The Movement is not just about information, it is about action! By addressing new challenges and forming Actionable Patient Safety Solutions (APSS) we believe we can reduce the number of preventable deaths in hospitals to ZERO by 2020.

We currently have developed 12 APSS that are ready for download. Each year, new patient safety challenges are nominated and voted on at the Midyear Planning Meeting and become the safety topics that are prominent at our annual Summit.

This year, the 5th Annual World Patient Safety, Science & Technology Summit will focus on APSS for the following challenges:

Below you will find links to the twelve solutions to overcome some of the leading problems facing patient safety and a synopsis of the three new challenges. Please take the time to download and share these APSS with your colleagues. If you haven’t made your commitment, please join us today. Together, we will get to ZERO preventable patient deaths by 2020. We will achieve our goal one patient and one healthcare institution at a time.

  • Challenge 1: Creating a Culture of Safety

    Executive Summary Checklist Implementing a culture of safety will require an implementation plan to complete the following actionable steps: Between the Midyear Planning Meeting and the 2017 World Patient Safety, Science & Technology Summit a group of experts representing administrators, clinicians, [...] Read More   »
  • Challenge 2: Healthcare-associated Infections (HAIs)

    Healthcare-Associated Infections (HAIs) are infections that patients acquire during the course of receiving healthcare treatment for other conditions. HAIs are estimated to be the fourth leading cause of death in the United States and kill more people than AIDS, breast [...] Read More   »
  • Challenge 3: Medication Errors

    Executive Summary Checklist Medication errors (wrong drug, wrong dose, wrong patient or route of administration) are a major cause of inpatient morbidity and mortality. An effective program to reduce medication errors will require an implementation plan to complete the following [...] Read More   »
  • Challenge 4: Failure to Rescue: Monitoring for Opioid-Induced Respiratory Depression

    Executive Summary Checklist Opioid-induced respiratory depression is a leading cause of preventable patient death and serious patient harm events. Hospital leadership must understand, appreciate and commit to eliminating these events. Implementing an effective program to reduce opioid-induced respiratory depression will [...] Read More   »
  • Challenge 5: Anemia and Transfusion: A Patient Safety Concern

    Executive Summary Checklist Errors in the use of blood products are a significant cause of hospital patient morbidity and mortality. To eliminate these errors, we must implement an effective Patient Blood Management program, including the following actionable steps: Between the [...] Read More   »
  • Challenge 6: Hand-off Communications

    Executive Summary Checklist Accurate and complete hand-off communications (HOC) are vital to patient safety. When HOC information is incomplete or erroneous, serious patient harm often occurs. The establishment of accurate, complete, effective HOC requires an implementation plan that includes the [...] Read More   »
  • Challenge 7: Suboptimal Neonatal Oxygen Targeting

    Executive Summary Checklist Hypoxia in pre-term infants can result in mortality. Supplemental oxygen administration helps avoid hypoxia but hyperoxia can cause retinopathy of prematurity and increase risk for other conditions. Implementing an optimal oxygen targeting policy can improve neonatal outcomes. [...] Read More   »
  • Challenge 8: Failure to Detect Critical Congenital Heart Disease (CCHD)

    Executive Summary Checklist Congenital heart disease (CHD) is the most common birth defect and critical congenital heart disease (CCHD) including ductal dependent lesions, represents about 40% of the deaths due to CHD in the first year of life. Antenatal ultrasound and [...] Read More   »
  • Challenge 9: Airway Safety

    Executive Summary Checklist Failures of airway management (e.g., unplanned extubation, failure to intubate) are major causes of inpatient morbidity and mortality. The following steps will establish an institutional, team-based, comprehensive and sustainable system for reliability in airway management. Between [...] Read More   »
  • Challenge 10: Early Detection Of Sepsis

    Executive Summary Checklist Between the Midyear Planning Meeting and the 2017 World Patient Safety, Science & Technology Summit a group of experts representing administrators, clinicians, technologists and patient advocates will join to form a workgroup to develop an APSS to address [...] Read More   »
  • Challenge 11: Optimal Resuscitation

    Executive Summary Checklist Reducing preventable deaths requires a multi-disciplinary, multi-specialty collaborative team. In order to implement a program that will optimize resuscitation an implementation plan to complete the following actionable steps should be followed: Between the Midyear Planning Meeting and [...] Read More   »
  • Challenge 12: Optimizing Obstetric Safety

    Executive Review in Progress – Coming Soon! Between the Midyear Planning Meeting and the 2017 World Patient Safety, Science & Technology Summit a group of experts representing administrators, clinicians, technologists and patient advocates will join to form a workgroup to develop an [...] Read More   »
  • Challenge 13: Venous Thromboembolism (VTE)

    An embolism is any type of abnormal material in the bloodstream that can block blood flow. Emboli (the plural of embolism) can originate in either the arterial or venous circulation, and they can block flow in either the arteries or [...] Read More   »
  • Challenge 14: Mental Health

    Approximately 61.5 million Americans experience a mental illness in any given year. Outcomes of mental health care provided in hospitals lag behind outcomes achieved in large trials of evidence-based treatments. Recipients of mental health treatment are more vulnerable to unintended harm [...] Read More   »