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Exploring patient participation in reducing health-care-related safety risks

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especially those <strong>in</strong> <strong>in</strong>tensive <strong>care</strong>. The approach developed <strong>in</strong> the United States<br />

was adapted and tested <strong>in</strong> Spa<strong>in</strong> and the United K<strong>in</strong>gdom, with successful results.<br />

Lessons from this experience will help understand<strong>in</strong>g the conditions for effective<br />

implementation. A process evaluation of the Spanish experience has been conducted by<br />

WHO and will be released shortly.<br />

Injection <strong>safety</strong><br />

WHO has begun new work on <strong>in</strong>jection <strong>safety</strong> <strong>in</strong> consultation with <strong>in</strong>ternal and<br />

external partners to address the press<strong>in</strong>g issue of reuse of syr<strong>in</strong>ges and needlestick<br />

<strong>in</strong>juries <strong>in</strong> <strong>health</strong> <strong>care</strong> workers.<br />

High 5s<br />

Based on the pr<strong>in</strong>ciple that standardization can lead to <strong>safety</strong>, the High 5s <strong>in</strong>itiative<br />

(8) developed and tested standardized approaches for improv<strong>in</strong>g organizational, team<br />

and cl<strong>in</strong>ical practices to advance <strong>patient</strong> <strong>safety</strong>. The <strong>in</strong>itiative focused on learn<strong>in</strong>g<br />

of what works and does not work us<strong>in</strong>g standardized protocols to reduce <strong>patient</strong><br />

harm. Follow<strong>in</strong>g three years of implementation <strong>in</strong> eight countries, lessons learned<br />

about standardization will be dissem<strong>in</strong>ated to more Member States <strong>in</strong>terested <strong>in</strong><br />

standardization and <strong>patient</strong> <strong>safety</strong>.<br />

Technology for Patient Safety<br />

The <strong>in</strong>itiative entitled Technology for Patient Safety focuses on opportunities to<br />

harness new technologies to improve <strong>patient</strong> <strong>safety</strong>. The <strong>in</strong>itiative sets out an <strong>in</strong>itial set<br />

of priorities for WHO and its partners <strong>in</strong> the broad areas of <strong>in</strong>formation technology<br />

for <strong>patient</strong> <strong>safety</strong>, design<strong>in</strong>g safe new technology and mak<strong>in</strong>g exist<strong>in</strong>g <strong>health</strong> <strong>care</strong><br />

technology safer. This mapp<strong>in</strong>g was published <strong>in</strong> a special issue of BMJ Quality and<br />

Safety <strong>in</strong> Health Care.<br />

Knowledge Management<br />

The Knowledge Management scheme works with Member States and partners to<br />

gather and share knowledge on <strong>patient</strong> <strong>safety</strong> developments, <strong>in</strong>clud<strong>in</strong>g through the<br />

use of web<strong>in</strong>ar technology. WHO has developed a tra<strong>in</strong><strong>in</strong>g programme us<strong>in</strong>g web<strong>in</strong>ars<br />

(visual tra<strong>in</strong><strong>in</strong>g materials displayed on the web) to raise capacity on <strong>patient</strong> <strong>safety</strong><br />

<strong>in</strong> develop<strong>in</strong>g and transitional countries. Courses have been produced <strong>in</strong> various<br />

languages, expand<strong>in</strong>g significantly the reach of these knowledge management activities.<br />

Additionally, WHO and the International Society for Quality <strong>in</strong> Health Care have<br />

jo<strong>in</strong>tly run discussion forums on the society’s knowledge platform and WHO is host<strong>in</strong>g<br />

an <strong>in</strong>creas<strong>in</strong>g number of communities of practice to facilitate cross shar<strong>in</strong>g and learn<strong>in</strong>g.<br />

Capacity build<strong>in</strong>g and education for safer <strong>care</strong><br />

A multiprofessional curriculum guide (9) for undergraduate and postgraduate <strong>health</strong><br />

<strong>care</strong> providers and other resources were developed with<strong>in</strong> the framework of capacity<br />

build<strong>in</strong>g and education for safer <strong>care</strong>. A new guide for develop<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g programmes<br />

for <strong>patient</strong> <strong>safety</strong> research was produced <strong>in</strong> 2012 (10). WHO has developed tra<strong>in</strong><strong>in</strong>g<br />

materials on 26 quality improvement and <strong>patient</strong> <strong>safety</strong> topics for build<strong>in</strong>g capacity and<br />

knowledge of <strong>health</strong> <strong>care</strong> educators, leaders, managers and providers. Education and<br />

tra<strong>in</strong><strong>in</strong>g are delivered through workshops and e-learn<strong>in</strong>g will commence <strong>in</strong> 2014.<br />

WHO Patient Safety Programme<br />

165

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