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

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Exploring patient participation in reducing health-care-related safety risks 166 Medical checklists After the success of the surgical safety checklist developed by the WHO Patient Safety Programme in 2009, which was shown to decrease morbidity and mortality by over one third, additional checklists are being developed. As part of WHO’s response to the influenza A H1N1 pandemic, the WHO Patient Safety Programme developed a checklist for HCWs treating patients with H1N1. The programme has developed the Safe Childbirth Checklist in collaboration with three other WHO departments (Making Pregnancy Safer, Reproductive Health Research, and Child and Adolescent Health). The Safe Childbirth Checklist Collaborative was launched in November 2012 as a platform for external partners joining WHO in the production of additional evidence about effective checklist implementation. The WHO Patient Safety Programme is also developing a Trauma Care Checklist in collaboration with the Department of Violence and Injury Prevention and Disability. References 1. Clean care is safer care [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/gpsc/en/index.html, accessed 1 July 2012). 2. Safe surgery saves lives [web site]. Geneva, World Health Organization, 2009 (http://www.who.int/patientsafety/safesurgery/en/index.html, accessed 1 July 2012). 3. Patients for Patient Safety [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/patientsafety/patients_for_patient/en/index.html, accessed 1 July 2012). 4. Patient safety research [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/patientsafety/research/en/index.html, accessed 1 July 2012). 5. International classification for patient safety [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/patientsafety/information_centre/ journals_library/icps/en/index.html, accessed 1 July 2012). 6. World Alliance for Patient Safety. WHO draft guidelines for adverse event reporting and learning systems. From information to action. Geneva, World Health Organization, 2005 (http://www.who.int/patientsafety/events/05/Reporting_ Guidelines.pdf, accessed 1 July 2012). 7. Patient safety solutions [web site]. Geneva, World Health Organization, 2013 (http://www.who.int/patientsafety/implementation/solutions/patientsafety/en/ index.html, accessed 22 January 2013). 8. Action on patient safety – high 5s [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/patientsafety/implementation/solutions/high5s/en/ index.html, accessed 1 May 2012, archived). 9. WHO patient safety curriculum guide [web site]. Geneva, World Health Organization, 2011 (http://www.who.int/patientsafety/education/curriculum/en/ index.html, accessed 1 July 2012). 10. Patient safety research: a guide for developing training programmes [web site]. Geneva, World Health Organization, 2012 (http://www.who.int/patientsafety/ research/strengthening_capacity/guide_developing-training-programmes/en/index. html, accessed 12 December 2012).
ANNEX 7. hANDOVER pROjECT Paul Barach Introduction When a patient’s transition from hospital to home is less than optimal, the repercussions can be far-reaching – hospital readmission, an adverse medical event, and even mortality. HANDOVER, 1 which focuses on improving the continuity of patient care in Europe through identification and implementation of novel patient handover processes, is the first major European study to assess patient transitions. The goal of the study is to identify and study patient handover practices and create standardized approaches to handover communications in six European countries (United Kingdom (England), Italy, the Netherlands, Poland, Spain and Sweden). This project addresses the challenges of transitioning patients to and from the hospital to their home and other health care facilities. Without sufficient information and an understanding of their diagnoses, medication and self-care needs, patients cannot fully participate in their care during and after hospital stays. WHO, Joint Commission International and other lead regulatory bodies in the United States, Australia, Canada and across Europe have identified ineffective handovers of patients as a major public health problem. Poor coordination of care across and between European border settings can result in costly, potentially harmful, and often avoidable rehospitalizations. This three-year, EU FP-7 2 collaboration is the first major European study to assess the coordination and outcomes of patient transitions and develop new ways to address patient readmissions. Ineffective and unsafe handover practices consume resources and lead to much wasted work. Poor coordination of care has a severe effect on patients and their well-being, health care delivery and the rising costs of health care. Additionally, poorly designed discharge processes create unnecessary stress for medical staff, causing failed communications, rework and frustrations. Safer and more coordinated handovers could increase efficiency and cost–effectiveness of health care interventions and patient satisfaction. The objective of the HANDOVER project 3 and the European Research Collaborative is to better understand how to enhance communication among health care providers, improve support for patients and families, engage organizations across the continuum of patient care, track process and outcome measures, and refine the clinical workflow at the primary care−hospital interface. 1 The participating members of the European HANDOVER Research Collaborative include: Loes Pijnenborg, Julie Johnson, Beryl Göbel, Cor Kalkman, Richard Lilford, Nicola Novielli, Yen-Fu Chen, Semira Manaseki-Holland, Basia Kutryba, Halina Kutaj-Wasikowska, Ewa Dudzik-Urbaniak, Marcin Kalinowski, Francesco Venneri, Giulio Toccafondi, Antonio Molisso, Sara Albolino, Hub Wollersheim, Gijs Hesselink, Lisette Schoonhoven, Myrra Vernooij, Marieke Zegers, Helen Hansagi, Mariann Olsson, Susanne Bergenbrant, Maria Flink, Gunnar Ohlen, Carola Orrego, Rosa Sunol, Oliver Groene and Jerry Andriessen. 2 The EU’s Seventh Framework Programme for Research. 3 More information is available on the European Handover Research Collaborative web site (1). HANDOVER project 167
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Exploring patient participation in
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ABSTRACT Patients’ rights have be
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iv Patient information: the link be
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vi LIST OF TABLES, FIGURES AND BOXE
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ACKNOWLEDGEMENTS The editors would
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LIST OF ABBREVIATIONS ABHR alcohol-
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FOREWORD Health is a social value a
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ChApTER 1. pATIENTS’ RIGhTS AND p
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Box 1 .1 . contd Reporting and Lear
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The causal mechanisms through which
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» be involved in routine monitorin
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elationships within the complex env
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ChApTER 2. pATIENTS’ RIGhTS AND p
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CoE Recommendation 2006/7 of the Co
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The 2005 United States act on patie
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The right to participate in policy-
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The right to participate in quality
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» engaging with patient representa
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hampered by the written and spoken
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prevents misunderstandings and shap
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Health care providers should nevert
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Recommendation 7 - Encourage the av
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20. Constitution of the World Healt
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ChApTER 3. pATIENT pARTICIpATION IN
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awareness of the sociomedical burde
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Patient participation in hand hygie
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Blood transfusion safety in France:
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Box 4 .1 . Definitions of adverse e
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Fig . 4 .4 . Distribution of advers
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The heterogeneity of situations and
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Fig . 4 .12 . Patients’ response
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Patient safety, rights and medicati
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Fig . 5 .3 . Frequency with which d
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ChApTER 6. pATIENT pARTICIpATION IN
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Patient participation in elective s
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e desirable to have a special statu
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inspections of surgical services to
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Page 135 and 136: Other studies on patient attitudes
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Page 141 and 142: Adverse events Respondents from the
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Page 149 and 150: group recommends that patient invol
Page 151 and 152: 13. Hibbard JH et al. Can patients
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Page 163 and 164: Box 8 .4 . Patient education Chapte
Page 165 and 166: ANNEX 1. QUOTATIONS FROM INTERNATIO
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Page 171 and 172: Box A3 .1 . Reporting procedure Pat
Page 173 and 174: Box A3 .2 . contd Haemosiderosis Ha
Page 175 and 176: ANNEX 4. pATIENT QUESTIONNAIRE ABOU
Page 177 and 178: ANNEX 6. WhO pATIENT SAFETY pROGRAM
Page 179: especially those in intensive care.
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