The WHO acknowledges the necessity of:
political will, professional will and moral leadership to improve patient safety.
See: Eight Futures Forum WHO report on Governance of Patient Safety
Erpendorf, Austria 2005
The chance to die in an air crash is one in three million.
The change to be subject of a serious medical error is one in three hundred according to the WHO.
Various prestigious researchers conclude that one in six patients in hospitals are subjected to medical errors.
In more than 30 public researches on fatal medical errors within the National Health Service, the same causes were mentioned: isolation, inefficient systems and processes, poor communication and inadequate management/leadership.
The WHO report on the Futures Forum 2005 describes the following seven major sins in dealing with patients and their safety:
- blaming others
- attacking the messenger
- to turn away/ not willing to see
- inability to think about systems
- passive learning
Co-operation and systematic evaluation
WHO-Europe concludes that in order to achieve solutions for more patient safety the following items are essential:
Political will, professional will, leadership, trustworthy data, patient empowerment.
Also a change of culture is necessary ,which implies more teamwork. As communication is vital for teamwork it will have a preventive influence. Last but not least systematic evaluation is necessary a.o. via the development of quality-indicators.