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Welcome to the High 5's Project Website

world_map2.jpg link to Australia country page link to Singapore country page link to France country page link to Netherlands country page link to Germany country page link to Canada country page link to Trinidad and Tobago country page link to United States country page

What is the High 5s Project?

The High 5s Project was launched by the World Health Organization (WHO) in 2006 to address continuing major concerns about patient safety around the world. The High 5s name derives from the Project’s original intent to significantly reduce the frequency of 5 challenging patient safety problems in 5 countries over 5 years.

The Mission of the High 5s Project is to facilitate implementation and evaluation of standardized patient safety solutions within a global learning community to achieve measurable, significant and sustainable reductions in challenging patient safety problems.

The High 5s Project is a patient safety collaboration among a group of countries and the WHO Collaborating Centre for Patient Safety in support of the WHO Patient Safety Programme.

The countries that initiated the High 5s Project were Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. Ministers of health and other leaders within these countries signed formal letters of support in 2007. Today the list of participating countries is as follows: Australia, France, Germany, Netherlands, Singapore, Trinidad & Tobago and the United States of America.

The project is currently supported by the U.S. Agency for Healthcare Research and Quality and is coordinated by the WHO Collaborating Centre for Patient Safety which is led by The Joint Commission and Joint Commission International.

Publications related to the project:

Scope of the High 5s

The major components of the High 5s Project include the development and implementation of problem-specific Standardized Operating Protocols (SOPs); creation of a comprehensive Impact Evaluation Strategy; collection of data, reporting and analysis; and the establishment of an electronic collaborative learning community.

The High 5s Project is designed to generate learning that will permit the continuous refinement and improvement of the SOPs, as well as assessment of the feasibility and success of implementing standardized approaches to specific patient safety problems across multiple countries and cultures. Achievement of the Project goals is providing valuable lessons and new knowledge to support the advancement of patient safety around the world.

Participating Countries

Country Lead Technical Agency
mini Australia flag Australia Australian Commission on Safety and Quality in Health Care (LTA website)
mini French flag France French National Authority for Health (LTA website)
mini German flag Germany German Agency for Quality in Medicine (LTA website)
German Coalition for Patient Safety (LTA website)
mini Netherlands flag The Netherlands Dutch Institute for Healthcare Improvement - CBO (LTA website)
sg.gif Singapore Ministry of Health, Singapore (LTA website)
mini Trinidad flag Trinidad and Tobago Ministry of Health, Trinidad and Tobago (LTA website)
mini United States flag United States Agency for Healthcare Research and Quality (LTA website)
American College of Surgeons (LTA website)

Participating Organizations

Organization Website
World Health Organization http://www.who.int/patientsafety/en
WHO Collaborating Centre on Patient Safety http://www.ccforpatientsafety.org/High5sProject
Joint Commission International http://www.jointcommissioninternational.org
The Joint Commission http://www.jointcommission.org
ISMP Canada http://www.ismp-canada.org/
Agency for Healthcare Research and Quality http://www.ahrq.gov

Mission

The Mission of the High 5s Project is to facilitate implementation and evaluation of standardised patient safety solutions within a global learning community to achieve measurable, significant, and sustained reductions in highly important patient safety problems.

Standard Operating Protocols

Three SOPs have been developed to support the Project. These SOPs address:

  1. SOP Fact Sheet: Assuring Medication Accuracy at Transitions in Care
  2. SOP Fact Sheet: Performance of Correct Procedure at Correct Body Site

Each SOP summarizes the problem, the strength of evidence that supports the solution, potential barriers to adoption, potential unintended consequences created by the solution, patient and family roles in the solution, and references and resources.

The Impact Evaluation Strategy includes on-site observation of SOP implementation; the use of SOP-specific performance measures; use of an event analysis framework to identify occurrences that may represent SOP failures: and baseline and periodic hospital safety culture surveys. The evaluation strategy seeks to identify the factors underlying the adverse events of concern, match these factors against those that the SOPs are trying to prevent, and track changes in the safety cultures of the participating hospitals. A sophisticated information management system will support the data collection and analysis efforts, and a data quality monitoring protocol has been established to assure the validity of the Project results.

Lead Technical Agencies

In this multi-country collaboration, Canada has led the development of the Medication Reconciliation SOP and the United States has led the development of the Correct Site Surgery SOP. All of the participating countries have provided technical expertise in the development of the implementation and evaluation frameworks that are integral to the SOPs.

Beyond their roles in the Project’s developmental work, the LTA in each country has actively recruited participating hospitals. They coordinate, monitor and support the implementation of the SOPs in these hospitals as well as facilitate the collection of data from the hospitals.

The Project is being implemented since the autumn of 2009. Participating hospitals have been given high visibility and recognition for their willingness to implement and evaluate the SOPs and for their leadership in working to standardize patient care processes.

  Attachment Action Size Date Who
ppt FR__CSS_High5s_-__French_update_CSS.ppt props, move 2579.0 K 05 Jun 2013 - 11:11 AnupamDayal
   
pdf HIGH_5s_PROJECT.pdf props, move 2562.1 K 25 Jul 2013 - 15:04 AnupamDayal
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pdf High_5s_Overview_Sheet.pdf props, move 93.7 K 14 Aug 2013 - 12:24 AnupamDayal
   
r76 - 09 Sep 2013 - 08:27:51 - ScottWilliams
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Copyright © High 5s 2009 (Read the full copyright statement).
The High 5s Project is a patient safety collaboration among a group of countries and the WHO Collaborating Centre for Patient Safety
in support of the World Health Organization (WHO), Patient Safety Programme (Read the full acknowledgment statement).
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