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Home Events Medical Errors in Europe: Breaking Barriers and Strengthening Reporting Systems

Medical Errors in Europe: Breaking Barriers and Strengthening Reporting Systems

The World Patients Alliance (WPA), in collaboration with the European Patient Safety Foundation (EUPSF), organized a webinar titled “Medical Errors in Europe: Breaking Barriers and Strengthening Reporting Systems” on March 20, 2025. The webinar brought together patient advocates, expert and healthcare professionals from across Europe to explore the persistent issue of medical errors, share innovative practices, and advocate for systemic reforms in reporting and learning mechanisms.

The webinar was made accessible through AI-powered simultaneous translation in over 50 languages.

Welcome and Opening Remarks:
The webinar began with a welcome address by Hussain Jafri, CEO of the WPA. He highlighted the urgent need to tackle medical errors, not as isolated incidents but as indicators of deeper systemic issues. Hussain then introduced the webinar moderator, Helen Haskell, Chair, WPA Patient Safety & Quality Council, who outlined the key objectives of the session:

Key Objectives of the Webinar:
• Highlighting the scale and impact of medical errors across Europe and the urgency for reform.
• Encouraging non-punitive, transparent reporting cultures within healthcare systems.
• Empowering patient organizations and individuals to engage in safety improvement initiatives.

Key Presentations

Overview of Medical Errors and Patient Safety Culture in Europe

Katherine de Bienassis and Dr. David Kelly from the OECD analyzed medical errors in Europe, noting that 1 in 10 hospitalizations involve safety failures, consuming 15% of hospital expenditures. They highlighted the widespread impact of misdiagnosis and delays, citing OECD surveys where 30% of patients reported harm. Key findings included misdiagnosis trends in cancer, mental health, and adult ADHD. They stressed integrating patient-reported outcomes into safety frameworks to rebuild trust in healthcare.

Unlocking the Potential of Medical Error Reporting

Prof. Sven Staender, University of Zurich discussed shifting from blame-based to learning-based healthcare cultures, emphasizing the Swiss Cheese Model, where errors stem from system failures, not individuals. Citing anaesthesia safety and the Helsinki Declaration, he stressed incident reporting as a learning tool, requiring leadership support and follow-ups. He highlighted the shift from Safety-I (failure-focused) to Safety-II (success-focused), urging healthcare to learn from both mistakes and achievements.

Panel Discussion and Q&A

The panel discussion brought together the diverse voices of all speakers. Key discussion areas included:

Synnøve Serigstad from UKOM highlighted Norway’s non-punitive, learning-focused patient safety model, which avoids blaming individuals and instead drives systemic improvement through root cause analysis and peer reviews.

Anupoma Haque stressed the need to address medical errors beyond hospitals, particularly in home-based and long-term care, advocating for inclusive safety policies.

Jolanta Bilińska shared her journey from journalism to healthcare reform, emphasizing how public concern and advocacy in Poland led to stronger patient-centered policies.

Key points included building trust for transparent reporting, integrating home-based error tracking, and using AI for diagnostics. The session reinforced that meaningful change requires collective responsibility and investment in safety infrastructure.

Key Takeaways and Recommendations

1. Education and Awareness:
Patients and caregivers must be equipped with knowledge about medical errors and reporting systems to advocate for safe and appropriate care.

2. Policy Advocacy:
Government policies must support the development and implementation of transparent, non-punitive error reporting systems across all care settings.

3. Collaboration:
Stronger partnerships between patient organizations, healthcare professionals, researchers, and policymakers are vital to strengthening patient safety frameworks.

4. Sustainability and Funding:
Efforts should be made to secure sustained funding for patient safety infrastructure, training, and support programs, especially in under-resourced regions.

Mirka Cikkelova, General Secretary of EUPSF, emphasized the need to recognize patients as partners, support patient organizations, and promote a no-blame learning approach through independent investigative bodies. She highlighted that investing in patient safety and quality care is key to building resilience and restoring trust in healthcare, especially during crises. She also stressed the importance of ongoing collaboration and thanked the speakers, panelists, moderator, and participants for their contributions.

Conclusion
The webinar underscored the urgent need for cultural and structural reform in medical error reporting across Europe. By learning from international best practices and fostering patient-cantered solutions, healthcare systems can become safer, more accountable, and transparent. The WPA and its partners remain committed to championing patient safety and amplifying the voice of patients in every policy conversation.

Agenda

Moderator and Speakers

Helen Haskell
Since the medical error death of her young son Lewis in 2000, Helen Haskell has worked to bring the patient voice to healthcare safety and quality. Helen is president of the American nonprofit patient organizations Mothers Against Medical Error and Consumers Advancing Patient Safety and is an Institute for Healthcare Improvement senior fellow. She is Chair of WPA Patient Safety and Quality Council and former co-chair of the WHO Patients for Patient Safety Advisory Group and a recently retired board member of the Accreditation Council for Graduate Medical Education and the Institute for Healthcare Improvement. She is a member of the board of directors of the International Society for Rapid Response Systems, the Patient Safety Action Network and is on the steering committee of Consumers United for Evidence-Based Medicine. She serves on many other boards and committees, including quality and safety committees at the National Quality Forum, AHRQ, and the Center for Medicare and Medicaid Services. She was a winner of Consumer Reports’ first National Excellence in Advocacy award in 2011 and was named by Modern Healthcare magazine as one of the “100 Most Powerful People in Healthcare” in 2009 and by Becker’s Hospital Review as one of 50 leaders in patient safety in 2015, 2016, and 2017. She has written numerous journal articles and patient educational materials on patient safety and patient engagement and is co-editor of an interprofessional textbook using patient narrative to teach patient safety and professional competencies. She has been featured in dozens of articles and videos on patient safety, including Transparent Health’s Lewis Blackman Story, shown in hospitals and medical and nursing schools across the world.
Synnøve Serigstad
Synnøve Serigstad is head of safety investigation methods and learning at The Norwegian Healthcare Investigation Board. She has been working at the Investigation Board since the very beginning in 2018. She is responsible for the development of a healthcare investigation method and process, the board`s internal education program and for ensuring that the board`s reports and recommendations are conveyed in a way that is both pedagogical and useful for the recipients. Synnøve has a cand. polit degree in Political Science from the University of Bergen. She has worked as a researcher at the Uni Research Rokkan center in Bergen and the University of Stavanger in the field of societal safety and has published more than 10 scientific articles on homeland security. Before she started at her current job at the Investigation Board, Synnøve led the work of implementing the Norwegian national patient safety program "In Safe Hands 24/7" in the Western Norway Regional Health Authority.
Mirka Cikkelova
Mirka Cikkelova is the General Secretary of the European Patient Safety Foundation (EUPSF), an independent foundation based in Brussels, Belgium. With a background in management and extensive experience in project coordination, she leads EUPSF’s efforts to unite experts and organisations in advancing patient safety across Europe. By involving stakeholders such as patient organisations and advocates, healthcare professionals, healthcare providers, academia and life sciences companies, Mirka ensures that the EUPSF’s work is comprehensive and inclusive. Her large network and ability to bring together complementary points of view facilitates the development of the solutions tailored to the complexity of patient safety challenges.
Dr David Kelly
Dr David Kelly is a Health Policy Analyst at the Organisation for Economic Co-operation and Development (OECD) working on the Health Care Quality and Outcomes Working Party. His work covers patient and diagnostic safety, patient-reported outcomes and experiences and quality of cancer care. David is a medical epidemiologist and specialist in public health medicine with a medical degree from Trinity College University of Dublin and MPH from EHESP France. Prior to joining the OECD, David worked at the French National Public Health Agency, the Health Service Executive and Government Department of Health in Ireland and the Quality of Care unit of the World Health Organization.
Jolanta Bilińska
Jolanta Bilińska –Director of Development and Social Communication at City Medical Centre dr. K. Jonscher in Lodz, lecturer at High School for Nurses in Kalisz, before at National Health Fund- Lodz, Head of the Department of International Cooperation. Jolanta Bilińska has M.A. in Clinical Psychology. She used to diagnose hospitalised children and teenagers with personal disorders. In early 90”s she started working for regional newspaper – DziennikŁódzki. She published almost 2000 articles concerning medical issues and politics. She was mostly interested in matters relating to patients’ rights and the way they are observed in health care system. She also raised patients’ awareness of the health care system. Since the year 2004 she has performed the function of coordinator concerning European Union in National Health FundinŁódź. Since 2005 she has been the champion leader in World Alliance for Patient Safety. In 2006 she established Patient Safety Foundation. Its main aim is to promote safety measures in health service as well as to involve patients in the process of treatment, The foundation cooperates with the Ministry of Health, WHO officer and another non-governmental organization which are regarding patients’ matters. She is an expert in Public Health from 2009,she was also a IAPO chair of the board from 2015– 2018 (International Alliance of Patients Organizations).
Sven Staender
Sven Staender, MD, PhD, is a specialist in anaesthesia and intensive care medicine and expert on patient safety and risk management. After his training at the University of Basel, he was head of the Institute for Anaesthesia and Intensive Care Medicine at Maennedorf Regional Hospital from 1999 to 2024. During his career, he developed an error reporting system for anaesthesia in Basel in 1995 (CIRS). He was subsequently involved in the development of the Helsinki Declaration on Safety in Anaesthesia within the European Society of Anaesthesiology and Intensive Care Medicine and served as president of the European Patient Safety Foundation. He is currently on the advisory board of the European Patient Safety Foundation and is involved in various national patient safety projects in Switzerland. In addition to his consultancy work, he teaches ‘Safety’ at the University of Zurich and is the author of various publications on patient safety.
Katherine de Bienassis
Health Policy Analyst OECD & Coordinator of the OECD Health Care Quality and Outcomes Katherine de Bienassis is a Health Policy Analyst at the Organization for Economic Co-operation and Development (OECD) and coordinator of the OECD Health Care Quality and Outcomes Working Party. Her work covers health system performance assessment, patient safety, patient-reported metrics, and health worker-reported outcomes and experiences. Prior to joining the OECD, Kate worked as a Senior Project Manager at the National Quality Forum (a U.S. based NGO), where her work focused on the evaluation and endorsement of healthcare quality and outcome measures for use in hospital settings, readmissions, cancer care, pediatrics, and cost and efficiency. Kate previously held positions as Senior Program Associate with the CER Methods team of the Patient-Centered Outcomes Research Institute (a U.S. based research funding organization) and as Program Coordinator of the Center for Global Development’s Global Health Team (a Washington, D.C. based think tank). Kate holds her MPH from Dartmouth College.
Anupoma Haque
Patient Advocate, COST Association Better Care WG, Austria Anupoma Haque is is public health expert with 23 years' experience in healthcare systems study in order to improve the quality with better leadership, communication, ethics, equity, and training. Additionally, she worked in research, surveys, network promotion, awareness creation and policy development for safer & better care at both clinical and home setting. She is currently focused on rare diseases, patients' need, diabetes, digital health & technology evaluation. She is currently a working group member of COST Action Better Care in Europe among other EU projects constantly working for preventing medical errors and their harmful consequences

Date

Mar 20 2025
Expired!

Time

All Day
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