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 Importance and background

          Patient Safety is a major problem and affects the medical community around the world. As shown in academic reports and news media each year, more than a million people suffer from complications or die from attending medical services, the World Health Organization data shows the incidence of inpatient hospitalized risks occurs between 4% and 16%. Hundreds of millions of people around the world affected by nasocomial infection, in which every 100 people who admit in hospital are likely to be infected in the hospital 7-10 people. In addition, in developed countries, approximately 1 person in every 10 people hospitalized will be harmed by errors or adverse events. The incidence of adverse events in developing countries is many times higher than in developed countries.

         The 55th World Health Organization General Assembly 2002 adopted a resolution recognizing the quality and safety of patients (WHA 55.13 - Quality of Care: Patient Safety), calling on Member States to pay attention on patient safety and build a safety culture in health care facilities. Then there was an alert and the response of the members. It brought up another WHO General Assembly resolution to support the implementation of patient safety. In 2004, on building a global partner to drive patient safety (WHA 57.18 - Launch of World Alliance for Patient Safety), the World Health Organization has promoted the creation of a wide range of knowledge, mechanisms, tools and approaches to member countries and expanded the movement to be a important resolution in this region.

Thailand is one of the 11 WHO - South-East Asia Region (WHO-SEAR) member countries recognized the importance of patient safety. In 2006, at a meeting of the 59th WHO Executive Committee for Southeast Asia, the resolution "Promoting safety in health care" was adopted and invited member countries to join the joint Indonesian Declaration in 1974.2007 (The Jakarta Declaration on Patients for Patient Safety in SEAR Countries). After that, the member countries in this region moved on to their own domestic patient safety issues both the provider and the clients in the health service system, including the limitation in monitoring and evaluation. In addition, driving patient safety requires cooperation and focus on this issue from all sectors. The quality and safety of the health service system will bring the trust of service providers and patients to ensure the sustainability of comprehensive and quality public health care.

          In 2014, Thailand participated in drafting a resolution submitted to the 68th session of the World Health Organization Executive Committee or Regional Committee (RC), emphasizing the importance of patient safety as the main mechanism for providing people with access to a quality, sustainable healthcare system. WHO-SEAR has developed a regional strategy for patient safety in the WHO South-East Asia. Region) with a team of experts from member countries. It covers driving patient safety through strategies and monitoring and evaluation. Therefore, the 68th RC meeting, a resolution on Patient safety contributing to sustainable universal health coverage (SEA/RC 68/R4) of the member was adopted. It calls for and encourages Member States to adopt regional strategies to operate nationally and there is a monitoring and evaluation process aimed at the participation of all sectors both the patient and the community. It advises member countries to have a clear patient safety action plan and report outcomes to the World Health Organization. The World Health Organization will support development knowledge and tools, assessment, and monitoring. 

          WHO-SEAR has developed a Country Self-Assessment for Patient Safety Situation tool and has invited Member States to conduct an assessment of the patient safety situation within their country. On September 16, 2016, Thailand concluded the results of the self-assessment and bring that information to plan a strategy to drive patient safety. Thailand has made relevant priorities to declare it as a national policy. In summary, the highlight that will be used to plan the continuation of the development of patient safety are as follows:

(1) To set the National Patient and Personnel Safety Goals, and establish a driving strategy for the safety of patients and healthcare personnel from the cooperation of all sectors.

(2) To promote and develop the National incidents reporting and learning system under the collaboration between healthcare personnels and all related organisations at the

      local, regional, and national level.

(3) To encourage the patients and communities to participate in the development and improvement process for the safety of the healthcare system