Mexico´s patient safety journey

Question 1

wave 1

Answer 1

2002 - 2006
Raising awareness and initiating a safety culture

Question 2

The first wave aimed to:

Answer 2

sensitize health-care workers to build patient safety knowledge and culture

Question 3

Senge 5 disciplines

Answer 3

1. Seeing the organization not as individual components but systems of interactive parts
2. We each carry within us a number of models that allows us to make sense of the world in all its complexity –informed decisions and effective action
3. That inspires people to make people together, brings people together. Commit to the organization because they value the vision, and they believe what they are going to achieve
4. Need for us to be constantly learning and striving
5. Dialogue and discussion, multiple perspectives to come up with the best solution

Question 4

Kotters’s-Eight steps of organizational change

Answer 4

1. Create urgency
2. From a powerful coalition
3. Create a vision for change
4. Communicate the vision
5. Empower the vision
6. Create quick wins
7. Build on the change
8. Make it stick

Question 5

wave 2

Answer 5

2007 - 2012
Defining the problem and measurement

Question 6

The second wave:

Answer 6

Focused on measuring the magnitude of the patient safety problem and on giving a structure for focal points

Question 7

In the second wave mexico adopted 2 safety campaigns

Answer 7

Clean care is safe care - 2005
Safe surgery saves lives - 2007

Question 8

Which safety structures were established in the second wave

Answer 8

National Directorate for Patient Safety was created to implement the initiatives

National Quality Committee was created. This was mirrored in each state, with the establishment of a local quality committee at every hospital medical unit

National Directorate for Patient Safety (Dirección General de Calidad y Educación en Salud)was created to implement the initiatives

Question 9

wave 3

Answer 9

2013 - 2019
developing the governance for safety

Question 10

The third wave:

Answer 10

Strengthening of governance, with the development of the first patient safety regulatory framework with eight essential actions on patient safety

Question 11

wave 4

Answer 11

2020 - onward
responding to COVId-19