e-innovation for patient safety
Itziar Larizgoitia
e-health
the use of information and communication
technologies (ICT) for health
■ from diagnosis to follow-up
■ but also other crucial steps that go from governing and financing the
system
ISQua 2012 Conference
■ to educating professionals
■ and the management of networks and institutions
2
Increased access: Increased diagnosis
accuracy: less perception errors
eHealth is about improving the flow of information,
through electronic means, to
support the delivery of health services and the
management of health systems.
Telemedicine can bring the eyes of a specialist to examine a
critically ill patient from halfway around the globe.
It bridges the distance between
people and the best health care
available in a vast range of
situations - from home care to
specialized clinical settings
Global Observatory for eHealth series - Volume 2
Telemedicine – Opportunities and developments in Member States
ISBN 978 92 4 156414 4, 13 January 2011
http://www.who.int/goe/publications/ehealth_series_vol2/en/index.html
mHealth: New horizons for health through
mobile technologies
What diverse scenarios can mHealth
be applied in and how effective are
these approaches? What are the
most important obstacles that
countries face in implementing
mHealth solutions?
Kenya: Electronic record-keeping saves lives
The Mosoriot HIV rural clinic in western Kenya pioneering
standardized, electronic record-keeping.
In the past, paper records meant that if files were lost, or
patients moved without them, there was no record of their
critical health information.
The programme, serving 40 000 patients, was developed between Moi University in
Eldoret and Indiana University, with assistance from WHO.
Global Observatory for eHealth series - Volume 3
mHealth: New horizons for health through mobile technologies
ISBN 978 92 4 156425 0
7 June 2011
http://www.who.int/goe/publications/ehealth_series_vol3/en/index.html
1
Accountability Commission for Women & Child
Health: independent Expert Review Group
Patient safety research: introductory course
(on-line)
Accelerate the uptake and evaluation of eHealth and
mHealth technologies.
How familiar are you with the concept
of patient safety? Understanding the
magnitude is the first step towards
improving patient safety.
Eight free on-line sessions for healthcare professionals and researchers
interested in learning how to identify
patient safety problems.
The potential for IT to accelerate
improvements in women’s and
children’s health is great—notably,
in supporting country civil
registration and vital statistics
systems.
http://www.who.int/patientsafety/research/online_course/en/index.html
Presentation files
•Powerpoint ppt, 2.23Mb
•PDF (1in1) pdf, 2.69Mb
•PDF (2in1) pdf, 1.94Mb
•Audio [mp3, 00:55:51, 22Mb]
•Stream video [wmv, 00:55:50]
Recherche sur la Sécurité
des Patients
Cours préparatoire
Introductory Course for Patient Safety Research
1ère Séance
La sécurité des patients
C’est quoi ?
• Philippe Michel, MD, PhD,
• Directeur, centre régional qualité et sécurité des soins,
Bordeaux, France
The sessions were provided by internationally renowned
specialists in patient safety,
• Expert auprès de l’OMS sur de nombreux projets
• Vice-président de la commission Sécurité des Patients
au Haut Conseil de la Santé Publique, Ministère de la
Santé
Dr David Bates, Director of the Center of Excellence in
Patient Safety and Research, USA, and Dr Albert Wu, a
professor in the Department of Health Policy and
Management at Johns Hopkins University, USA.
• Responsable des études nationale sur les
événements indésirables associés aux soins
2004/2009
Patient safety research: introductory course
(on-line)
Prière
d’insérer
votre photo
dans ce
cadre.
Merci.
http://www.who.int/patientsafety/research/online_course_portuguese/en/index.html
11
2
Curso online: Introdução à investigação sobre segurança
do paciente/doente – The sessions
3000
Registrants
 Sessão 1: Segurança do Paciente/Doente, o que é?,
Claudia Travassos, 1°de março de 2012
 Sessão 2: Princípios da investigação em segurança
do paciente/doente: visão geral, Mônica Martins, 8 de
março de 2012
 Sessão 3: Medir o dano, Walter Mendes, 15 de março
de 2012
 Sessão 4: Compreender as causas, Walter Mendes,
22 de março de 2012
 Sessão 5: Identificar as soluções / Implementação,
Maria João Lage, 19 de abril de 2012
 Sessão 6: Avaliar o impacto, Paulo Sousa, 26 de abril
de 2012
 Sessão 7: Transpor a evidência em cuidados mais
seguros, José Fragata, 3 de maio de 2012
 Sessão 8: Aprofundar o conhecimento em
segurança do paciente,Paulo Sousa, 10 de maio 2012
2500
Attendees
2000
1500
1000
500
0
Sessão 1 Sessão 2 Sessão 3 Sessão 4 Sessão 5 Sessão 6 Sessão 7 Sessão 8
Registrats
4387
4500
4000
3304
3500
3000
2500
2000
1500
Spain
United States
2 66
Total
3
#N/A
2
Uruguay
5
Switzerland
Peru
1 11 3
Romania
Panama
1
Sao Tome And Principe
4
Qatar
2
Portugal
1
Paraguay
Nicaragua
Haiti
4 15 2 59 1
Mexico
Chile
France
1
Mozambique
1
Germany
4
Guinea-Bissau
2 72 1
Colombia
2
Canada
5
Cape Verde
Brazil
Belgium
Angola
Evaluation
1
Bulgaria
1
Bouvet Island
1
0
Brunei Darussalam
1
Belize
Bahrain
1
Botswana
3
Bolivia, Plurinational State Of
22 3
Argentina
500
United Kingdom
780
1000
Professionals de Saude in Luanda, Angola
participando no 4 sessao online on 22 Marzo 2012
Evaluation
3
Spanish online course
•
•
•
•
Carlos Aibar Remón (Coordinador), Profesor Titular de Medicina
Preventiva y Salud Pública de la Universidad de Zaragoza, España
(con la colaboración de Blanca Obón Azuara)
Jesús Aranaz Andrés, Profesor de Medicina Preventiva y Salud
Pública de la Universidad Miguel Hernández (UMH), España
Ezequiel Garcia Elorrio, Director de Calidad y Seguridad en Atención
Médica, Instituto de Efectividad Clínica y Sanitaria, Buenos Aires,
Argentina (con la colaboración de Viviana E Rodriguez)
Astolfo Franco, Centro Medico IMBANACO, Profesor Escuela de
Salud Pública, Facultad de Salud, Universidad del Valle, Cali, Colombia
Curso online: Introdução à investigação sobre segurança
do paciente/doente – The presenters






Claudia Travassos,Investigadora Instituto de Comunicação e Informação Científica e
Tecnológica, Icict/Fiocruz/MS, Rio de Janeiro, Brasil.
José Fragata, Professor, Faculdade de Ciências Médicas, Universidade Nova de Lisboa,
Portugal.
Maria João Lage, médica do Centro Hospitalar de Lisboa Central, Portugal.
Mônica Martins, Investigadora Titular da Escola Nacional de Saúde Pública Sérgio Arouca,
Ensp/Fiocruz/MS, Rio de Janeiro, Brasil.
Paulo Sousa, Professor, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa,
Portugal.
Walter Mendes, Professor Departamento de Administração e Planejamento da Escola
Nacional de Saúde Pública Sérgio Arouca, Ensp/Fiocruz/MS, Rio de Janeiro, Brasil.
Recherche pour la Sécurité des
patients: Cours d'introduction
(en ligne)
Les formations ont été dispensées par des experts reconnus
dans le domaine de la sécurité des patients, le Dr Philippe
Michel du Centre régional sur la Qualité et la Sécurité au
CHU de Bordeaux, en France, et le Dr Mondher Letaief,
Professeur de médecine préventive à l'Hôpital Universitaire
de Monastir, en Tunisie.
Cover photograph reproduced with kind permission of UNICEF:
© UNICEF/NYHQ2005-2410/Anita Khemka
4
Safe Childbirth Checklist
Partners including
WHO invites its partners to a collaborative field
testing
health care institutions, researchers and
academics, NGOs and other agencies
To explore usability and implementation characteristics in
multiple settings
are invited to engage with WHO
to generate information on the most effective
ways of using the checklist.
Cover photograph reproduced with kind permission of UNICEF:
© UNICEF/NYHQ2005-2410/Anita Khemka
About the Collaboration
The institution which I represent confirms:
1. To engage in implementation research or evaluation
2. To safeguard the rights and welfare of all involved in
the programme and secure ethics approval
3. To fund, fundraise, administer and manage the
project
www.who.int/patientsafety/scc
Registration
Validation
Access
4. To share feedback with WHO and the Collaboration
5. To maintain respect and confidentiality
Collaborative Space
Principles
Some questions:
a. How effective is the checklist in facilitating compliance with
best practices?
b. How can it be implemented in low-income settings?
c. Can it be used in primary centres?
d. What training is required?
e. Does it need to be modified, where? and how?
f. What cadre of health worker can best use the Checklist?
g. What is the best format (hardcopy, electronic...)?
h. What factors enable its sustained use?
i. What are the barriers?
j. What costs are involved in using the Checklist?
k. Is the Checklist well accepted by healthcare staff ?
Examples
How it works?
WHO Safe Childbirth Checklist
Collaboration
Launch 21
November
When?
5
Conclusions
■ Potentials are enormous and pluri-directional
■ Key determinant is Collaboration & engagement
■ Important to tailoring to cultural, social and linguistic needs
■ Interest /need for learning
■ WHO role as convening institution & broker
■ Power of ICT to expand capacity building efficiently
■ Benefits are pluri-directional
■ Lets' keep working: facilitating E-applications, Knowledge Management,
exchange & capacity building,
WHO Patient Safety is set up as a Special
Programme following WHA Resolution 55.18 in
2002
To coordinate, disseminate and accelerate improvements in
patient safety worldwide
Thank you
6