SCORE

WHA72.6 resolution on Global Action on Patient Safety urges all Members States to recognize patient safety as a health priority in all health sector policies and implement systematic measures to reduce risk to all individuals and requests WHO to measure and report on the progress made by Member States in the implementation of the resolution. Further WHA decision WHA74(13) request the Director-General to report back on progress in implementation of Global Patient Safety Action plan every two years.

1.  Aggregated score of Strategic Objective 1: Measures the overall level of implementation of initiatives and policies aimed at eliminating avoidable harm within healthcare settings.
2. Aggregated score of Strategy 1.1: Measures the extent to which a comprehensive patient safety policy, strategy, and framework are implemented.
3. Aggregated score of Strategy 1.2: Assesses the level of resource mobilization and allocation dedicated to patient safety initiatives.
4. Aggregated score of Strategy 1.3: Evaluates the extent of implementation of legislative measures designed to protect patients from harm.
5. Aggregated score of Strategy 1.4: Assesses the level of adherence to established safety standards, regulations, and the effectiveness of accreditation processes.
6. Aggregated score of Strategy 1.5: Measures the level of implementation and engagement in activities related to World Patient Safety Day and global safety challenges.
7. Aggregated score of Strategic Objective 2: Evaluates the level of implementation of systems and processes in health care that achieve high reliability, minimizing errors and ensuring consistent performance.
8. Aggregated score of Strategy 2.1: Measures the degree of implementation of transparency, openness, and a no-blame culture within health care institutions.
9. Aggregated score of Strategy 2.2: Assesses the level of good governance within the health care system.
10. Aggregated score of Strategy 2.3: Evaluates the level of implementation of leadership capacity within clinical and managerial functions to uphold patient safety.
11. Aggregated score of Strategy 2.4: Measures the level of implementation of human factors/ergonomics and physical safety measures in healthcare environments.
12. Aggregated score of Strategy 2.5: Assesses the preparedness and responsiveness of health care systems in emergencies and extreme conditions.
13. Aggregated score of Strategic Objective 3: Measures the level of implementation of safe clinical processes within health care settings.
14. Aggregated score of Strategy 3.1: Assesses the level of implementation of safety measures for clinical procedures known to be risk-prone.
15. Aggregated score of Strategy 3.2: Measures the level of implementation of the Global Patient Safety Challenge: Medication Without Harm.
16. Aggregated score of Strategy 3.3: Evaluates the level of implementation of infection prevention and control measures, and strategies to combat antimicrobial resistance.
17. Aggregated score of Strategy 3.4: Assesses the level of implementation of safety measures for medical devices, medicines, blood, and vaccines.
18. Aggregated score of Strategy 3.5: Measures the level of implementation of patient safety practices in primary care settings and during transitions of care.
19. Aggregated score of Strategic Objective 4: Measures the level of implementation of patient and family engagement in safety policies and practices.
20. Aggregated score of Strategy 4.1: Evaluates the level of patient and family involvement in the co-development of safety policies and programs.
21. Aggregated score of Strategy 4.2: Assesses the level of implementation of using patient experiences to improve safety practices.
22. Aggregated score of Strategy 4.3: Measures the level of involvement of patient advocates and safety champions in safety efforts.
23. Aggregated score of Strategy 4.4: Evaluates the processes for disclosing safety incidents to victims.
24. Aggregated score of Strategy 4.5: Measures the level of implementation of educational and informational programs for patient safety aimed at patients and families.
25. Aggregated score of Strategic Objective 5: Measures the overall level of implementation of education, skills training, and safety measures for health workers.
26. Aggregated score of Strategy 5.1: Assesses the level of implementation of patient safety within professional education and training programs.
27. Aggregated score of Strategy 5.2: Measures the level of implementation of centres of excellence for patient safety education and training.
28. Aggregated score of Strategy 5.3: Evaluates the integration of patient safety competencies as regulatory requirements.
29. Aggregated score of Strategy 5.4: Assesses the level of linking patient safety with the appraisal system of health workers.
30. Aggregated score of Strategy 5.5: Measures the adequacy of the safe working environment provided for health workers.
31. Aggregated score of Strategic Objective 6: Measures the overall level of implementation of information systems, research, and risk management strategies related to patient safety.
32. Aggregated score of Strategy 6.1: Assesses the implementation and effectiveness of patient safety incident reporting and learning systems.
33. Aggregated score of Strategy 6.2: Measures the level of implementation and functionality of patient safety information systems.
34. Aggregated score of Strategy 6.3: Evaluates the level of implementation of patient safety surveillance systems.
35. Aggregated score of Strategy 6.4: Assesses the level of contributions and effectiveness of patient safety research programmes.
36. Aggregated score of Strategy 6.5: Measures the level of utilization and impact of digital technology for patient safety.
37. Aggregated score of Strategic Objective 7: Measures the overall level of implementation of collaborative and partnership-based approaches in patient safety.
38. Aggregated score of Strategy 7.1: Assesses the level of stakeholder engagement in patient safety initiatives.
39. Aggregated score of Strategy 7.2: Measures the degree of common understanding and shared commitment to patient safety among all stakeholders.
40. Aggregated score of Strategy 7.3: Evaluates the level of implementation and effectiveness of patient safety networks and collaborations.
41. Aggregated score of Strategy 7.4: Assesses the impact and implementation of cross-geographical and multisectoral initiatives for patient safety.
42. Aggregated score of Strategy 7.5: Measures the level of alignment with technical programmes and initiatives that support patient safety.

WHO regions

Official country response to Member State survey on implementing Global Patient Safety Action Plan 2021-2030

a. Scores for strategic objectives

Each strategic objective includes five strategies, with a total of 25 criteria.
For every criterion, a score is assigned as follows: 2 for 'fully met', 1 for 'partially met', and 0 for 'not met'. Responses marked as 'not applicable' are excluded from the scoring. Thus, the maximum possible score for each strategic objective is 50. To enhance clarity, these scores are normalized out of 100.

b. Scores for strategies

Each strategy encompasses five criteria, meaning the maximum score for a given strategy is 10. The scores for strategies are presented as actual score obtained (i.e., out of 10).

Calculation of proportions (%)

Calculated scores
Strategic objectives – out of 100
Strategy – Out of 10

Every 2 Years

Every 2 Years

ngupta@who.int

Nikhil Prakash Gupta