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<span id="openzim-page-title" class="mw-page-title-main"><span class="mw-page-title-main">High 5s Project</span></span>
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<p>The <b>High 5s Project</b> is an international patient safety collaboration launched by the <a href="World_Health_Organization" title="World Health Organization">World Health Organization</a> (WHO) in 2006. The project addresses concerns about patient safety around the world.
</p><p>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.
</p>
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<div class="mw-heading mw-heading2"><h2 id="Organization">Organization</h2></div>
<p>The High 5s Project was initiated by the countries Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. France, Saudi Arabia, and Singapore have subsequently joined the Project. All the countries set up Lead Technical Agencies for the coordination of national project activities.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup>
</p><p>The project is supported by the U.S. <a href="Agency_for_Healthcare_Research_and_Quality" title="Agency for Healthcare Research and Quality">Agency for Healthcare Research and Quality</a>, WHO, and the <a href="Commonwealth_Fund" title="Commonwealth Fund">Commonwealth Fund</a> and is coordinated by the <a href="WHO_Collaborating_Centre" class="mw-redirect" title="WHO Collaborating Centre">WHO Collaborating Centre</a> for Patient Safety which is led by The <a href="Joint_Commission" title="Joint Commission">Joint Commission</a> and <a href="Joint_Commission_International" class="mw-redirect" title="Joint Commission International">Joint Commission International</a>.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Goals">Goals</h2></div>
<ul><li>To build national and global networks.</li>
<li>To achieve measurable and sustainable reductions in challenging patient safety problems.</li>
<li>Implementations of standardized operating protocols.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup></li></ul>
<div class="mw-heading mw-heading2"><h2 id="Activities">Activities</h2></div>
<p>The major components of the High 5s Project include the development and implementation of problem-specific standardized operating protocols (<a href="Standard_operating_procedure" title="Standard operating procedure">SOPs</a>); creation of an impact evaluation strategy; a collection of data, reporting, and analysis; and the establishment of an electronic collaborative learning community.
</p><p>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. The achievement of the Project goals is expected to provide valuable lessons and new knowledge to support the advancement of patient safety around the world.
</p><p>Five SOPs have been developed to support the Project. These SOPs address:
</p>
<ol><li>Assuring medication accuracy at transitions in care<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup></li>
<li>Managing concentrated injectable medicines<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup></li>
<li>Performance of correct procedure at correct body site<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup></li>
<li>Communication failures during patient handovers</li>
<li>Addressing health care-associated infection.</li></ol>
<p>The impact evaluation strategy includes on-site observation of SOP implementation; the use of SOP-specific <a href="Performance_measurement" title="Performance measurement">performance measures</a>; use of an event analysis framework to identify occurrences that may represent SOP failures; and baseline and periodic hospital safety culture surveys.
</p>
<div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2></div>
<ul><li><a href="AHRQ" class="mw-redirect" title="AHRQ">AHRQ</a></li>
<li><a href="German_Agency_for_Quality_in_Medicine" title="German Agency for Quality in Medicine">German Agency for Quality in Medicine</a></li>
<li><a href="German_Coalition_for_Patient_Safety" title="German Coalition for Patient Safety">German Coalition for Patient Safety</a></li>
<li><a href="National_Patient_Safety_Agency" title="National Patient Safety Agency">National Patient Safety Agency</a></li></ul>
<div class="mw-heading mw-heading2"><h2 id="References">References</h2></div>
<div class="mw-references-wrap"><ol class="references">
<li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="https://www.who.int/patientsafety/implementation/solutions/high5s/ps_high5s_project_overview_fs_2010_en.pdf">Fact Sheet: High 5s Project Overview</a></span>
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</style><cite id="CITEREFAustralian_Commission_on_Safety_and_Quality_in_Health_Care2022" class="citation web cs1">Australian Commission on Safety and Quality in Health Care (2022). <a rel="nofollow" class="external text" href="https://www.safetyandquality.gov.au/our-work/medication-safety/medication-reconciliation/world-health-organizations-high-5s-medication-reconciliation-project">"World Health Organization's High 5s Medication Reconciliation Project"</a>. <i>safetyandquality.gov.au</i><span class="reference-accessdate">. Retrieved <span class="nowrap">12 February</span> 2023</span>.</cite></span>
</li>
<li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.who.int/patientsafety/implementation/solutions/high5s/High5_InterimReport.pdf?ua=1">"The purpose and objectives of the High 5s Project"</a> <span class="cs1-format">(PDF)</span>. <i>www.who.int</i>. WHO<span class="reference-accessdate">. Retrieved <span class="nowrap">11 October</span> 2021</span>.</cite></span>
</li>
<li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text">SOP for Implementation: <a rel="nofollow" class="external text" href="https://www.who.int/patientsafety/implementation/solutions/high5s/ps_medication_reconciliation_fs_2010_en.pdf">Assuring medication accuracy at transitions in care</a></span>
</li>
<li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text">SOP for Implementation: <a rel="nofollow" class="external text" href="https://www.who.int/patientsafety/implementation/solutions/high5s/ps_concentrated_injectable_medicines_fs_2010_en.pdf">Managing concentrated injectable medicines</a></span>
</li>
<li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text">SOP for Implementation: <a rel="nofollow" class="external text" href="https://www.who.int/patientsafety/implementation/solutions/high5s/ps_correct_body_site_fs_2010_en.pdf">Performance of correct procedure at correct body site</a></span>
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