World Patient Safety Day 2022 – improving medication safety and other safety initiatives
WHO World Patient Safety Day 2022 (Saturday 17 September) will focus on improving medicine safety. The European Society of Anaesthesiology and Intensive Care (ESAIC) fully supports this initiative and points out that it first promoted medication safety in 2010 through its “Helsinki Declaration on Patient Safety in anaesthesiology”, signed by all national societies of anesthesiology in Europe and many countries beyond the borders of Europe.
Initiatives to further promote medication safety have been taken since the Declaration of Helsinki by ESAIC and its sister organization the European Council of Anaesthesiology, including through publications in the European Journal of Anaesthesiology.
According to the WHO, drug harm accounts for 50% of all preventable harm in medical care. In addition, US$42 billion of total healthcare expenditure worldwide can be avoided if medication errors are prevented.
Dr David Whitaker, European Board of Anaesthesiology (EBA) representative on the ESAIC Patient Safety and Quality Committee, and Chair of the EBA Patient Safety Committee, Manchester, UK UK, commenting on the WHO initiative, said: “Great opportunities exist to reduce and eliminate human factors errors. in drug safety through better pharmacy supply of drug preparations that are safer and more user-friendly for the end user, avoiding preparations that look and sound alike, can easily be confused with others, using syringes ready-to-use prefilled and standardizing work surfaces and medication processes.
He adds: “The key factors around this that ESAIC would like to highlight are that the handling of medicines in clinical areas should be minimized to avoid errors – ideally the medicines should already be prepared and do not require any further intervention by staff. . Injectable drugs should be presented as pre-filled syringes, already labeled or as other “ready to administer” preparations whenever possible. »
“All medications prepared for routine use in anaesthesia, intensive care, critical emergency medicine and pain medicine should be clearly labelled. Additionally, when drawing drugs into syringes, these should always be labeled immediately after filling before they leave the operator’s hand. Empty syringes should never be labelled. In combination, these interventions would reduce much of the preventable drug harm that we unfortunately still see today with injectable drugs.
While ESAIC welcomes the WHO Patient Safety Project, the society emphasizes that it is only part of the overall picture of patient safety and highlights several other initiatives that it has launched to improve all aspects of the patient safety continuum. Patient safety is at the heart of ESAIC’s core strategy: the company is dedicated to improving the experience of patients when they receive care and reducing unnecessary harm wherever it occurs. .
ESAIC’s Safer Care to Save Lives project is a comprehensive package of patient safety education for anesthesiologists, healthcare professionals, hospital management and patients, driven by the Safety Committee and quality of the company’s patients in collaboration with industry partners. The project was born from a long research. It builds on the principles set out in the Declaration of Helsinki, the Consensus Statement of the Multi-society Summit on Patient Safety in the European Parliament in 2020 and the WHO Multi-professional Agenda on Patient Safety.
ESAIC’s Dr Jannicke Mellin-Olsen (a member of the ESAIC Patient Safety and Quality Committee and former President of the World Federation of Societies of Anaesthesiologists) said: “Safety education of Patients will allow everyone involved in healthcare to contribute with their knowledge and experience. This will ensure that no patient is harmed when they trust their medical team to protect their life and health when they are most vulnerable during our care.
Recommendations for this new safety project also came from the Patient Safety Summit hosted by ESAIC in 2020. The summit saw ESAIC lead a collaboration with Europe’s leading medical societies to bring patient safety in the European Parliament. The outcome of the was “Multidisciplinary and patient-centred approaches to perioperative patient safety: A European consensus statement”.
Safer Care to Save Lives includes a series of online learning modules for beginners. Another component is the Advanced Patient Safety Course, a one-off course to obtain a patient safety qualification, which takes place in Amsterdam on 19 and 20 September, the days immediately following World Patient Safety Day (the course is full). There will also be an annual patient safety and quality masterclass – a more in-depth interactive experience spanning 3 days; and an annual Anesthesia and Critical Care Crisis Simulation Masterclass, which helps improve practice of key Declaration of Helsinki requirements through high-fidelity simulation scenarios.
The COVID-19 pandemic has also thrust anesthesiologists and critical care specialists into the headlines like never before, with every part of their work, mostly unpublished and unknown to the public, suddenly becoming part of daily news. This, together with the research mentioned above on the implementation of the Declaration of Helsinki, inspired another ESAIC project: Peer Review of Patient Safety in Anesthesiology and Critical Care (PRiPSAIC).
The PRiPSAIC will create networks of anesthesiologists and critical care physicians within and between countries and give them the tools and support they need to examine their own practice and that of their peers and provide solutions for the ‘coming.
ESAIC will work with partners from industry, national anesthesiology and critical care societies to find and network “change champions” and patient safety ambassadors in hospitals in selected European countries; the project will be implemented in four countries: Lithuania, Finland, the Republic of Moldova and the Czech Republic.
The PRiPSAIC will involve training participants to assess patient safety using the implementation methodology and site visit process used in the Declaration of Helsinki follow-up research project; enable the international exchange of patient safety knowledge and experience and provide a practical “toolkit” for patient safety self-assessment by anesthesiology departments to support implementation subsequent to the Declaration of Helsinki. A site visit has already taken place, during which Lithuanian doctors visited the Glasgow Royal Infirmary in Scotland.
Professor Andrew Smith (Lancaster Patient Safety and Health Services Research Unit and ESAIC Patient Safety and Quality Committee representative) said: “Every anesthetist and every department they work in has patient safety skills, knowledge and experience. Unfortunately, too often anesthesiologists work in isolation. This new project aims to bring people together in the name of sharing our knowledge about patient safety. »
Ultimately, ESAIC joins other organizations around the world in branding #WPSD and helping to raise awareness of medication safety harms due to medication errors and unsafe practices, as well as ways to ‘improving safety standards and is dedicated to leading the way in patient safety and ensuring the best care for every patient.