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WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ WELTGESUNDHEITSORGANISATION Date: 14 November 2022 ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ REGIONAL OFFICE FOR EUROPE Ms Elen Ohov BUREAU RÉGIONAL DE L’EUROPE REGIONALBÜRO FÜR EUROPA Adviser ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО European Union Affairs and International Co- operation Department Head office: UN City, Marmorvej 51, Ministry of Social Affairs DK-2100 Copenhagen Ø, Denmark Suur-Ameerika 1 Tel.: +45 45 33 70 00; Fax: +45 45 33 70 01 Email: [email protected] 10122 Tallinn Website: http://www.euro.who.int Estonia Our reference: Your reference: Notre référence: Votre référence: Unser Zeichen: Ihr Zeichen: См. наш номер: На Ваш номер: Dear Ms Ohov, Nomination of country representatives for a Member States Action Network on Patient Safety & Nomination for a Network of WHO European National Quality of Care Agencies and Departments & member state survey for assessing progress on implementation of the global patient safety action plan 2021-2030 We are writing to you to kindly request your assistance in nominating: 1) a patient safety officer or health-care leader in patient safety at national level to represent the country at the regional level in the European Action network, created by the WHO Regional Office for Europe via WHO Europe Quality of Care & Patient Safety Office in Athens, and 2) a national representative to form part of a WHO European Network of National Quality Agencies and/or Departments. The networks will bring together patient safety and quality of care officials and leaders representing WHO Europe Region member states, to become the platform for the countries to engage with the scope and action plan priorities in the Region, enhancing and systematizing the discussion around Quality of Care Innovations and implementation approaches of the WHO Global Patient Safety Action Plan 2021-2030 within broader health agenda at the country level. We would very much appreciate it if you could share the contact details (name, functional title, and address) of the nominees by 30 November 2022, to and copying Dr Joao Breda, Head of WHO Athens Quality of Care and Patient Safety Office: [email protected] & Dr Mafaten Chaouali, Technical Officer, Hospitals, WHO Regional Office for Europe at [email protected], as well as for any question related to these two action networks. The Seventy-fourth World Health Assembly (WHA) approved the “Global Patient Safety Action Plan 2021-2030” in 2021. This global action plan draws its mandate from earlier resolution WHA72.6 Global Action on Patient Safety (WHA72.6). While adopting this global action plan, the Health Assembly also requested the Director-General to report back on progress in its implementation to WHA76 in 2023, and thereafter every two years until 2031. To fulfil this obligation WHO is rolling out a Member States survey for assessing the progress on implementation of the Global Action Plan. The outcome of this survey will be reported to World Health Assembly in 2023 and will form the basis of the first-ever Global Patient Safety Report. In this regard, I would like to request your collaboration in filling the questionnaire as soon as possible ideally before 8 December 2022. Sincerely yours, Dr Natasha Azzopardi Muscat Divisional Director Encls: Concept note Scope and purpose Copy for information to: Ms Triin Uusberg, Head, European Union Affairs and International Co-operation Department, Ministry of Social Affairs, Suur-Ameerika 1, 10129 Tallinn, Estonia H.E. Ms Katrin Saarsalu-Layachi, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of the Republic of Estonia to the United Nations Office and other international organizations in Geneva, Chemin du Petit-Saconnex 28A, CH-1209 Genève, Switzerland H.E. Mr William Mart Laanemäe, Ambassador Extraordinary and Plenipotentiary, Embassy of the Republic of Estonia, Frederiksgade 19, 4th floor, 1265 Copenhagen K, Denmark Ms Kristina Köhler, Liaison Officer, WHO Country Office, Estonia, Paldiski Road 81, 10617 Tallinn, Estonia Concept Notes First Member State survey on implementation of the Global patient safety action plan 2021–2030 October – November 2022 Background Adoption of the Global patient safety action plan 2021–2030 by the Seventy-fourth World Health Assembly in 2021 was a milestone in the global movement for patient safety. In WHA decision WHA74(13), the Health Assembly requested that progress in its implementation be reported to the Seventy-sixth World Health Assembly in 2023 and thereafter every 2 years until 2031. A similar mandate was given by the Seventy-second World Health Assembly for reporting on progress in implementing resolution WHA72.6 on Global action on patient safety. The Global patient safety action plan 2021–2030 comprises seven strategic objectives, each of which consist of five strategies. The plan also provides a set of core and advanced indicators aligned with the strategic objectives. Purpose and approach The main purpose of this survey is to measure progress in achieving the strategic objectives and strategies of the Global patient safety action plan. As mandated in the World Health Assembly decision WHA74(13), the WHO secretariat is requesting all the WHO Member States to participate in this survey. Members States are requested to nominate a responsible officer in their ministry of health to coordinate and respond to the survey. As patient safety is central to all clinical and health programmes, close collaboration and information-sharing will be required with various organizations, institutions and organizations. When possible, a small working group could be constituted to assist in collating information from different sources. The survey tool is designed for self-assessment and to trigger action for patient safety improvements and to build an enabling policy environment in which a culture of safety and a sustainable patient safety programme are developed and sustained. The survey will also assist governments in establishing baselines, monitoring indicators longitudinally to assess incremental process, identifying policy and programme gaps and setting priorities for action to ensure safer delivery of health care in all settings Structure of the survey tool The global patient safety assessment tool has been designed for objective measurement of progress in implementing the strategic framework of the Global patient safety action plan 2021–2030. The structure of the tool is aligned with the 7X5 strategic matrix as the framework for action, which consists of seven strategic objectives and 35 strategies, each of which has five assessment criteria, resulting in a total of 175 criteria. The criteria are based on recommendations for each of the strategies. Some of the strategies include supplementary questions. Assessment The 175 criteria are “measurement units”. The response to each criterion could be “Not initiated” , “Partially met” or “Fully met” . Guidance is given for assigning the most appropriate response. Each response should be supported by explanatory text or supporting evidence when possible. If one of the 1 criteria is not applicable or adequate information is not available, the option “not applicable/not known” can be selected. Scoring Although this assessment tool is not designed primarily for scoring or benchmarking, countries could use it to generate national and subnational scores to track their progress. WHO secretariat can provide technical support in developing country-specific scorecards. Timeline – The survey should be completed within one month of receipt of the survey link. Using the electronic survey form – The survey is administered on standard WHO Dataforms. It can be accessed only by using the unique link and passcode provided to you. Data use WHO secretariat will use the data collected from this survey to prepare a Global patient safety report. The report will be submitted to 76th World Health Assembly in 2023. For more information on the data policy visit: https://www.who.int/about/policies/publishing/data-policy/ 2 Saatja: euqualityofcare <[email protected]> Saadetud: 21.11.2022 14:04 Adressaat: Elen Ohov <[email protected]> Koopia: Triin Uusberg <[email protected]>; SM Info <[email protected]>; Ms K. Saarsalu-Layachi <[email protected]>; <[email protected]>; Kaisa.Mitt-Alvarez <[email protected]>; <[email protected]>; <[email protected]>; KÖHLER, Kristina <[email protected]>; RODRIGUES DA SILVA BREDA, Joao Joaquim <[email protected]>; CHAOUALI, Mafaten <[email protected]>; VASILEIOU, Konstantina <[email protected]>; GALMOND, Elena <[email protected]> Teema: Creating WHO European Member States Action Network on Patient Safety Tähtsus: Kõrgeim Dear National Counterpart, With this email I have three kind requests: a) a request for your country to fill the global member state survey for assessing progress on implementation of the global patient safety action plan 2021-2030 (ideally to be filled before 8 December 2022), at the link below: b) a request for nomination of your country representative for a Member States Action Network on Patient Safety and, c) a nomination for a Network of WHO European National Quality of Care Agencies and Departments Please find attached a formal invitation, the Concept Note and PS MS Survey concept notes. Yours sincerely, Natasha Azzopardi-Muscat Director | Country Health Policies and Systems (CPS) WHO Regional Office for Europe Creating WHO European Member States Action Network on Patient Safety Scope and Purpose 1. Background and context Patient safety is foundational to high quality health care and essential for progress towards universal health coverage (UHC). While health care has become more effective it has also become more complex, with greater use of technologies, medicines, and treatments. Health services treat older and more complex patients who often present with significant co-morbidities requiring more and more difficult decisions as to health care priorities. Unexpected and unwanted events can take place in any setting where health care is delivered. Every 10th patient in Europe experiences preventable harm or adverse events in hospital, causing suffering and loss for the patient, their families and health care providers, while taking a high financial toll on health care systems. “First do no harm” remains the foundational principle of health care systems. The identified challenges with regards to patient safety in the quality context of care, especially during the Covid-19 pandemic have brought up additional issues to be handled throughout the currently implemented health policies and strategies. The global momentum led to the recognition of ‘patient safety as a global health priority’ and the adoption of WHA resolution (WHA72.6) “Global Action on Patient Safety” urging Member States to recognize patient safety as a key priority in health sector policies and programmes. In May 2021, the 74th World Health Assembly approved the first ever Global Patient Safety Action Plan 2021–2030 “Towards eliminating avoidable harm in health care” as the global roadmap for patient safety for the next 10 years. This includes recognition of patient safety as a key priority at national, subnational, organizational and facility levels. WHO European Centre of Excellence for Quality in Care and Patient Safety, established in April 1  2021, in Athens, Greece, with a vision to decisively improve quality and patient safety in the Region, and inspired by the European Program of Work (EPW) ‘2020-2025’, has as its main goals (a) to raise awareness, knowledge and skills to supporting national policies and strategies on Patient Safety; (b) to outline key processes for the planning, development and implementation of national plans for Patient Safety based on WHO tools and guidance; (c) to provide support to countries in this area. Evidence has shown that to maintain and increase the health status of their populations, countries in the European Region must strengthen their health systems in terms of addressing patient safety, towards eliminating avoidable harm in health care. To achieve this goal, it is important that a network of member states is established across the Region to translate the WHO Global Patient Safety Action Plan (GPSAP) into action, responding to the regional and local challenges. WHO Europe Patient Safety contact points’ network will provide the platform for engaging with the scope and action plan priorities for each country, grouping similar challenges to systematize regional and sub-regional implementation approaches of the Global Patient Safety Action Plan 2021-2030 within broader health agenda at country level. 2. Nominees The network will bring together National patient safety representatives officially appointed. 3. Objectives The network will aim to: • Contribute to mapping and identify the status of Patient Safety in the WHO European Region. • Contribute to the design of a potential European road map for the implementation of the WHO GPSAP. • Advocate and Communicate the Actions and Goals deriving from the European road map for the implementation of the WHO GPSAP at the national level. 4. References i. World Health Organization (2021) Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care. Geneva: World Health Organization. ii. World Health Organization (2020) Quality Health Services: A Planning Guide iii. World Health Organization (2020) Strengthening health systems resilience. Key concepts and strategies; Thomas, Stephen & Sagan, Anna & Larkin, James & Cylus, Jonathan & Figueras, Josep & Karanikolos, Marina. 10.13140/RG.2.2.17429.35041. iv. World Health Organization (2018) Developing policy and strategy to improve quality of care. Geneva: World Health Organization. 2  v. World Health Organization (2018) Handbook for national quality policy and strategy – A practical approach for developing policy and strategy to improve quality of care. Geneva: World Health Organization. vi. World Health Organization/OECD/World Bank (2018) Delivering quality health services: a global imperative for universal health coverage. Geneva: World Health Organization, Organisation for Economic Co-operation and Development, and Te World Bank. Licence: CC BY-NC-SA 3.0 IGO. vii. World Health Organization (2017) Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and their measurement strategies. Geneva: World Health Organization. viii. World Health Organization (2017) A framework for national health policies, strategies and plans. Geneva: World Health Organization. 3 Member State survey on implementation of the Global Patient Safety Action Plan 2021–2030 Top of Form Welcome to First Member State survey on implementation of the Global patient safety action plan 2021–2030 Please click next and read carefully the background information and instructions before starting the survey Bottom of Form First Member State survey on implementation of the Global p atient s afety action plan 2021 – 2030 October – November 2022 Background A doption of the Global patient safety action plan 2021 – 2030 by the Seventy-fourth World Health Assembly in 2021 was a milestone in the global movement for patient safety. In WHA decision WHA74(13), the Health Assembly requested t hat progress in its implementation be reported to the Seventy-sixth World Health Assembly in 2023 and thereafter every 2 years until 2031. A similar mandate was given by the Seventy-second World Health Assembly for reporting on progress in implementing resolution WHA72.6 on Global action on patient s afety . The Global patient safety action plan 2021–2030 comprises seven strategic objectives , e ach of which consist of five strategies. The plan also provides a set of core and advanced indicators aligned with the strategic objectives. Purpose and approach The main purpose of this survey is to measure progress in achieving the strategic objectives and strategies of the Global patient safety action plan. As mandated in the World Health Assembly decision WHA74(13), the WHO secretariat is requesting all the WHO Member States to participate in this survey . Members States are requested to nominate a responsible officer in their ministry of health to coordinate and respond to the survey. As patient safety is central to all clinical and health programmes , close collaboration and information - sharing will be required with various organizations, institutions and organizations . Whe n possible, a small working group could be constituted to assist in collating information from different sources. The survey tool is designed for self-assessment and to trigger action for patient safety improvements and to build an enabling policy environment in which a culture of safety and a sustainable patient safety programme are developed and sustained. The survey will also assist governments in establishing baselines, monitoring indicators longitudinally to assess incremental process , identifying policy and programme gaps and setting priorities for action to ensure safer delivery of health care in all settings Structure of the survey tool The global patient safety assessment tool has been designed for objective measure ment of progress in implementing the strategic framework of the Global patient safety action plan 2021–2030 . The structure of the tool is aligned with the 7X5 strategic matrix as the framework for action , which consist s of seven strategic objectives and 35 strategies , e ach of which has five assessment criteria , resulting in a total of 175 criteria. The criteria are based on recommendations for each of the strateg ies . Some of the strategies include supplementary questions . Assessment The 175 criteria are “ measurement units” . The response to each criteri on could be “ Not i nitiated ” , “ Partially met ” or “ Fully met ” . Guidance is given for assigning the most appropriate response. Each response should be supported by explanatory text or supporting evidence when possible . I f one of the criteria is not applicable or adequate information is not available , the option “ not applicable/not known ” can be selected . Scoring Although this assessment tool is not designed primarily for scoring or benchmarking, countries could use it to generate national and subnational scores to track their progress . WHO secretariat can provide technical support in developing country - specific scorecards. Timeline – The survey should be completed within one month of receipt of the survey link. The last date for submission of this electronic survey is 15 November 2022 . Using the electronic survey form – The survey is administered on standard WHO D at a forms . It can be accessed only by using the unique link and passcode provided to you. If you wish to first fill in the information offline and then respond to the online survey, please download the survey format in Microsoft Word here. A quick guide to use of the electronic survey can be found here. Assistance – For any assistance in responding to this survey , you may contact the following members of the WHO secretariat. Office Name of officer Contact details WHO headquarters Dr Neelam Dhingra, Unit Head, Patient Safety Flagship [email protected] Dr Nikhil Gupta, Technical Officer [email protected] Ms Maki Kajiwara , Technical Officer [email protected] Regional Office for the Eastern Mediterranean Dr Mondher Letaief , Regional Adviser [email protected] Regional Office for South-East Asia Dr Aparna Singh Shah, Regional Adviser [email protected] Regional Office for the Western Pacific Dr Nittita Prasopa-Plaizier , Technical Officer [email protected] Regional Office for the Americas Dr Jonás Gonseth García, Regional Adviser [email protected] Regional Office for Africa Dr Gertrude Avortri , Medical Officer [email protected] Regional Office for Europe Dr Joao Joaquim Rodrigues Da Silva Breda, Senior Adviser [email protected] Data use WHO secretariat will use the data collected from this survey to prepare a Global patient safety report. The report will be submitted to 76th World Health Assembly in 2023. For more information on the data policy visit: https://www.who.int/about/policies/publishing/data-policy/ Respondent information Details of the focal point who provided the responses . Name Position / Designation Organization Country E - mail address We understand responding to this survey will be a team effort. You can provide the names of those who contributed, at the end of survey while submitting final response. Strategic framework of the Global patient safety action plan 2021 – 2030 1 Policies to eliminate avoidable harm in health care 1.1 Patient safety policy, strategy and implementation framework 1.2 Resource mobilization and allocation 1.3 Protective legislative measures 1.4 Safety standards, regulation and accreditation 1.5 World Patient Safety Day and Global Patient Safety Challenges 2 High-reliability systems 2.1 Transparency, openness and No blame culture 2.2 Good governance for the health care system 2.3 Leadership capacity for clinical and managerial functions 2.4 Human factors/ergonomics for health systems resilience 2.5 Patient safety in emergencies and settings of extreme adversity 3 Safety of clinical processes 3.1 Safety of risk-prone clinical procedures 3.2 Global Patient Safety Challenge: Medication Without Harm 3.3 Infection prevention and control &amp; antimicrobial resistance 3.4 Safety of medical devices, medicines, blood and vaccines 3.5 Patient safety in primary care and transitions of care 4 Patient and family engagement 4.1 Co-development of policies and programmes with patients 4.2 Learning from patient experience for safety improvement 4.3 Patient advocates and patient safety champions 4.4 Patient safety incident disclosure to victims 4.5 Information and education to patients and families 5 Health worker education, skills and safety 5.1 Patient safety in professional education and training 5.2 Centres of excellence for patient safety education and training 5.3 Patient safety competencies as regulatory requirements 5.4 Linking patient safety with appraisal system of health workers 5.5 Safe working environment for health workers 6 Information, research and risk management 6.1 Patient safety incident reporting and learning systems 6.2 Patient safety information systems 6.3 Patient safety surveillance systems 6.4 Patient safety research programmes 6.5 Digital technology for patient safety 7 Synergy, partnership and solidarity 7.1 Stakeholder engagement 7.2 Common understanding and shared commitment 7.3 Patient safety networks and collaboration 7.4 Cross geographical and multisectoral initiatives for patient safety 7.5 Alignment with technical programmes and initiatives Strategic objective 1 . Policies to eliminate avoidable harm in health care Make zero avoidable harm to patients a state of mind and a rule of engagement in the planning and delivery of health care everywhere . This section has five strateg ies and 25 criteria . Strategy 1 .1 Develop a comprehensive patient safety policy, strategy, institutional framework and action plan for the country’s health system and all its components as a key priority in working towards universal health coverage . Criterion Response Assessment guidance 1.1.1 . Patient safety has been recognized as a priority in the national health policy (or equivalent) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known R emarks/supporting evidence FORMTEXT Not initiated = Patient safety has not been recognized as a priority in the national health policy . Partially met = Some aspects of patient safety have been included in the national health policy . Fully met = Patient safety has been identified as a key priority in the national health policy . 1.1.2 . Actions ha ve been taken to prioritize patient safety in national work towards achieving universal health coverage ( UHC ) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Some actions have been initiated to prioriti z e patient safety in the country’s work towards UHC . Fully met = Patient safety has been in cluded and fully integrated in service packages and delivery of UHC (e.g. , safe childbirth, surgical safety and medication safety are integral part of the services package for maternal health, surgery and access to essential medicines , respectively ) . 1.1.3 . A patient safety policy and strategy * has been developed . *A formal government statement that defines priorities and parameters for action in response to a country’s needs, available resources and political considerations and that is developed in close consultation with stakeholders, including communities. The national patient safety policy is the directive that clear ly aligns and harmoniz es patient safety activities, monitoring and evaluation of progress, future planning and resource s. A patient safety policy and strategy could stand alone or integrated with related aspects of health service improvement such as UHC , primary health care, quality of care and infection prevention and control. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No Patient safety policy and strategy has been developed Partially met = Development of patient safety policy and strategy is under process Fully met = Patient safety policy and strategy has been developed and available in public domain 1.1.4 . A national patient safety action (or equivalent) plan has been developed . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national patient safety action plan has been developed . Partially met = A national patient safety action plan is being developed. Fully met = A national patient safety action plan (or equivalent) has been developed and is in the public domain . 1.1.5. A functional national patient safety programme has been established. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Some aspects of patient safety have been addressed in other health service improvement program me s. Fully met = A national patient safety program me has been established , as a stand - alone or a distinct entity in an other initiative , and is fully operational . Strategy 1 .2 Mobilize and allocate adequate resources for patient safety implementation throughout every level of the health care system . Criterion Response Assessment guidance 1.2.1 . A dedicated category for patient safety has been created in the annual health budget . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No budget provision has been made for patient safety . Partially met = Patient safety activities are mentioned in the annual health budget . Fully met = A dedicated budget category has been created for patient safety activities . 1. 2.2 . Sustainable financial resources have been mobilize d and allocate d for interventions to promot e patient safety at all level s of care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Resource s have been allocat ed for few patient safety interventions . Fully met = Adequate financial resources are available for implementing all patient safety interventions ( or a programme) as per the plan . 1 . 2 .3 . A human resource s plan has been prepared for implement ing a patient safety action plan . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A human resource s plan is being developed. Fully met = A human resource s plan has been developed for implementing a patient safety action plan or program me at national and subnational level s. 1.2.4 . Action has been taken to fill human resource gaps at all levels of care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A n assessment has been made of the gap in human resource s for providing safe health- care service s . Fully met = Concrete measures have been taken to fill the human resource gap to maintain adequate staff-to- patient ratios at every health - care facility . 1.2.5 . Recognition and reward mechanism s have been introduced to promote improvement of patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such initiative has been under taken . Partially met = Schemes or a program me for recognition of health - care faci lities and organizations has been developed . Fully met = Health - care facilities , teams and organizations have been recogni z ed and rewarded according to their performance in patient safety and quality of care . Strategy 1 .3 Use selective legislation to facilitate the delivery of safe patient care and the protection of patients and health workers from avoidable harm . Criterion Response Assessment guidance 1 .3.1 . Law ( s ) for mandatory licencing of health - care facilities have been enacted. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = There is no mandatory licensing requirement for health - care facilities . Partially met = Law s or regulations for licensing of health - care facilities are being developed. Fully met = Mandatory licensing is required for all health - care facilities and services th r ough an appropriate law . 1 .3.2 . Law ( s ) for authorization of use of medical products have been enacted . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = Medical products are not regulated in the country . Partially met = Laws for authorization of use of medical products are being developed. Fully met = Law s for regulation of medical products , including medical devices, diagnostic s , assistive technology and digital health products , are in force . 1 .3.3 . Legal protection for health workers against punitive action for reporting patient safety incidents is provided . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No legal protection is available . Partially met = Regulations to protect health workers who report safety incidents are being developed. Fully met = A law protecting health workers from punitive action for reporting safety incidents has been enacted and is in force . 1 . 3.4 . Regulation ( s ) for health data protection and confidentiality have been implemented . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = There is no regulation pertaining to health data protection . Partially met = Patient safety incident reports are considered classified information and subjected to limited access . Fully met = A comprehensive law pertaining to privacy and protection of health data , including safety incidents , has been enacted. 1 .3.5 . Dedicated legislation addressing patient safety issues in health services delivery has been enacted . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No dedicated legislative instrument is available . Partially met = L egislation addressing patient safety issues is being developed. Fully met = C omprehensive legislation addressing all patient safety issues in health service delivery has been enacted and is in force . Strategy 1 .4 Align health care regulatory, inspectorial and accreditation activities to improve performance on patient safety Criterion Response Assessment guidance 1 . 4 .1 . Minimum safety standards have been defined for health - care facilities and health services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No safety standards are available . Partially met = Minimum safety standards for some categories of health - care facilities are available . Fully met = Minimum safety standards for all health - care facilities (primary, secondary and tertiary ) have been developed and are in the public domain . 1 .4.2 . Safety standards have been inc luded in the criteria for licencing health - care facilities . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No safety standards have been included in licencing criteria . Partially met = Safety standards have been inc luded in licencing criteria for some levels of health - care facilities . Fully met = Safety standards have been included in the criteria for licencing all levels of health - care facilities (primary, secondary and tertiary) 1 .4.3 . Safety standards have been defined for specific clinical services * * Examples include radiotherapy, dialysis, transfusion services, surgical services, emergency services, diagnostic services, maternity centres, dental clinics and hospice s. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = Safety standards have not been defined for any specific service. Partially met = Safety standards have been defined for at least one specific clinical service . * Fully met = Safety standards have been defined for all clinical services . 1 .4.4 . Safety standards have been inc luded in the criteria for health service assessments . * Assessment tools could be used for routine inspections, quality assurance programmes, accreditation, gap assessment or periodic surveys . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No safety standards have been included. Partially met = Inclusion of safety standards in routine assessment tools * for health - care facilities and services is in progress . Fully met = Safety standards have been duly incorporated in to health service assessment tools for health - care facilities . 1 .4.5 . Safety standards have been included in voluntary accreditation program me s for health - care facilities and services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No safety standards have been inc luded in accreditation criteria . Partially met = Safety standards have been inc luded in accreditation criteria for some categories of health - care facilities . Fully met = Safety standards have been inc luded in the criteria for accreditation of all categories of health - care facilities . Strategy 1 . 5 Create maximum awareness of World Patient Safety Day and Global Patient Safety challenges as a way of maintaining a high public and political profile for patient safety Criterion Response Assessment guidance 1 . 5.1 . A national campaign aligned with the theme of World Patient Safety Day has been launched . https://www.who.int/campaigns/world-patient-safety-day FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No campaign for World Patient Safety Day has been launched . Partially met = A national campaign has been designed , aligned with the theme of World Patient Safety Day . Fully met = The national campaign has been adapted and launched both national ly a nd subnational ly . 1.5.2 . A national event is organized to observe World Patient Safety Day . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national event is organized . Partially met = A national event is organized to observe World Patient Safety Day . Fully met = The national event to observe World Patient Safety Day is attended by senior leadership of the ministry of health or government . 1.5.3 World Patient Safety Day goals are adopted and promoted for implementation in health - care facilities . https://www.who.int/campaigns/world-patient-safety-day/sign-up-for-wpsd-2021-2022-goals https://www.who.int/campaigns/world-patient-safety-day/sign-up-for-wpsd-2020-2021-goals FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = The country is not aware World Patient Safety Day Goals . Partially met = World Patient Safety Day Goals have been adopted at the national level Fully met = World Patient Safety Day Goals are adopted and implemented national ly and in health - care facilit ies. 1.5.4 . WHO Global Patient Safety c hallenge s are prioritized and implemented national ly. The global challenges are: First WHO Global Patient Safety Challenge: C lean care is safe care https://apps.who.int/iris/handle/10665/43358 Second WHO Global Patient Safety Challenge: Safe surgery saves lives https://apps.who.int/iris/handle/10665/70080 Third WHO Global Patient Safety Challenge: Medication without harm https://www.who.int/initiatives/medication-without-harm FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = At least one of the WHO Global Patient Safety challenges has been prioritized and implemented . Fully met = All three WHO Global Patient Safety challenges have been prioritized and implemented . 1.5.5 . Progress on implementation of Global Patient Safety c hallenge s is monitored regularly . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Progress on Global P atient S afety C hallenge/s is monitored annually . Fully met = Plans for improvement are prepared by monitoring implementation of activities for the Global Patient Safety c hallenges . 1.5.6 . Which of the following activities were organized to observe the World Patient Safety Day ? Select as many as are applicable FORMCHECKBOX Lighting up of national monuments FORMCHECKBOX National campaign launch FORMCHECKBOX Social media campaign FORMCHECKBOX Press conference and media activities FORMCHECKBOX Meeting with stakeholders FORMCHECKBOX Scientific workshop or training FORMCHECKBOX Symposium or f orum FORMCHECKBOX Pledge - taking FORMCHECKBOX Awareness - raising event with patients and patient organizations FORMCHECKBOX Event engaging the general public , e.g. , citizens’ walk FORMCHECKBOX Event based on arts and performance FORMCHECKBOX Survey FORMCHECKBOX Film FORMCHECKBOX Awards and f elicitation FORMCHECKBOX Release of publications or memorabilia FORMCHECKBOX Other ( Please specify . ) FORMTEXT 1.5.7 . W hich of the following challenges have been endorsed and implemented in your country ? Select as many as are applicable FORMCHECKBOX First WHO Global Patient Safety challenge : C lean care is safe care FORMCHECKBOX Second WHO Global Patient Safety challenge : Safe surgery save s lives FORMCHECKBOX Third WHO Global Patient Safety challenge : Medication without harm Strategic objective 2 . High-reliability systems Build high-reliability health systems and health organizations that protect patients daily from harm . This section has five strategies and 25 criteria . Strategy 2.1 Develop and sustain a culture of respect, openness and transparency that promotes learning, not blame and retribution, within each organization providing patient care Criterion Response Assessment guidance 2.1.1 . A culture of s afety * has been included as a key intervention in programmes to improv health service s . * The culture of safety of an organization is the product of individual and group values, attitudes, perceptions, competenc e and patterns of behaviour that determine the characteristics of the organization’s health and safety management. Organizations with a positive safety culture are characterized by communications based on mutual trust, by shared perceptions of the importance of safety and by confidence in the efficacy of preventive measures . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A campaign for promoting a culture of safety in health - care facilities has been launched . Fully met = Sustained efforts have been made to implement a culture of safety in health - care facilities and services . 2.1.2 . A system for reporting “ never events ” * (or sentinel events ** ) is in place. * A patient safety incident that results in serious patient harm or death (particularly shocking medical errors such as wrong-site surgery that should never occur) ** An unexpected occurrence resulting in death or serious physical or psychological injury or the risk thereof. Serious injury specifically includes loss of a limb or function. The phrase “or risk thereof” includes any variation in a process a recurrence of which would carry a significant risk of a serious adverse outcome. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No system has been initiated for reporting n ever events (or sentinel events ) . Partially met = Reportable never events ( or sentinel events ) have been defined . Fully met = A system for reporting of never events ( or sentinel events ) is operational . 2.1.3 . Administrative mechanism ( s ) are in place to protect people who report adverse events . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A system-wide “ no-blame policy” has been introduced to promote reporting of adverse events in health care . Fully met . Sustained efforts have been made to implement the “ no-blame policy ”. 2.1.4 . An accountability mechanism is in place to promote a “ just culture”. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Clear guidelines (or definitions) have been developed to distinguish between human errors , at - risk behaviour and negligent or reckless behaviour . Fully met = Sustained efforts have been made to implement a “ just culture ” in health - care facilities and services . 2.1.5 . A p ractice of periodic surveys to assess the organizational safety culture has been established . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Tool ( s ) for assessing the organizational safety culture has been adopted or developed . Fully met = Surveys of organization safety culture are conducted periodically (at least biannually ) . Strategy 2.2 Develop and operate effectively a good governance framework within each component of the health care system Criterion Response Assessment guidance 2.2.1 . A patient safety institutional framework* has been established through policies and/or legislation . * An institutional framework could either stand alone or be integrated into other institutional frameworks for related health service improvement , depending on the national policy environment and context. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No institutional framework * has been established . Partially met = An institutional framework * is being developed. Fully met = A fully functional institutional framework * has been established . 2.2.2 . Roles, responsibilities and processes have been defined for smooth functioning of a patient safety institutional framework . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action ha s been taken . Partially met = Operational guidance on the functioning of an institutional framework is being developed. Fully met = Operational guidance including roles, responsibilities and processes for the functioning of a patient safety institutional framework have been defined and implemented . 2.2.3 . A national patient safety officer or equivalent has been designated . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No patient safety officer has been designated . Partially met = Terms of reference for a national patient safety officer have been defined . Fully met = A national patient safety officer has been designated or appointed . 2.2.4 . A n ational body* has been created or assigned to coordinate patient safety activities . * A national body could be a steering committee, a directorate or a specialized agency such as a national patient safety centre, commission or ta s k force . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Terms of reference for a national level body for patient safety have been defined . Fully met = A national body for patient safety is established and functional . 2.2.5 Subnational* p atient safety committees ** are functional . * Subnational : r egions , p rovince , s tates or equivalent ** C ommittees could be either stand - alone for patient safety or be integrated into committees or teams of related initiatives depending on the local context . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such initiative has been taken . Partially met = Subnational patient safety committee s are being established. Fully met = Subnational patient safety committees are fully functional . Strategy 2.3 Develop clinical and managerial leadership capacity and capability at all levels to ensure a strong and visible focus on eliminating avoidable harm in health care . Criterion Response Assessment guidance 2.3.1 . Leadership capacity - building is recognized as a key strategy in programmes to improve patient safety and health services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Leadership capacity - building has been prioritized in some programmes for improving patient safety and health service s. Fully met = Leadership capacity - building has been prioritized in all programmes for improving patient safety and health services. 2.3.2 . A centre has been designated for the development of leadership capacity in patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken. Partially met = A few institutions have been identified in the country for development of leadership capacity in patient safety . Fully met = A centre has been designated for the development of leadership capacity - building for patient safety . 2.3.3 . Leadership capacity - building programmes or initiatives in patient safety have been established for clinical and managerial leaders . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No programme has been established . Partially met = A programme for leadership capacity - building in patient safety is being developed. Fully met = A programme for leadership capacity - building in patient safety has been established and is operational . 2.3.4 . Resource materials for leadership capacity have been developed . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No resource material s for leadership capacity have been developed . Partially met = Resource materials for leadership capacity - building are being developed. Fully met = Resource materials for building leadership capacity in patient safety has been developed . 2.3.5 . Focused initiatives have been undertaken to develop the leadership capacity of early-career professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No focused initiative has been undertaken . Partially met = An initiative for developing leadership capacity of early-career professionals is being developed. Fully met = A programme for building leadership capacity of early-career professionals in patient safety has been established and is operational . Strategy 2.4 Bring a strong human factors / ergonomics perspective and input to strengthening the resilience of health organizations and clinical practices Criterion Response Assessment guidance 2.4.1 . An expert group has been established to advise on application of human factor principles to improve patient safety . https://cdn.who.int/media/docs/default-source/patient-safety/curriculum-guide/resources/ps-curr-handouts/course02_handout_why-applying-human-factors-is-important-for-patient-safety.pdf?sfvrsn=861a3034_9&amp;download=true FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = An expert group has been established to advise on application of human factor principles to improve patient safety . Fully met = An expert group is functional and assisting the government in applying human factor principles to improve patient safety . 2.4.2 . Training programmes on human factors are available for health - care professionals and managers . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No training programme on human factors is available . Partially met = Training programme s on human factors are being develop ed. Fully met = Training programmes on applying human factors in improving the safety of health care are available . 2.4.3 . Human factors approaches are adopted to improve safety during use of medical devices, information technologies and service delivery procedures . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Medical products and procedures in which a human factors approach could be applied to improve patient safety have been identified . Fully met = Guidance, standard o perating procedures and/or work instructions have been issued for applying human factor approaches to improve the safety of identified medical products and procedures . 2.4.4 . Structural safety* norms or codes have been enforced in all health - care facilities . * Structural safety includes ensuring that the location, design , structural integrity a nd safety will withstand probable natural hazards such as earthquakes, flooding or hurricanes . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No structural safety norms are available . Partially met = Structural safety* norms for health - care facilities have been defined . Fully met = Structural safety* norms for health - care facilities are enforced through appropriate mechanisms , such as authorization, licencing and periodic inspection . 2.4.5 . Norms or codes for the safety of non-structural * elements have been enforced * Non-structural norms include fire safety, electrical safety, drainage, elevators, water supply, medical gas, heating, v entilation , air conditioning and specific safety requirements for departments such as radiology and laboratories. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No safety norms are available . Partially met = Safety norms are available for the safety of non-structural* elements in health - care facilities . Fully met = Safety norms f or the safety of non-structural* elements in health-care facilities are enforced by appropriate mechanisms such as authorization, licencing and periodic inspection . Strategy 2.5 Incorporate patient safety elements within the context of emergencies, disease outbreaks and settings of extreme adversity Criterion Response Assessment guidance 2.5.1 . All known and potential threats to the safe functioning of health - care systems ha ve been identified . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Risk assessment tools have been developed for identifying potential threats . Fully met = A risk register is maintained for all known and identified potential threats . 2.5.2 . A risk mitigation strategy and/or plan has been developed for identified known and potential threats . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A risk mitigation strategy is being developed. Fully met = A risk mitigation strategy and/or plan has been developed . 2.5.3 . Patient safety elements have been inc luded in strategies and/or a plan for health emergency preparedness, response and recovery . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety elements are being included. Fully met = Patient safety strategies have been included. 2.5.4 . Regular rehearsals ( m ock drills) are conducted to test and improve response s to identified risks . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Rehearsal exercises are conducted but not regular ly. Fully met = Rehearsal exercises are conducted regularly at defined intervals . 2.5.5 . A real-time alert system for imminent patient safety risks and threats is in place . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = An alert system is being developed. Fully met = A real-time alert system for imminent patient safety risks and threats is in place . Strategic objective 3 . Safety of clinical processes Assure the safety of every clinical process . This section has five strategies and 25 criteria Strategy 3.1 Identify risk-prone clinical procedures and mitigate their risks, taking account of national and local priorities Criterion Status Assessment guidance 3.1.1. Expert groups have been created to assess key clinical practice domains and procedures that contribute to significant harm . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No expert group has been created . Partially met = Expert groups have been created , and the clinical practice domains and procedures that contribute to significant harm in the local context are being identified. Fully met = Sources of significant harm and their cause have been identified and documented . 3.1.2. A repository of knowledge and tools ha s been created for managing risks and improving patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = C reati on of a repository has not started . Partially met = Tools and knowledge sources for managing risks have been identified and listed . Fully met = A repository of knowledge and tools has been established and is in the public domain . 3.1.3. Patient safety improvement initiatives address major sources of harm during patient care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No patient safety improvement initiative is planned . Partially met = At least one initiative has been launched on a major source of harm during patient care (e.g., venous thromboembolism , falls, patient identification, sepsis, high-alert medications) . Fully met = I nitiatives have been launched to address most major sources of harm . 3.1.4. Programmes to improve patient safety have been introduced for each discipline, specialty, care context and disease control programme. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No focused patient safety programme has been introduced . Partially met = A focused patient safety programme addressing at least one area (e.g., surgical care, obstetric care, neonat al and child care , radiotherapy, anaesthesia care, vaccination ) has been introduced . Fully met = Focused patient safety programmes have been introduced for most clinical specialties and disease control programmes . 3.1.5. Lessons learn t from safety and quality improvement programmes are disseminated . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No lessons have been learnt from safety and quality improvement programmes . Partially met = Lessons from safety and quality improvement programmes have been learnt and documented but not disseminated . Fully met = Lessons learnt from safety and quality improvement programmes have been documented and disseminated . Which of the following source s of harm has been addressed in a patient safety improvement initiative? Select as many as are applicable . FORMCHECKBOX Patient misidentification FORMCHECKBOX Patient f alls FORMCHECKBOX Pressure injuries FORMCHECKBOX High-alert, high-risk medications FORMCHECKBOX Venous t hromboembolism FORMCHECKBOX Sepsis FORMCHECKBOX Health care - associated infections FORMCHECKBOX Medication errors FORMCHECKBOX S urgical complications FORMCHECKBOX Diagnostic errors FORMCHECKBOX Mental health harm FORMCHECKBOX Unsafe injection practices FORMCHECKBOX Others (Please specify . ) FORMTEXT For which of the following discipline s and specialities are there focused patient safety improvement programmes? Select as many as applicable . FORMCHECKBOX Ambulatory care FORMCHECKBOX Anaesthesia FORMCHECKBOX Critical or intensive care FORMCHECKBOX Diagnostic imaging FORMCHECKBOX Diagnostic laboratory FORMCHECKBOX Emergency and trauma care FORMCHECKBOX Eye care FORMCHECKBOX Geriatric care FORMCHECKBOX Mental health FORMCHECKBOX Obstetrics and gynaecology FORMCHECKBOX Oral care FORMCHECKBOX Paediatric care FORMCHECKBOX Palliative care FORMCHECKBOX Radiotherapy FORMCHECKBOX Surgical care FORMCHECKBOX Others (Please specify . ) FORMTEXT Which of the following public health programmes include focused patient safety programmes or initiatives? Select as many as applicable . FORMCHECKBOX Adolescent health FORMCHECKBOX Child health FORMCHECKBOX Health screening programmes FORMCHECKBOX HIV/AIDS FORMCHECKBOX Immunization FORMCHECKBOX Malaria FORMCHECKBOX Maternal health FORMCHECKBOX Neglected tropical diseases FORMCHECKBOX Noncommunicable diseases FORMCHECKBOX Newborn health FORMCHECKBOX Reproductive health FORMCHECKBOX Tuberculosis FORMCHECKBOX Others (Please specify . ) FORMTEXT Strategy 3.2 Implement a programme to transform the safety of medication management and use based on the third WHO Global Patient Safe Challenge : Medication Without Harm Criterion Response Assessment guidance 3.2.1 . Actions* to improve medication safety have been taken in priority areas of high-risk situations, transitions of care and polypharmacy . * Actions may include developing guidance, policy, protocols, instructions, work aids, digital solutions, training activities and focused improvement programmes or initiatives in priority areas such as high-risk situations, transition of care and polypharmacy. For further information on these topics, see https://www.who.int/initiatives/medication-without-harm FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Action has been taken in least in one of the priority areas . Fully met = Actions have been taken to address all priority areas in medication safety , including high-risk situations, transitions of care and polypharmacy. 3.2.2 . A national expert group has been constituted to implement the third WHO Global patient safety challenge : Medication without harm . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A national multidisciplinary expert group has been constituted . Fully met = A national multidisciplinary expert group has been constituted and is functional . 3 .3.3 . Initiatives have been taken to enhanc e patient awareness and knowledge about safe use of medicines . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Awareness programmes and education al materials have been developed to promote safe use of medicines by patients and communities . Fully met = A focused platform, including mass and social media , has been initiated on safe use of medicines . 3.2.4 . The s afety of use of traditional and complementary medicines has been included in programmes on medication safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Adverse events arising from use of traditional and compl e mentary medicines have been integrated into the pharmacovigilance system . Fully met = Safety standards have been defined for traditional and compl e mentary medicines . 3.2.5. Mechanisms are in place for reporting of adverse drug events and medication errors in facilities. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No reporting mechanism exists . Partially met = A system for reporting adverse drug reactions is operational . Fully met = A system for reporting all adverse drug events , including adverse drug reactions, medication errors and near misses , e xists and is operational . Additional information on implementation of the WHO Global patient safety challenge : Medi c ation without harm ( https://www.who.int/initiatives/medication-without-harm ) Which of the following areas have been prioritized for medication safety ? Select as many as are applicable FORMCHECKBOX High -risk situations FORMCHECKBOX Polypharmacy FORMCHECKBOX T ransition of care FORMCHECKBOX Others (Please specify.) FORMTEXT In w hich of the following domain s and sub - domains of the challenge have actions been initiated ( https://bit.ly/3rf0hSR )? Select as many as are applicable Patients and public : FORMCHECKBOX Public awareness and medication literacy FORMCHECKBOX Reporting by patients FORMCHECKBOX Patient engagement FORMCHECKBOX Involvement of patient organization s Health - care professionals : FORMCHECKBOX Education and training FORMCHECKBOX Communication and teamwork FORMCHECKBOX C apability at point s of care FORMCHECKBOX Incident r eporting and learning Medicines : FORMCHECKBOX Product quality and safety FORMCHECKBOX Naming, labelling and packaging FORMCHECKBOX Logistics, storage and disposal FORMCHECKBOX Right product at point of care Systems and practices of medication : FORMCHECKBOX Leadership and governance FORMCHECKBOX Prescribing, preparation and dispensing FORMCHECKBOX Administration and patient monitoring FORMCHECKBOX Monitoring and evaluation Which of the following initiatives or tools have been implemented at national level ? Select as many as are applicable FORMCHECKBOX Know. Check. Ask campaign FORMCHECKBOX 5 moments of medication safety FORMCHECKBOX Medication safety for look - alike sound - alike medicines FORMCHECKBOX Medication review and reconciliation 3.2. 7 Additional information on measuring medication - related harm Has an indicator of medication-related harm been defined in the country? No FORMCHECKBOX Yes FORMCHECKBOX If yes , please provide details , e.g., case definition, numerator , denominator FORMTEXT Is there a mechanism for measuring medication-related harm in the country? No FORMCHECKBOX Yes FORMCHECKBOX If yes, please provide details , e.g., method of data collection and frequency FORMTEXT Has the burden of medication harm been estimated recent ly ( ≤ 5 years) in the country? No FORMCHECKBOX Yes FORMCHECKBOX If yes, please us provide the percentage or rate . FORMTEXT Has a national target been set for the reduction in medication - related harm ? No FORMCHECKBOX Yes FORMCHECKBOX If yes, please provide the details (e.g. , targeted percentage reduction in a year or biennium ), Strategy 3.3 Put in place rigorous and evidence-based measures for infection prevention and control to minimize the occurrence of health care-associated infections and antimicrobial resistance . Criterion Response Assessment guidance 3.3.1 . A national programme for infection prevention and control (IPC) has been established . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national IPC programme exists . Partially met = A trained IPC focal point with terms of reference has been designated at national level . Fully met = A national IPC programme exists with an annual work plan and budget . 3.3.2 . Guidelines and implementation tool for preventing and controlling health - care-associated infections with multimodal strategies has been developed . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No IPC guidelines have been developed . Partially met = National IPC guidelines have been developed . Fully met = National IPC guidelines have bee n disseminated and implemented with multimodal strategies . 3.3.3 . T raining and education in IPC are available to all health workers . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national policy or support for IPC training exists . Partially met = A policy exists for training all health workers in IPC (in-service training) . Fully met = An approved IPC national curriculum (in-service and pre-service) aligned with national IPC guidelines is available . 3.3.4 . A system for surveillance of health - care-associated infections is implemented . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No system has been established for surveillance of health care-associated infections. Partially met = A technical group for develop ing plans and a system of surveillance of health-care-associated infections has been established . Fully met = An active health-care-associated infections surveillance system is operational and reports quality-controlled data regularly. 3.3.5 . A system for monitoring and evaluation of compliance with IPC guidelines and indicators is implemented . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No IPC monitoring is i n place . Partially met = A strategic plan for IPC monitoring has been developed , including appropriate methods and a minimum set of core indicators ( e.g., compliance with hand hygiene, waste management) . Fully met = A strategic plan for IPC monitoring is in place, including an integrated system for regular collection, analysis and feedback of data . 3.3.6 . Additional information on health care-associated infections Has the burden of health care-associated infection been estimated in the country? No FORMCHECKBOX Yes FORMCHECKBOX If yes, what metric was used (e.g. , p revalence or incidence ) ? Please provide details FORMTEXT What types of health care-associated infections are measured in health - care facilities? Select as many as are applicable FORMCHECKBOX Surgical site infections FORMCHECKBOX Urinary tract infections , including catheter - associated infections FORMCHECKBOX Hospital - acquired and ventilator- associated pneumonia FORMCHECKBOX Bloodstream infections , including catheter - related FORMCHECKBOX Others (Please specify . ) FORMTEXT What are the most recent estimates of these health-care-associated infections ? Indicator Estimate Year Surgical site infections Urinary tract infections Bloodstream infections Hospital-acquired and ventilator-associated pneumonia Other Have any targets been established for reduction of health care - associated infections in the country? No FORMCHECKBOX Yes FORMCHECKBOX Remarks FORMTEXT If yes, please provide details ( e.g., targeted percentage reduction in a year or biennium) FORMTEXT Strategy 3.4 Assure the safety of medical devices, medicines, blood and blood products, vaccines and other medical products . Criterion Response Assessment guidance 3.4.1 . P olicy ( i e s ) and regulatory framework (s) are in place for assuring the s afety of medicines, vaccines, blood and blood products and medical devices . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No policy or regulatory framework is available . Partially met = Policy and regulatory framework s are available for at least one of the following medical products: medicines , vaccines , blood and blood products , medical devices . Fully met = Policy and regulatory frameworks are established for key medical products: medicines, vaccines , blood and blood products , medical devices . 3.4.2 . A programme for assuring the safety of medicines has been established . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No programme on safety of medicines has been established . Partially met = A pharmacovigilance system is in place , with a national agency appointed for monitor ing. Fully met = Feedback from the pharmacovigilance system is provided periodically to manufacture rs and health - care service providers . 3.4.3 . A national blood programme has been established , with a strong emphasis on safe use of blood and blood products . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national blood programme has been established . Partially met = A national blood programme has been established . Fully met = A functional h a emovigilance system has been established as part of the national blood programme . 3.4.4 . A functional system on immunization safety is in place . ** Source of data: database of the WHO Global Programme for International Drug Monitoring (Viviane) FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No national system to monitor a dverse event s following immunization (AEFI ) is available . Partially met = A national vaccine adverse events review committee is functional . Fully met = The country has a functional vaccine adverse events review committee and report s individual serious cases to Viviane 3.4.5 . A programme for the safety of medical devices and technologies has been established . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No programme has been established. Partially met = Safety standards for medical devices have been defined . Fully met = A post - market surveillance and material vigilance programme has been established for medical devices . Strategy 3.5 Assure the safety of patients in all settings, including in mental health settings and care homes, with a focus on primary care and transitions of care Criterion Response Assessment guidance 3.5.1 . Standard operating procedures have been established for safe clinical handovers within and between health - care facilities and home-based care to maintain the continuity of care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No standard operating procedures have been developed . Partially met = Standard operating procedures have been developed for safe handovers during transitions of care . Fully met = Standard operating procedures for safe handovers have been implemented in at least at 60% of health - care facilities . 3.5.2 . Primary care services have been included in national certification and accreditation programmes . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No licencing or accreditation programme for primary care services is available . Partially met = A certification or accreditation programme is available for primary care services . Fully met = At least 60% of health - care facilities are certified according to certification or accreditation standards . 3.5.3 . Diagnosis, treatment and referral pathways for primary care have been developed and implemented . * * I ncludes dissemination, training and adherence to guidelines in daily practice . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No pathways have been developed . Partially met = Diagnosis, referral and treatment pathways for primary care have been developed . Fully met = Primary care pathways have been implemented in at least 60% of hea l th - care facilities. 3.5.4 . Patient safety system interventions* have been extended to include primary care services . * I nterventions could include: s afety incident reporting and learning system patient and family engagement initiatives safety culture safety training and competence surveillance patient safety standards FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No patient safety system has been implemented in primary care services . Partially met = At least one of the interventions has been implemented in primary care services . Fully met = All patient safety system interventions have been implemented in primary care services . 3.5.5 . Patient safety initiatives have been introduced in mental health care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiatives have been introduced. Partially met = Patient safety issues in mental health setting s have been identified . Fully met = Patient safety interventions are implemented in mental health settings . 3.5.6 . Which of the following patient safety interventions have been implemented in primary care services ? Select as many as are applicable FORMCHECKBOX Patient safety incident reporting and learning system FORMCHECKBOX Patient and family engagement initiatives FORMCHECKBOX Safety culture FORMCHECKBOX Patient safety training and competence FORMCHECKBOX Patient safety surveillance FORMCHECKBOX Patient safety standards FORMCHECKBOX Others (Please specify.) FORMTEXT Strategic objective 4 . Patient and family engagement Engage and empower patients and families to help and support the journey to safer health care . This section has five strategies and 25 criteria . Strategy 4.1 Engage patients, families and civil society organizations in co- development of policies, plans, strategies, programmes and guidelines to make health care safer Criterion Response Assessment guidance 4.1.1 . Patient organizations , networks and civil society organizations working on patient engagement and patient safety have been identified . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient organizations , networks and civil society organizations have been identified at national level . Fully met = Patient organizations , networks and civil society organizations working on patient engagement and patient safety have been identified at both national a nd subnational levels . 4.1.2 . Patient representatives have been formally included in national and/or subnational committees or equivalent structures working on policies, programmes and guidelines for making care safer . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No patient representatives have been included . Partially met = Patient representatives have been included o n some committees . Fully met = Inclusion of a patient representative o n all committees is standard practice . 4.1.3 . Engagement of p atient s and their famil ies has been included in the assessment criteria of health - care facilities . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Engagement of patients and their families is being included in the assessment criteria for health - care facilities . Fully met . Engagement of patients and their families has been included in the assessment criteria for health - care facilities . 4.1.4 . A patient representative has been appointed to the governing board in the majority of hospitals . * 60% or more health care facilities , including public and private FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Guidelines or directions have been issued for appointing patient representatives to hospital governing boards and for their role . Fully met = A patient representative has been appointed to the governing board of most (60% or more) health - care facilities . 4.1.5 . A national patient rights charter (or equivalent) has been developed with safe care as a key component . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No patient rights charter has been developed . Partially met = A national patient rights charter is being developed . Fully met = A national patient rights charter has been developed and is in the public domain . Strategy 4.2 Learn from the experience of patients and families exposed to unsafe care to improve understanding of the nature of harm and foster the development of more effective solutions Criterion Response Assessment guidance 4.2.1 . Mechanisms have been established to seek feedback from patients and families on the safety and quality of services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No mechanism has been established . Partially met = A mechanism to seek feedback from patients and their families has been develop e d . Fully met = There is a well-established mechanism for seek ing feedback from patients and their families and reporting back to them on the safety and quality of services . 4.2.2 . Initiatives are in place to collect and document patient s’ stories of harm and unsafe care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Some initiatives have been taken to collect patient s’ stories of harm . Fully met = A mechanism has been established to document and learn from patient s’ stories of harm and unsafe care . 4.2.3 . National and subnational networks of patient advocates, champions and patient organizations are operational . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No network is available . Partially met = A national network is available . Fully met = Network ( s ) of patient advocates, champions and organizations are active both national ly and subnationa lly . 4.2.4 . Initiatives have been taken to measure and report regularly on patient-reported outcomes and experiences . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Mechanisms and tools for measuring patient - reported outcomes and experiences are being developed . Fully met = Patient - reported outcomes and experiences are measured and reported regularly. 4.2.5 . Mechanisms are in place to incorporate patients’ feedback in to the design and delivery of safe health care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patients’ feedback is collated and analysed . Fully met = P atients’ feedback has sometimes informed changes to improve the design and delivery of health services . Strategy 4.3 Build the capacity of patient advocates and champions in patient safety . Criterion Response Assessment guidance 4.3.1 . The government acknowledges and supports the role of patient advocates and champions in improving the safety of health services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Patient advocates and champions w ho could contribute to patient safety programmes have been identified by the government . Fully met = Patient advocates and champions have been given specific roles in programmes, and the government has established monitoring mechanisms for improving patient safety . 4.3. 2 . A “p atient for patient s afety ” network has been established with active participation of and leadership by patient and civil society organizations . https://www.who.int/initiatives/patients-for-patient-safety FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No network has been established . Partially met = A national “patient for patient safety” network is functional . Fully met = The national “patient for patient safety” network collaborates with the WHO “patient for patient safety” programme . 4.3. 3 . Educational and technical resources have been developed for building the capacity of patient advocates and champions . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No resource materials have been developed . Partially met = Education and training resources are being developed . Fully met = Education and training resources for building the capacity of patient advocates and champions are available . 4.3. 4 . A capacity-building programme has been established to train and develop patient advocates and champions . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A capacity - building programme is being developed . Fully met = Patient advocates and champions have been trained . 4.3.5 . Patient advocates and champions are invited to participate in national and local patient safety events such as seminars, conferences and consultations . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient advocates and champions are invited to participate in national patient safety events and consultations . Fully met = Patient advocates and champions are invited to participate in both national and subnational patient safety events . Strategy 4.4 Establish the principle and practice of openness and transparency throughout health care, including through patient safety incident disclosure to patients and families Criterion Response Assessment guidance 4.4.1 . National guidance has been developed for obtaining informed consent from patients and families . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No guidance is available . Partially met = Guidance on obtaining informed consent from patients and families is being developed . Fully met = National guidance on obtaining informed consent from patients and families has been developed and is in the public domain . 4.4.2 . Procedures are in place to give patients access to their medical records . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No procedures have been developed . Partially met = Procedures for giving patients access to their medical records have been developed . Fully met = Proactive actions have been taken to inform patients and families about the procedures for access ing patients’ medical records . 4.4.3 . Procedures are in place to disclose adverse events to patients and families . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Guidelines or s tandard operating p rocedures for disclosing adverse events are being developed . Fully met = Guidelines or standard operating procedures for disclosing adverse events (duty of candour) to patients and their families are available in all health - care facilities . 4.4.4 . Initiative ( s ) have been taken to raise awareness and build capacity to implement informed consent and disclosure policies . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = M aterials on the informed consent and disclosure policy have been developed . Fully met = A capacity - building initiative has been launched to educate health workers and providers on informed consent and disclosure policies . 4.4.5 . Guidance has been developed for providing psychological support to patients, their families and health workers after a serious patient safety incident . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No guidance has been provided . Partially met = Guidance on psychological support to health workers , patients and their families has been developed . Fully met = Guidance on psychological support to health workers , patients and their families is available in all health - care facilities . Strategy 4.5 Provide information and education to patients and families for their involvement in self-care and empower them for shared decision-making Criterion Response Assessment guidance 4.5.1 . Initiative ( s ) have been taken to enhance the health literacy of the public on patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A health literacy programme is available . Fully met = Health literacy programmes include general awareness of patient safety . 4.5.2 . Engagement of p atient s and their famil ies has been incorporated in school and/or higher education curricula . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Engagement of patients and their families has been incorporated in some education curricula . Fully met = Engagement of patients and their families has been incorporated as an element in school and higher education curricula . 4.5.3 . Information about access to and the safety of services is available in all health - care facilities . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = The minimum information on access and safety to be provided by health - care facilities to users has been defined . Fully met = Key indicators of access to and the safety and quality of health services are public ly available ( e.g., waiting times, mortality rates, complication rates, patient satisfaction, safety and quality scores) . 4.5.4 . Initiative ( s ) have been taken to educate patients and their families on active engagement and shared decision - making in patients’ care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Information and education al materials have been developed . Fully met = A focused campaign has been launched to educate patient s and their families about active engagement and shared decision - making in patients’ care . 4.5.5 . Use of digital technologies such as smartphones is promoted to engage patients and family members in safe care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = In at least one example , digital technology has been used to promote patient engagement . Fully met = There are multiple examples of use of digital technologies and smartphones in promoting patient engagement . Strategic objective 5 . Health worker education, skills and safety Inspire, educate, skill and protect health workers to contribute to the design and delivery of safe care systems This section has five strategies and 25 criteria . Strategy 5.1 Incorporate patient safety within health professional undergraduate and postgraduate education curricula and continuing professional development, with an emphasis on interprofessional learning . Criterion Response Assessment guidance 5.1.1 . The WHO Patient safety curriculum guide has been adopted or adapted at national level . https://www.who.int/publications/i/item/9789241501958 FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Adoption of the WHO patient safety curriculum is under way. Fully met = The WHO Patient safety curriculum has been adopted national ly. 5.1.2 . Patient safety has been included in undergraduate professional education curricula . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety has been included in the curriculum of at least one undergraduate professional education course . Fully met = Patient safety has been included in undergraduate education curricula of all health professionals ( e.g., medical, nursing, pharmacy and paramedicine ) . 5.1.3 . Patient safety has been incorporated into postgraduate professional education curricula . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety has been included in the curriculum of at least one postgraduate professional education stream . Fully met = Patient safety has been included in the curricula of all appropriate postgraduate professional education streams . 5.1.4 . Health worker safety has been incorporated into in-service training of health professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Training modules on health worker safety have been developed . Fully met = Health worker safety has been included in in-service training of health professionals . 5.1.5 . Specialized courses for in-service training of health workers on patient safety have been developed and offered . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No course is available . Partially met = Patient safety courses have been developed for in-service training . Fully met = Regular in-service training in patient safety is provided to health workers . 5.1.6 . For which of the following professional streams has patient safety been incorporated in to the education curriculum ? Select as many as are applicable FORMCHECKBOX General m edical practitioners FORMCHECKBOX Specialist medical practitioners FORMCHECKBOX Nursing professionals FORMCHECKBOX Paramedical practitioners FORMCHECKBOX Pharmacists FORMCHECKBOX Dentists FORMCHECKBOX Environmental and occupational health and hygiene professionals FORMCHECKBOX Physiotherapists FORMCHECKBOX Traditional and complementary medicine professionals FORMCHECKBOX Dieticians and nutritionists FORMCHECKBOX Audiologists and speech therapists FORMCHECKBOX Optometrists and ophthalmic opticians FORMCHECKBOX Others . ( Please specify. ) FORMTEXT Strategy 5.2 Identify and establish collaborations with centres of excellence in patient safety education and training . Criterion Response Assessment guidance 5.2.1 . A national institution ( s ) has been designated for the provision of education and training in patient safety for various categories of health - care professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A national institution has been identified . Fully met = A national institution has been designated and is providing education and training i n patient safety for various professional health - care groups . 5.2.2 . Subnational t raining centre ( s ) are available for providing training in patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Training centres have been identified at subnational level . Fully met = Subnational training centres are fully functional and provide training in patient safety . 5.2.3 . A pool of master trainers has been created to conduct training in patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No pool of trainers has been created . Partially met = A pool of master trainers is being developed . Fully met = A pool of master trainers has been created for training i n patient safety . 5.2.4 . Innovative teaching methods and simulation techniques are used in patient safety education and training . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Some pilot training has been conducted with innovative techniques . Fully met = Innovative teaching techniques and simulation are fully incorporated in to patient safety education and training . 5.2.5 . M any national institutions are “ centres of excellence” for training and education in patient safety. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such initiative has been taken . Partially met = At least one institution has be come a “ centre of excellence”. Fully met = Many institutions have be come “ centres of excellence ” for training and education in patient safety . Strategy 5.3 Ensure that patient safety core competencies are part of regulatory requirements for health professionals Criterion Response Assessment guidance 5.3.1 . Core competence for p atient safety * has been defined for each category of health - care professional . * Core competence for patient safety includes teamwork, communication, safety attitude, reporting of incidents, learning and improvement . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Core competence for patient safety has been defined for at least one category of health - care professional . Fully met = Core competence for patient safety has been defined for all categories of health - care professional . 5.3.2 . Periodic assessment of core competenc e for patient safety is mandated by national or subnational governments . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Periodic assessment of core competenc e is recommended by national and subnational governments . Fully met = A mechanism is in place for mandatory periodic assessment of core competenc e for patient safety. 5.3.3 . Core competence for patient safety is linked to licencing and re-licensing requirements for health - care professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such provision is available . Partially met = A plan to link core competence for patient safety with licencing and relicensing of health - care professionals is being developed. Fully met = Core competence for patient safety is linked and considered for licensing and relicensing of health - care professionals . 5.3.4 . Specific competenc e has been identified for authorizing health - care professionals working in clinical specialties. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Specific competenc e has been identified for various clinical specialties ( e.g., paediatric nurse, radiation therapist, intensive care personnel and emergency medical technician) . Fully met . Specific competenc e is required to authorize health - care clinical specialists . 5.3.5 . Competence in p atient safety is strengthened by refresher training and continuing professional development programmes . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A plan has been prepared for continuing professional development . Fully met = A plan for continuing professional development in competence in patient safety has been implemente d. Strategy 5.4 Link commitment to patient safety with appraisal systems for health - care professionals and managers . Criterion Response Assessment guidance 5.4.1 . A periodic performance appraisal system has been implemented for all categories of health - care professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No guidance is available . Partially met = A periodic performance appraisal system has been implemented for some categories of health - care professionals . Fully met = A periodic performance appraisal system has been implemented for all categories of health - care professionals . 5.4.2 . Participation in patient safety programmes and initiatives has been included in performance evaluation of health - care professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such initiative has been taken . Partially met = A plan to link participation in patient safety programmes and initiatives with performance is being considered. Fully met = Participation in patient safety and quality of care programmes and initiatives is a criterion for performance evaluation . 5.4.3 . A ssessment of the performance of health - care managers is linked to improvement in patient safety and quality of care FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A plan to link performance of health managers with improvements in patient safety and quality of care is being consider ed. Fully met = The p erformance of health managers is linked with improvement in patient safety and quality of care in their work area . 5.4.4 . Credits for training in p atient safety are linked with continuing professional development of health - care professionals . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A plan to link credits for training in patient safety with continuing professional development of health care professionals is being considered. Fully met = Credits for training in patient safety are linked with continuing professional development of health - care professionals . 5.4.5 . A reward and/or recognition scheme is in place to acknowledge exceptional achievements in patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A scheme for rewarding or recognizing health workers is being developed . Fully met = A scheme for rewarding or recognizing health workers ’ achievements in patient safety has been implemented . Strategy 5.5 Design care settings, environments and practices to provide safe working conditions for all staff . Criterion Response Assessment guidance 5.5.1 . The government has endorsed and signed the WHO charter on “ Health worker safety: a priority for patient safety ” https://www.who.int/campaigns/world-patient-safety-day/sign-up-to-the-charter---health-worker-safety FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = The g overnment is considering endorsing the WHO charter on “ Health worker safety: a priority for patient safety ” . Fully met = The government has endorsed and signed the WHO charter on “ Health worker safety: a priority for patient safety ” . 5.5.2 . Programmes or initiatives have been established to provide mental well-being and social support services for health workers . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Programmes or initiatives for the mental well-being and psychological safety of health workers are being developed . Fully met = Programmes or initiatives for supporting the mental and social well-being of health worker s have been implemented at health - care facilities . 5.5.3 . A national programme on the occupational health and safety of health workers has been implemented . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A national programme on the occupational health and safety of health workers is being developed . Fully met = A national programme on the occupational health and safety of health works is being implemented . 5.5.4 . Vaccination of all at-risk health worker s against vaccine - preventable infections is ensured in the national immunization policy . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A vaccination programme for health workers is available . Fully met = All at-risk health workers are vaccinated against vaccine - preventable diseases according to the national immunization policy . 5.5.5 . Relevant policies, laws and/or other administrative measures have been implemented to prevent and eliminate violence against health workers . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = All serious incidents of violence at health - care facilities are investigated , and priority action is taken . Fully met = The government has enacted laws, policies and other administrative measures to prevent and eliminate violence against health workers . Strategic objective 6 . Information, research and risk management Ensure a constant flow of information and knowledge to drive the mitigation of risk, a reduction in levels of avoidable harm, and improvements in the safety of care This section has five strategies and 25 criteria . Strategy 6.1 Establish or strengthen patient safety incident reporting and learning system Criterion Response Assessment guidance 6.1.1 . Definitions and classification of patient safety incidents have been developed and aligned with the WHO International classification for patient safety https://apps.who.int/iris/bitstream/handle/10665/70882/WHO_IER_PSP_2010.2_eng.pdf FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Definitions and classification of patient safety incidents are being develop ed or adopted. Fully met = Definitions and classification of patient safety incidents have been developed and are aligned with the WHO International classification for patient safety. 6.1.2 . A standard format is available for reporting patient safety incidents, which is aligned with the WHO Minimum information model for patient safety incident reporting and learning systems https://www.who.int/publications/i/item/WHO-HIS-SDS-2016.22 FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known R emarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A paper or electronic form for reporting patient safety incidents has been developed . Fully met = The reporting format is aligned with ( or at least meets ) the WHO Minimum information model for patient safety incident reporting and learning systems . 6.1.3 . An institution has been designated to coordinate and manage a system for patient safety incident reporting and learning by health - care facilities , aligned with WHO Patient safety incident reporting and learning systems: technical report and guidance https://www.who.int/publications/i/item/9789240010338 FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A n institution or agency has been designated for managing patient safety incident reporting and learning . Fully met = A functional patient safety incident reporting and learning system is managed by the designated institution or agency . 6.1.4 . M ost * health - care facilities participat e in a patient safety incident reporting and learning system . * 60% or mor e of public and private health - care facilities FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = A reporting and learning system is not functional . Partially met = A patient safety incident reporting and learning system is functional , but very few health - care facilities participat e. Fully met = M ost health -c are facilities participat e in the patient safety incident reporting and learning system . 6.1.5 . Regular alerts about major sources of patient risk and harm based on analysis of incident reports are disseminated to advise action . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known R emarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = P atient safety alerts are available but not yet disseminated . Fully met = Regular alerts on major sources of patient risk and harm based on analysis of incident reports are disseminated . 6.1.6 . Is reporting of patient safety incident s mandatory or voluntary ? FORMCHECKBOX Voluntary FORMCHECKBOX Mandatory FORMCHECKBOX Mixed ( i.e. , reporting of some serious events is mandatory , and reporting of other s is voluntary) FORMCHECKBOX No reporting and learning system 6.1.7 What kind s of incidents are included in the reporting and learning system ? Select as many as are applicable FORMCHECKBOX Near miss FORMCHECKBOX Non - harmful incident FORMCHECKBOX A dverse event (preventable) FORMCHECKBOX Adverse reaction ( non-preventable ) FORMCHECKBOX Only serious , never or sentinel events FORMCHECKBOX Other. Please specify. FORMTEXT 6.1.8 How is the patient safety incident reporting and learning system coordinated ? FORMCHECKBOX Centrally at national level FORMCHECKBOX Centrally at subnational level FORMCHECKBOX Locally at organization al level FORMCHECKBOX Locally at health - care facility level FORMCHECKBOX Other . Please specify. FORMTEXT 6.1. 9 How are patient safety incidents reported ? FORMCHECKBOX On paper FORMCHECKBOX By e-mail FORMCHECKBOX With a dedicated software application / Internet- based system FORMCHECKBOX Other . Please specify. FORMTEXT Strategy 6.2 Create a patient safety information system based on all sources of data related to risks and harm inherent in the delivery of health integrated with existing health management information systems Criterion Response Assessment guidance 6.2.1 . I ndicators have been identified to monitor patient safety national ly and/or sub - national ly. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Most relevant patient safety indicators in the national context have been identified . Fully met = I dentified patient safety indicators have been disseminated to health - care facilities for monitoring and reporting to the patient safety agency . 6.2.2 . Indicators have been incorporated in to the national or subnational health information system or equivalent . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Patient safety indictors are reported , al though there is no standard platform for reporting . Fully met = Patient safety indictors are reported through a standard reporting platform such as a health management information system or equivalent mechanism . 6.2.3 . All potential sources of information on patient safety (i.e., incident reporting system, malpractice claim s , clinical audits and surveillance) have been used to learn about patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such mechanism is available . Partially met = Sources for various types of patient safety information have been identified . Fully met = Information from various sources is pooled for analysis and used to learn about patient safety . 6.2.4 An annual report on patient safety performance is published every year FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = An annual patient safety report is being developed . Fully met = An annual patient safety report has been developed from information on performance i n the past 2 years, is published and is in the public domain . 6.2.5 . An accountability mechanism has been established to improve indicators of patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such mechanism is available . Partially met = Threshold or acceptable ranges of performance in patient safety indicators have been defined . Fully met = Feedback on achievement of patient safety indicators is provided to health - care facilities and clusters . Which of the following rates are measured and reported in the country? FORMCHECKBOX Health - care - associated infection FORMCHECKBOX Medication errors and incidents FORMCHECKBOX Readmission FORMCHECKBOX Perioperative mortality FORMCHECKBOX Blood transfusion reactions FORMCHECKBOX Patient falls FORMCHECKBOX In-hospital pressure ulcer s FORMCHECKBOX Missed , incorrect or delayed diagnosis FORMCHECKBOX Obstetric trauma FORMCHECKBOX Inappropriate polypharmacy FORMCHECKBOX Health care-associated venous thromboembolism FORMCHECKBOX Sharp s injuries FORMCHECKBOX Antimicrobial resistance transmission FORMCHECKBOX Practice indic a tors , such as compliance with hand hygiene FORMCHECKBOX Others . ( Please specify. ) FORMTEXT Strategy 6.3 Establish, synergize and scale up patient safety surveillance systems to ascertain the magnitude and causes of harm in health care . Criterion Response Assessment guidance 6.3.1 . An independent mechanism has been established to investigate cases of severe harm and sentinel events reported at health - care facilities . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such mechanism is available . Partially met = Procedures have been developed for investigati ng cases of severe harm and sentinel events . Fully met = A well-functioning mechanism is used for independent investigation of cases of severe harm and sentinel events . 6.3.2 . Periodic assessments of patient safety processes and practices at health-care facilities are promoted and facilitate d. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = T ools for periodic assessment of patient safety and quality of care processes and practices have been developed and adopted . Fully met = Patient safety and quality of care processes and practices at health-care facilities are assessed periodically. 6.3.3 . Studies of the b urden of harm are conducted to establish baseline and subsequent progress to reduce avoidable harm at national and subnational level s. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/supporting evidence FORMTEXT Not initiated = No such provision is available . Partially met = A study has been conducted to establish the baseline of burden of patient harm due to unsafe care in the country . Fully met = S tudies are conducted periodically to estimate the burden of patient harm in the country . 6.3.4 . Links have been established between safety surveillance systems (e.g., p atient safety incident reporting, pharmacovigilance, h a emovigilance , surveillance of health care-associated infection and material vigilance) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A link has been established with at least one safety surveillance programme and the patient safety incident reporting and learning system . Fully met = Links and information channels have been established among various safety surveillance systems and the patient safety incident reporting and learning system . 6.3.5 . A benchmarking programme has been established to measure indicators of patient safety and quality of car e. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A benchmarking programme is being developed . Fully met = A benchmarking programme for patient safety and quality of care is functional . 6.3.6 . Which of the following source of information are used for surveillance of patient safety ? Select as many as are applicable FORMCHECKBOX Pharmacovigilance FORMCHECKBOX H a emovigilance FORMCHECKBOX Materia l -vigilance FORMCHECKBOX Health care - associated infection surveillance FORMCHECKBOX Malpractice claims FORMCHECKBOX Patient reported experience and outcome FORMCHECKBOX Clinical care audits FORMCHECKBOX Medical record reviews FORMCHECKBOX Significant event audits FORMCHECKBOX Burden of harm studies FORMCHECKBOX Patient safety indicators reported in routine information system FORMCHECKBOX Routine assessment or survey of health - care process es and practices FORMCHECKBOX Licencing or accreditation data on patient safety criteria and indicators FORMCHECKBOX Others (Please specify.) FORMTEXT Strategy 6.4 Develop active and funded patient safety research programmes, especially translational research Criterion Response Assessment guidance 6.4.1 . A reas in patient safety relevant to the country context are routinely identified as priorities for research. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = An expert group or task force has been constituted to identify priorities in patient safety research relevant to the national context . Fully met = Areas in patient safety that are priorities for research have been identified. 6.4.2 . Adequate resources have been allocated for research on patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No resources are available . Partially met = Some research on patient safety has been funded . Fully met = A sustainable resource plan has been developed for systemic financing of research on patient safety . 6.4.3 . Translational and implementatio n research o n patient safety is supported and adequately funded . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = A proposal for translational research is being developed . Fully met = Some translational research initiatives have been undertaken in areas related to patient safety . 6.4.4 . Evidence from r elevant international and national research is considered in making critical policy and practice decisions . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A repository has been created of international evidence on patient safety and related areas . Fully met = Research evidence and recommendations are considered in developing guidance on policy and practice . 6.4.5 . Safety risk assessment is an integral part of health technology assessment programmes . * *Health technology assessment is systematic evaluation of the properties, effects and/or impacts of health - care technology. It should include medical, social, ethical and economic dimensions . I ts main purpose is to inform decision-making in health . The assessments address benefits and efficacy, clinical and technical safety and cost – effectiveness . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Some health technology assessments have included the outcomes of safety risk assessment . Fully met = Safety risk assessment is an integral part of all health technology assessments . Strategy 6.5 Develop and implement digital solutions to improve the safety of health care . Criterion Response Assessment guidance 6.5.1 . Key emerging and established technologies (e.g., telemedicine) are identified to improve access to and the safety of health services . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = R elevant technologies to improve patient safety are being identified. Fully met = Key technologies that could improve access and safety have been identified . 6.5.2 . E lectronic health records are used. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Electronic health records are used partially . Fully met = Electronic health records have been fully integrated into health - care process es , including ambulatory and in-patient care and diagnostic processes . 6.5.3 . A digital health strategy includes a strong focus on patient safety . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A digital health strategy or equivalent has been developed . Fully met = Patient safety considerations are included in the digital health strategy . 6.5.4 . Information technology solutions are assessed rigorously before and after deployment in the health sector . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = =The impact of some information technology solutions on the safety of care delivery is being assessed . Fully met = All information technology solutions are rigorously reviewed, and the ir impact on safety and work carefully appraised, before deployment in the health sector . 6.5.5 . There is a mechanism for surveillance of the safety of information technology products * used for clinical and diagnostic purposes . * e.g., clinical decision support system s , electronic health records, computeri z ed physician order entry , consumer health application s , diagnostic software, tele medicine applications and medical alarm system s FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A surveillance mechanism is being developed . Fully met = A mechanism for surveillance of the safety of information technology products is in place . Strategic objective 7 . Synergy, partnership and solidarity Develop and sustain multisectoral and multinational synergy, partnership and solidarity to improve patient safety and quality of care This section has five strategies and 25 criteria . Strategy 7.1 Fully engage all stakeholders that have the potential to have a positive impact on patient safety Criterion Response Assessment guidance 7.1.1 . All stakeholders who are to be engaged in improving patient safety and quality of care have been identified . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = M apping of stakeholders has not been completed . Partially met = National mapping of stakeholders is complete . Fully met = All key s takeholders have been identified at national and subnational level s. 7.1.2 . An analysis of s takeholders has been conducted to strengthen the engagement of all potential contributors and to learn from each other . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A stakeholder analysis is unde r way . Fully met = A stakeholder analysis has been completed . 7.1.3 . The roles and responsibilities of each stakeholder for advancing patient safety and quality of care have been defined . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = Roles and responsibilities have not been defined . Partially met = The roles and responsibilities of stakeholders have been defined . Fully met = The r oles and responsibilities of stakeholders have been defined and communicated to them . 7.1. 4 . A mechanism has been developed and established for coordinating the engag ement of different categories of stakeholders . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No mechanism is available . Partially met = A coordination mechanism for engaging different stakeholders is being developed . Fully met = A fully functional coordination mechanism has been established for engage ment of all stakeholders . 7.1. 5 . Initiatives have been introduced to engage the private sector and industry in synergistic action for promotion of patient safety and the quality of care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = The p rivate sector and industry are engaged in some initiatives for patient safety and the quality of care . Fully met = The p rivate sector and industry are fully engaged as partners in promoti ng patient safety and the quality of care . 7.1 . 6 . Which of the following stakeholders have been engaged in patient safety ? Select as many as are applicable FORMCHECKBOX Civil society organizations FORMCHECKBOX Nongovernmental organizations FORMCHECKBOX Patients’ organizations FORMCHECKBOX Professional associations FORMCHECKBOX Academic and research institutions FORMCHECKBOX Health - care industry FORMCHECKBOX Pharmaceutical industry FORMCHECKBOX Development partners FORMCHECKBOX Accreditation agencies FORMCHECKBOX Pharmaceutical and medical devices industry FORMCHECKBOX Private health service provider organizations FORMCHECKBOX Health insurance organization s FORMCHECKBOX Others (Please specify.) FORMTEXT Strategy 7.2 Promote a common understanding and shared commitment among all stakeholders to successfully deliver the global patient safety action plan Criterion Response Assessment guidance 7.2.1 . Strategic elements * of the Global patient safety action plan 2021 – 2030 have been integrated into the national policy, strategy and plan . *S trategic elements include s s trategic objectives, strategies and core indicators in the global action plan. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Strategic elements of the Global patient safety action plan 2021 – 2030 have been included in the national policy, strategy and plan for patient safety . Fully met = Strategic elements of the Global patient safety action plan 2021–2030 have been integrated into the national policy, strategy and plan s for patient safety . 7.2.2 . Nongovernment and private sector entities have been encouraged to include relevant strategic elements in their plans . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Nongovernment and private sector entities have been sensitized and introduced to the global and national action plans on patient safety . Fully met = Nongovernment and private sector entities are recognized and rewarded by the government for inclu ding strategic patient safety elements in their plans . 7.2.3 . National goals and targets on patient safety have been defined in line with the global patient safety targets * See pp. 73 – 75 of the G lobal patient safety action plan https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = Goals and targets have not been defined . Partially met = N ational goals and targets for patient safety are being defined. Fully met = National goals and targets on patient safety have been defined . 7.2.4 . Role s and responsibilities for implementing strategic elements and targets have been defined. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = Roles and responsibilities have not been defined . Partially met = Role and responsibilities have been defined at national level . Fully met = Roles and responsibilities have been defined at national and subnational levels . 7.2.5 . A mechanism has been established for periodic review of implementation of the action plan at national and/or subnational level. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No such mechanism is available . Partially met = A mechanism for periodic review of national implementation of the action plan has been established . Fully met = P rogress i n implementation of the action plan has been reviewed at least once in the p ast 12 month s. Strategy 7.3 Establish networks and convene consultative meetings to foster collaboration and partnership in patient safety Criterion Response Assessment guidance 7.3.1 . Consultati on (s) have been organized on implement ation of the patient safety action plan . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No consultation has been organized . Partially met = Consultati on s on implementation of the patient safety action plan are planned. Fully met = Consultati on s have been held on implementation of the patient safety action plan. 7.3.2 . A national patient safety network * has been established * A formal network to coordinate implementation, share best practices, exchange ideas and promote mutual learning on patient safety. Could be hosted on a virtual platform for all stakeholders . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = A national patient safety network is being developed . Fully met = A national patient safety network is functional. 7.3.3 . Collaborative alliances * have been established with partners to promote patient safety . * e.g., informal or formal agreements such as memoranda of understanding for work i n specific areas of patient safety , such as training, research or campaigns , or a specific domain , such as medication safety, safe surgery or safety of maternal and child care . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No collaboration has been established . Partially met = Potential partners have been identified for joint work on various aspects of patient safety . Fully met = Collaborative alliances have been formed with partners to implement the patient safety program me and other initiatives . 7.3.4 . Initiatives have been taken to foster innovation through partnership s with stakeholders in the health system , including the private sector . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Innovations in patient safety are actively promoted , with active participation of research institutions, industry and the private sector . Fully met = There are concrete examples in which innovative technology, processes and/or service delivery models have been used to improve the safety of health care . 7.3.5 . Mechanisms have been created to learn and share best practices on safety with other high-risk industries . * * s uch as aviation, nuclear energy , oil and gas FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = M echanisms have been established with other high- risk industries to share best practices . Fully met = Best practices are exchanged with other high-risk industries to improve the safety of health care . Strategy 7.4 Promote cross-geographical and multisectoral initiatives to advance action on patient safety . Criterion Response Assessment guidance 7.4.1 . Progress in implement ing the Global patient safety action plan is reviewed periodically and reported to WHO . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No action has been taken . Partially met = Progress on implementation is reviewed sporadically . Fully met = Progress on implementation is reviewed periodically and reported to WHO . 7.4.2 . Patient safety is a priority on the agenda s of high-level strategic discussions and/or regional political and economic collaborative forums . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = The government supports the patient safety agenda in high - level discussions. Fully met = The government leads and promotes the patient safety agenda in high-level strategic discussions and regional political and economic collaborative forums . 7.4.3 . Participation in h igh-level g lobal ministerial summits on patient s afety is ensured. FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No participation Partially met = Participation at senior executive or management level is ensured. Fully met = Participation of political leaders ( minister of health or equivalent) is ensured. 7.4.4 . Best practices and/or innovative solutions are shared on global and regional platforms . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Best practices and innovative solutions in patient safety have been collated . Fully met = Best practice s and innovative solutions in health care have been shared on a regional and/or global platform . 7.4.5 . The country participates in regional and/or global patient safety incident reporting systems . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = The country does not participate in such systems. Partially met = A plan for national participation in regional or global patient safety incident reporting systems is being considered. Fully met = The country participat es in regional and global patient safety incident reporting and learning systems . Strategy 7.5 Work closely with technical programmes to ensure alignment in patient safety action Criterion Response Assessment guidance 7.5.1 . Patient safety action s are mapped for potential alignment with technical health programmes and clinical risk areas . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No mapping has been done . Partially met = Mapping of potential areas of alignment is under way. Fully met = Technical programmes and clinical risk areas that could be aligned with patient safety have been mapped . 7.5.2 . Patient safety strategies have been integrated into all safety-related programmes (e.g., surgical safety, injection safety, radiation safety, infection prevention and control , blood safety, vaccination safety) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety strategies have been integrated into some othe r safety programmes . Fully met = Patient safety strategies have been integrated into all safety programmes . 7.5.3 . Patient safety strategies have been integrated into health system strengthening programmes (e.g., water, sanitation and hygiene , health workforce, occupational health, health governance, health financing, health information and quality of care) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety strategies have been integrated into some health system strengthening programmes . Fully met = Patient safety strategies have been integrated into all health system strengthening programmes . 7.5.4 . Patient safety strategies have been integrated into life - course health programmes (e.g., reproductive health, childbirth, child health, adolescent health and geriatric care) FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety strategies have been integrated into some life - course health programmes . Fully met = Patient safety strategies have been integrated into all life - course health programmes . 7.5.5 . Patient safety strategies have been integrated into disease control programmes ( for, e.g., HIV, tuberculosis , noncommunicable diseases, e mergin g and r e-emerging infectious diseases and mental health) . FORMCHECKBOX Not initiated FORMCHECKBOX Partially met FORMCHECKBOX Fully met FORMCHECKBOX Not applicable/Not known Remarks/s upporting evidence FORMTEXT Not initiated = No initiative has been taken . Partially met = Patient safety strategies have been integrated into some disease control programmes . Fully met = Patient safety strategies have been integrated into all disease control programmes . Additional information, comments or notes. We understand responding to this survey will be a team effort. You can provide the names of those who contributed. Member State survey on implementation of the Global Patient Safety Action Plan 2021–2030 Top of Form Confirmation You are going to submit your responses. Make sure you have responded to all the questions. Member State survey on implementation of the Global Patient Safety Action Plan 2021–2030 Top of Form Thank you for responding to this survey. We appreciate your efforts and contributions towards making health care safer. You will receive the confirmation email. If you have any query or suggestion regarding this survey, please contact us on following email address. [email protected] Neelam Dhingra, Unit Head, Patient Safety Flagship, WHO Headquarters Print your answers. Bottom of Form Bottom of Form