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Transforming Patient Safety: A sector-wide systems approach. Report of the WISH Patient Safety Forum 2015 Pronovost PJ, Ravitz AD, Stoll RA, Kennedy SB Qatar: WISH (World Innovation Summit for Health); 2015. 

http://dpnfts5nbrdps.cloudfront.net/app/media/download/1430

 

The World Innovation Summit for Health (WISH) is an initiative of Qatar Foundation for Education, Science and Community Development. WISH considers itself to be “a global healthcare community dedicated to capturing and disseminating the best evidence-based ideas in healthcare, providing global solutions that will save both lives and much needed resources”.
This report is intended to challenge the issue of patient safety by “by identifying reasons for the on-going heartbreak of preventable harm in healthcare and offering solutions to bridge the gaps prevalent in today’s approach to Patient Safety.”


The report concludes with “four initial steps to position and prepare the healthcare community to move forward:


1. Develop a patient safety declaration and have nations pledge commitment and resources.


2. Convene a panel of transdisciplinary subject-matter experts to classify and quantify the appropriate definitions and metrics for preventable patient harms, to ensure consistency in tracking and reporting throughout the global healthcare system.


3. Engage the systems engineering community to help describe the various constructs for the multiple system integrators (and their associated responsibilities) that are needed in the healthcare system.


4. Identify candidate nations and local organizations, representing varying levels of industrial and socio-economic development. Work with relevant stakeholders in those systems to create concepts of operation (CONOPS) and requirements for holistic patient safety solutions that are tailored to their specific culture and available resources.”

Tomado de http://www.safetyandquality.gov.au