National Patient Safety Agency
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Recommendations of the National Steering Committee on Patient Safety
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Australian Council on Safety and Quality in Health Care
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Agency for Healthcare Research and Quality
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National reporting and learning system (NRLS, launched 2004)
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Developing patient reporting
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Root cause analysis of incidents
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Promote open and fair NHS culture for disclosure and learning
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Active system support for staff
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Establishing national patient safety priorities
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Researching and developing national safety solutions
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Partnering with NHS organizations to ensure reporting, learning and action
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In summary, ensuring that the NHS has “memory” and is safer
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Establishing a Canadian Patient Safety Institute (CPSI)
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Legal and regulatory processes
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Measurement and evaluation
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Continuing education and professional development processes
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Improving information and communication processes
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Priority action areas
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Supporting healthcare system workers for safer patient care
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Improving data and information
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Involving healthcare consumers
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Redesigning systems of healthcare to facilitate a culture of safety
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Building awareness and understanding of safety
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Active safety research support and knowledge generation on safety practices and control
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Error reporting and analysis
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Effective technology for safety
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Training and education of students and professionals on systemic nature of errors
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Development of quality indicators e.g. patient safety indicators
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Building partnerships locally, nationally and internationally
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Consumer support and education
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Recommendations of the Baker and Norton report
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Australian Patient Safety Foundation
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National Patient Safety Foundation
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Better national and provincial reporting systems; systems implementation
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Building awareness and setting priorities
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Skills and knowledge development
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Supporting safety efforts at organizational and policy levels
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Incident reporting and incident monitoring aggregated from system-wide health units
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Coordinating the Australian Incident Monitoring System
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Maintaining the Generic Occurrence Classification™ for coding and reporting incidents and adverse events
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Identifying and creating a core body of knowledge
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Identifying pathways to apply the knowledge
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Developing and enhancing the culture of receptivity to patient safety
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Raising public awareness and foster communications about patient safety
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Health Canada
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Joint Commission on Accreditation of Healthcare Organizations
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Providing national leadership, and coordination of territorial/provincial patient safety initiatives
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Implementing the national quality and safety agenda
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Commissioning safety research
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Developing the Canadian Medication Incident Reporting and Prevention System (CMIRPS)
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Reducing sentinel events
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Achieving shift in health care culture for proactive risk reduction
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Improving public confidence in the US health care system
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Supporting activities to achieve core goals, (e.g. standards and safe practices development, consumer campaigns, patient safety publications, education)
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