospects • Implementation of PSFHI • Harmonizing all PS initiatives • Collaborate with concerned parties to develop Regional PS Centre, Kuwait

  31. hcd@emro.who.int

  32. Steps towards Patient Safety in EMR Challenges PSFHI Patients (PFPS) Solutions Education Classification Research

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