High 5s

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The High 5s project was an international cooperation for the worldwide implementation of measures to improve patient safety in hospitals. The project was initiated in 2006 by the Commonwealth Fund , the WHO World Alliance for Patient Safety and the WHO Collaborating Center for Patient Safety. The name High 5s referred to the original project objectives, according to which the frequency of 5 significant patient safety problems in 5 countries should be significantly reduced over the course of 5 years. In the course of the project, two of the five patient safety problems were focused and the overall duration was extended to mid-2015.

organization

The following seven countries were involved in the project: Australia, France, the Netherlands, Singapore, Trinidad & Tobago and the USA. In all of these countries, so-called Lead Technical Agencies (LTA) have been set up as national coordination centers. In Germany these were - with the support of the Federal Ministry of Health, the Medical Center for Quality in Medicine (ÄZQ) and the Patient Safety Action Alliance . Overall coordination was carried out by the Joint Commission International as the WHO Collaborating Center for Patient Safety.

aims

The goals of High 5s were the implementation and evaluation of standardized recommendations for action for the sustainable improvement of patient safety.

activities

The main activities of the project included the development and introduction of standardized recommendations for action ( SOP ) as well as accompanying evaluation concepts . In the course of the project, two of the original five standardized recommendations for action were focused:

  1. Avoidance of mix-ups,
  2. Ensuring the correct medication at transitions in the treatment process (medication reconciliation).

Results

The results of the project at international level are published on the website of the World Health Organization.

For Germany, the two German-language recommendations for action to avoid confusion between interventions and to ensure the correct medication at transitions in the treatment process (medication reconciliation) as well as the implementation materials for Germany developed in the context of the High 5s project were stored in "High 5s toolboxes". The toolboxes can be of assistance and ideas for implementation to hospitals that are planning to introduce procedures to avoid interventions being mixed up and ensure the correct medication during transitions in the treatment process, or that have already started.

Organizations involved

  • WHO
  • Joint Commission International
  • The Joint Commission
  • Agency for Healthcare Research and Quality

National Coordination Centers ( Lead Technical Agencies )

  • Australia: Australian Commission on Safety and Quality in Health Care
  • Germany: Medical Center for Quality in Medicine & Patient Safety Action Alliance
  • France: French National Authority for Health
  • Netherlands: Dutch Institute for Healthcare Improvement - CBO
  • Singapore: Ministry of Health, Singapore
  • Trinidad and Tobago: Ministry of Health, Trinidad and Tobago
  • USA: Agency for Healthcare Research and Quality & American College of Surgeons

Web links

Individual evidence

  1. High 5s Toolboxes Medical Center for Quality in Medicine, accessed on September 24, 2018.