Patient safety guidance and tools
Incident reporting and learning systems
Publications
Patient safety incident reporting and learning systems: technical report and guidance
This document is to urge the readers to understand the purpose, strengths and limitations of patient safety incident reporting. Data derived from incident...
Minimal Information Model User Guide
One of the major challenges of patient safety incident reporting and learning systems lies in the difficulties of extracting practical information from...
The document set out to define, harmonize and group patient safety concepts into an internationally agreed classification in a way that is conducive to...
Training on patient safety incident reporting and learning systems in Maldives
World Health Assembly resolution WHA72.6 on “Global action on patient safety” urges World Health Organization (WHO) Member States to promote a safety culture by providing basic training to all health professionals and developing a blame-free patient safety incident reporting culture through open and transparent systems that identify and learn from examining causative and contributing factors of harm.
The Global Patient Safety Action Plan 2021–2030 provides a strategic direction for concrete actions to be taken on patient safety. It prioritizes the establishment of patient safety incident reporting and learning systems under strategic objective 6, on “Information, research and risk management”, which aims to “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”.
The WHO Regional Office for South-East Asia and country office in Maldives received a request to assist the quality assurance team in the Maldives Ministry of Health in training on patient safety incident reporting and learning systems to help achieve a better understanding of their concepts, the role of systems and stakeholders, the mechanisms for data collection and retrieval, and the development of learning components to improve patient safety.
The WHO Patient Safety Flagship has prepared this first training on patient safety incident reporting and learning systems with the Maldives Ministry of Health, Regional Office for South-East Asia, WHO country office in the Maldives, and international experts. Conducted in March and April 2022, the goals of the training were to provide:
- an overview of patient safety incident reporting and learning systems;
- basic training on collecting and analysing patient safety incidents;
- guidance on how to build a safety culture by utilizing patient safety incident reporting and learning systems
Related events and webinars
Visit the past events and webinars to access the recording and related documents/information.
Past project
May 2015, in collaboration with the European Commission’s Directorate-General for Health & Consumers (DG-SANCO), WHO invited institutions in various EU countries to collaborate with testing a MIM PS draft template developed by WHO, provide feedback and suggest possible modifications, as well as to collaborate on exploring methods for extracting a common learning dataset from existing patient safety reporting systems.