High 5s Project
Encyclopedia
The High 5s Project is an international patient safety
collaboration
launched by the World Health Organization
(WHO) in 2006.
The project addresses concerns about patient safety around the world.
The High 5s name derives from the Project’s original intent to significantly reduce the frequency of 5 challenging patient safety problems in 5 countries over 5 years.
The project is supported by the U.S. Agency for Healthcare Research and Quality
, WHO, and the Commonwealth Fund
and is coordinated by the WHO Collaborating Centre for Patient Safety which is led by The Joint Commission and Joint Commission International.
s); creation of an Impact Evaluation Strategy; collection of data, reporting and analysis; and the establishment of an electronic collaborative learning community.
The High 5s Project is designed to generate learning that will permit the continuous refinement and improvement of the SOPs, as well as assessment of the feasibility and success of implementing standardized approaches to specific patient safety problems across multiple countries and cultures. Achievement of the Project goals is expected to provide valuable lessons and new knowledge to support the advancement of patient safety around the world.
Five SOPs have been developed to support the Project. These SOPs address:
Each SOP summarizes the problem, the strength of evidence that supports the solution, potential barriers to adoption, potential unintended consequences created by the solution, patient and family roles in the solution, and references and resources.
The Impact Evaluation Strategy includes on-site observation of SOP implementation; the use of SOP-specific performance measure
s; use of an event analysis framework to identify occurrences that may represent SOP failures: and baseline and periodic hospital safety culture surveys.
Participating Organizations
Lead Technical Agencies
Patient safety
Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. The frequency and magnitude of avoidable adverse patient events was not well known until the 1990s, when multiple countries reported...
collaboration
launched by the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...
(WHO) in 2006.
The project addresses concerns about patient safety around the world.
The High 5s name derives from the Project’s original intent to significantly reduce the frequency of 5 challenging patient safety problems in 5 countries over 5 years.
Organisation
The countries that initiated the High 5s Project were Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. France, Saudi Arabia, and Singapore have subsequently joined the Project. All the countries set up Lead Technical Agencies for coordination of national project activities.The project is supported by the U.S. Agency for Healthcare Research and Quality
Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality is a part of the United States Department of Health and Human Services, which supports research designed to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective...
, WHO, and the Commonwealth Fund
Commonwealth Fund
The Commonwealth Fund is a private U.S. foundation whose stated purpose is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, especially for society's most vulnerable.-History:...
and is coordinated by the WHO Collaborating Centre for Patient Safety which is led by The Joint Commission and Joint Commission International.
Mission
The Mission of the High 5s Project is to facilitate implementation and evaluation of standardized patient safety solutions within a global learning community to achieve measurable, significant and sustainable reductions in challenging patient safety problems.Activities
The major components of the High 5s Project include the development and implementation of problem-specific Standardized Operating Protocols (SOPSOP
A sop is a piece of bread soaked in a liquid. SOP is an acronym for any of the following:*Standard operating procedure*Sales and operations planning *Same origin policy, a security measure for client-side scripting*Seeds of Panic...
s); creation of an Impact Evaluation Strategy; collection of data, reporting and analysis; and the establishment of an electronic collaborative learning community.
The High 5s Project is designed to generate learning that will permit the continuous refinement and improvement of the SOPs, as well as assessment of the feasibility and success of implementing standardized approaches to specific patient safety problems across multiple countries and cultures. Achievement of the Project goals is expected to provide valuable lessons and new knowledge to support the advancement of patient safety around the world.
Five SOPs have been developed to support the Project. These SOPs address:
- 1.Assuring Medication Accuracy at Transitions in Care
- 2.Managing Concentrated Injectable Medicines
- 3.Performance of Correct Procedure at Correct Body Site
- 4.Communication failures during patient handovers
- 5.Addressing health care-associated infection.
Each SOP summarizes the problem, the strength of evidence that supports the solution, potential barriers to adoption, potential unintended consequences created by the solution, patient and family roles in the solution, and references and resources.
The Impact Evaluation Strategy includes on-site observation of SOP implementation; the use of SOP-specific performance measure
Performance Measurement
Performance measurement with a process is the complement to process execution. Based on measured performance, the feedback control loop may be closed. The metrics to assess performance is set according to a determined econometric model...
s; use of an event analysis framework to identify occurrences that may represent SOP failures: and baseline and periodic hospital safety culture surveys.
See also
- AHRQ
- German Agency for Quality in MedicineGerman Agency for Quality in MedicineThe German Agency for Quality in Medicine - in German "Ärztliches Zentrum für Qualität in der Medizin ", established in 1995 and located in Berlin co-ordinates healthcare quality programmes with special focus on evidence-based medicine, medical guidelines, patient empowerment, patient safety...
- German Coalition for Patient SafetyGerman Coalition for Patient SafetyThe German Coalition for Patient Safety - in German "Aktionsbündnis Patientensicherheit ", established in 2005 and located in Bonn is a German non-profit asssociation of organisations and individuals interested and involved in promotion of patient safety.-Activities:APS' multidisciplinary working...
- National Patient Safety AgencyNational Patient Safety AgencyThe National Patient Safety Agency is a special health authority of the National Health Service in England. It was created to monitor patient safety incidents, including medication and prescribing error reporting, in the NHS....
- Patient safetyPatient safetyPatient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. The frequency and magnitude of avoidable adverse patient events was not well known until the 1990s, when multiple countries reported...
External links
Participating Organizations
- World Health Organization
- WHO Collaborating Centre on Patient Safety
- Joint Commission International
- The Joint Commission
- Agency for Healthcare Research and Quality
Lead Technical Agencies
- Australia: Australian Commission on Safety and Quality in Health Care
- Canada: Canadian Patient Safety Institute
- France: French National Authority for Health
- Germany: German Agency for Quality in Medicine & German Coalition for Patient Safety
- The Netherlands: Dutch Institute for Healthcare Improvement - CBO
- Singapore: Ministry of Health, Singapore
- United Kingdom: National Patient Safety Agency
- United States: Agency for Healthcare Research and Quality & American College of Surgeons