Presentation on theme: "WHO efforts to strengthen reporting & learning of patient safety incidents Itziar Larizgoitia Service Delivery and Safety."— Presentation transcript:
http://www.who.int/patientsafety WHO efforts to strengthen reporting & learning of patient safety incidents Itziar Larizgoitia Service Delivery and Safety World Health Organization Quality & Safety in Healthcare 2014
Current direction: Minimal Information Model for Patient Safety Goal: ■To identify the minimal set of concepts & relationships, which are able to elicit minimal learning & favor communications across reporting systems The Minimal Information Model intends to be the core common elements of any reporting system, which can later be expanded to suit the specific needs of any user.
http://www.who.int/patientsafety CF Draft MIMPS Testing & validation 2009 2012-2013 2014-2015 CS 2010 Categorial Structure Conceptual Framework Top-Down analysis mapping R&L systems University St Etienne Bottom-Up analysis NLP unformatted reports University of Tokyo Expert External Review & consultations Agencies Denmark, Belgium, Canada, Australia MIMPS Intergovernmental Agencies, National Agencies, Academia, Experts
THE INTERNATIONAL INFORMATION MODEL FOR PATIENT SAFETY (INTERMEDIATE) 1.Incident identification Patient Time Location 2.Incident circumstances Agent(s) involved Leading actions Ongoing actions (Causes)* (Contributing factors)* 3.Incident type 4.Incident outcomes 5.Resulting actions 6.Reporter Role in the incident * Causes and Contributing Factors are handled as a property of every action and agent involved