African Partnerships for Patient Safety (APPS)

APPS

• WHO programme-Patient Safety

• Patient Safety Initiative started in 2004 by Liam Donaldson

• Developed in Western countries

• 2007: funds secured to support APPS project (60th anniversary NHS)

• September 2008 WHO Africa – Resolution passed on patient safety

Funding

• DoH funded-DFID

• Lead by WHO Geneva

• NPSA co-ordinate English arm of project

• Funded for 2 years initially

The Partners

1st Wave - October 2009

• COCH – Uganda (Kisiizi)

• Leicester – Ethiopia

• Middlesbrough - Malawi

• Francophone– HUG – Mali / Cameroon / Senegal

The Partners

2nd Wave November – 2011

• St George’s London – Kumasi Ghana

• Ipswich – Beira Mozambique

• Imperial College – Butare Rwanda

• North Cumbria – Mbeya Tanzania

• Guy’s & St Thomas’ – Ndola Zambia

Process• Situational Analysis (both partners)

– Summer 2009

• 12 Action areas of Patient Safety• Evaluation of findings• Agreement by African Hospitals to focus on

3 / 4 action areas• Principle action area for all partners

– Health care associated infections (HCAIs)

Launch

• Kampala October 2009

• Development of project plan

• Agreement of action areas

• Emphasis on partnership working

• Sharing ideas and knowledge

Action Areas

1. Patient Safety and Health Services Development

2. National Patient Safety Policy

3. Patient Safety Knowledge and Learning

4. Raising Patient Safety Awareness

5. Health Care Associated Infections

6. Health Care Worker Protection

Action Areas – cont.

7. Health Care Waste Management

8. Safe Surgical Care

9. Medication Safety

10. Patient Safety Partnerships ( patients, family, health workers & policy makers)

11. Funding for Patient Safety

12. Surveillance and Research in Patient Safety

Action Areas - 1

HCAIs

– Hand hygiene (production of ABHR)– Development of infection control– Lead for infection control– Infection control committee – Antimicrobial prescribing

2. Healthcare Waste Management

• Lead person at Kisiizi

• Policies and procedures to handle waste within Kisiizi

• Training

• Disposal of waste – Incineration – Waste Compound

3. WHO Safe Surgical Checklist

• Lead person at Kisiizi

• Education and Training

• Development of audit processes

• Recording practice

• System for recording adverse surgical events

4. Medication Safety

• Antibiotic prophylaxis

• Links in with pharmacy project funded by THET bid

Opportunities for Ugandan Obstetric Hub

• WHO support • Assist in the development of spread

across Uganda• Improve Patient Safety within individual

Health Units• Select Action Areas which can be

supported by the fure Fellows programme

Key Priority

•

Hand Hygiene

Future Development

• WHO Safe Childbirth Checklist