1. INTERNATIONAL SUMMER PRACTICUM ON PATIENT SAFETY (training the trainers ) Krakow, September 17 – 21. 2007 Organized by European Society for Quality Promotion in Health Care (ESQH; ( ESQH Krakow Office for Healthcare Quality in CEE Countries, ESQH London Office for Patient Safety; ESQH Aarhus Office for Indicators; Council of Europe (CoE),Polish Society for Quality Promotion in Health Care (TPJ) and National Center for Quality Assessment in Health Care Faculty: experts from Danish Society for Patient Safety; ESQH; CoE, TPJ

2. DISCUSSION FORUM 16.15 – 17.30 Patient safety paradigm in different countries - team 10 mins presentation by: Albania Bulgaria Croatia Denmark Estonia Georgia Lithuania Moldova Poland Slovenia UK

3. ESQH Summer Krakow Practicum: goals/objectives/expectations/delivarables 1.Knowledge on patient safety issues, strategies/ solutions 2. Practical skills in RCA, HFMEA 3. Information about patient safety indicators (PSI)

4. Patient safety is an issue in the developed countries yet often a prelude in the less developed states (1) Stage of pre-awareness (L. Leape): focus on system reform and transformation; Culture of silence, secrecy, professional protectionism, defensiveness, deference to authority, hierarchy, victimization Emerging political and public attention

5. Patient safety is an issue in the developed countries yet often a prelude in the less developed states (2) Reluctance to address patient safety: access, staff shortage, waste already decrease reputation of healthcare system Healthcare professionals: multiple reforms result in frustration, disempowerement + unwillingness to change Media coverage: the „news” basis; no healthcare industry „airplane crashes” as levers for change; no celebrated cases yet

6. Patient involvement and empowerement Awakening consumerism: neglected species versus smart patients Lack of patient education (except for asthma, diabetes, hypertension) Patriarchal and paternalistic attitude of medical corporations Patient rights well protected but no evidence how well observed Bureau for Patients’ Rights > 27 000 cases (PL) WHO Alliance: Patients for Patient Safety

8. „L” NETWORK FOR PATIENT SAFETY www.esqh.net

9. „L” Network for Patient Safety Define focus Develop the (implementable & affordable) goals and objectives and the work frame (projects,partners,collaboratives) Specify (define the deliverables) Define timeframe Sharing