Annex 20 THE NETHERLANDS List of dissemination activities, articles and posters

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1 Annex 20 THE NETHERLANDS List of dissemination activities, articles and posters

2 The High 5s Project Interim Report 426

3 427 Annex 20. THE NETHERLANDS List of dissemination activities, articles and posters

4 The High 5s Project Interim Report 428

5 429 Annex 20. THE NETHERLANDS List of dissemination activities, articles and posters

6 The High 5s Project Interim Report 430

7 Annex 21 USA Baylor s sampling request

8 The High 5s Project Interim Report 432

9 433 Annex 21. USA Baylor s sampling request

10 The High 5s Project Interim Report 434

11 Annex 22 Summary of the First International High 5s Hospitals Meeting

12 The High 5s Project Interim Report 436

13 437 Annex 22. Summary of the First International High 5s Hospitals Meeting

14 The High 5s Project Interim Report 438

15 Introduction st International High 5s Hospital Meeting Information Note Meeting Agenda Meeting Summary Instruction for Posters Best Poster Awards Correct Site Surgery Posters France Germany Singapore Medication Reconciliation Posters Australia France Germany The Netherlands Event Analysis Poster List of Participants List of Hospitals Annex 22. Summary of the First International High 5s Hospitals Meeting

16 The High 5s Project Interim Report 440

17 441 Annex 22. Summary of the First International High 5s Hospitals Meeting

18 The High 5s Project Interim Report 442

19 443 Annex 22. Summary of the First International High 5s Hospitals Meeting

20 The High 5s Project Interim Report 444

21 445 Annex 22. Summary of the First International High 5s Hospitals Meeting

22 The High 5s Project Interim Report 446

23 447 Annex 22. Summary of the First International High 5s Hospitals Meeting

24 The High 5s Project Interim Report 448

25 449 Annex 22. Summary of the First International High 5s Hospitals Meeting

26 The High 5s Project Interim Report 450

27 451 Annex 22. Summary of the First International High 5s Hospitals Meeting

28 The High 5s Project Interim Report 452

29 453 Annex 22. Summary of the First International High 5s Hospitals Meeting

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31 455 Annex 22. Summary of the First International High 5s Hospitals Meeting

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33 457 Annex 22. Summary of the First International High 5s Hospitals Meeting

34 The High 5s Project Interim Report 458

35 459 Annex 22. Summary of the First International High 5s Hospitals Meeting

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37 461 Annex 22. Summary of the First International High 5s Hospitals Meeting

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39 463 Annex 22. Summary of the First International High 5s Hospitals Meeting

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41 465 Annex 22. Summary of the First International High 5s Hospitals Meeting

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43 467 Annex 22. Summary of the First International High 5s Hospitals Meeting

44 The High 5s Project Interim Report 468

45 469 Annex 22. Summary of the First International High 5s Hospitals Meeting

46 The High 5s Project Interim Report 470

47 471 Annex 22. Summary of the First International High 5s Hospitals Meeting

48 The High 5s Project Interim Report 472

49 473 Annex 22. Summary of the First International High 5s Hospitals Meeting

50 The High 5s Project Interim Report 474

51 475 Annex 22. Summary of the First International High 5s Hospitals Meeting

52 The High 5s Project Interim Report 476

53 477 Annex 22. Summary of the First International High 5s Hospitals Meeting

54 The High 5s Project Interim Report 478

55 479 Annex 22. Summary of the First International High 5s Hospitals Meeting

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57 481 Annex 22. Summary of the First International High 5s Hospitals Meeting

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59 483 Annex 22. Summary of the First International High 5s Hospitals Meeting

60 The High 5s Project Interim Report 484

61 485 Annex 22. Summary of the First International High 5s Hospitals Meeting

62 The High 5s Project Interim Report 486

63 487 Annex 22. Summary of the First International High 5s Hospitals Meeting

64 The High 5s Project Interim Report 488

65 489 Annex 22. Summary of the First International High 5s Hospitals Meeting

66 The High 5s Project Interim Report 490

67 491 Annex 22. Summary of the First International High 5s Hospitals Meeting

68 The High 5s Project Interim Report 492

69 493 Annex 22. Summary of the First International High 5s Hospitals Meeting

70 The High 5s Project Interim Report 494

71 495 Annex 22. Summary of the First International High 5s Hospitals Meeting

72 The High 5s Project Interim Report 496

73 497 Annex 22. Summary of the First International High 5s Hospitals Meeting

74 The High 5s Project Interim Report 498

75 499 Annex 22. Summary of the First International High 5s Hospitals Meeting

76 The High 5s Project Interim Report 500

77 501 Annex 22. Summary of the First International High 5s Hospitals Meeting

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79 503 Annex 22. Summary of the First International High 5s Hospitals Meeting

80 The High 5s Project Interim Report 504

81 Credits

82 The Project Director of the report was Agnès Leotsakos, World Health Organization. The Managing Editor was Dennis O Leary, President Emeritus of The Joint Commission, USA. The report was compiled by Hao Zheng, World Health Organization (WHO). The principal authors and reviewers of this report were: Margaret Duguid from the Australian Commission on Safety and Quality in Health Care. Carolyn Hoffman representing the Canadian Patient Safety Institute. Margaret Colquhoun from the Institute for Safe Medication Practices Canada. Anne Broyart from the National Authority for Health-HAS, France. Liat Fishman from the Agency for Quality in Medicine, Germany. Erica van der Schrieck-de Loos from the CBO Dutch Institute for Healthcare Improvement (a TNO company). Katherine Soh from the Ministry of Health, Singapore. Ingrid Allan from the Ministry of Health, Trinidad and Tobago. Jeremiah C. Bowman from the American College of Surgeons. Richard J. Croteau, Anupam Dayal, Jerod M. Loeb, Brette Tschurtz and Scott Williams from The Joint Commission and Joint Commission International. Agnès Leotsakos and Hao Zheng from WHO. Editing was provided by Richard J. Croteau, Anupam Dayal, Margaret Duguid and Erica van der Schrieck-de Loos. Valuable input to the High5s Project design and implementation was received from many individuals who are active participants to the Project or who are no longer part of it. These are: Sir Liam Donaldson, WHO Envoy for Patient Safety. Robin Osborn, Commonwealth Fund, USA. Helen Stark, the Australian Commission on Safety and Quality in Health Care, Australia. Paula Beard, the Canadian Patient Safety Institute, Canada. Charles Bruneau, Claire Chabloz, from the Coordination de l Evaluation des pratiques professionnelles en santé en Rhône-Alpes, Bertrice Loulière, Eric Lebihan and Myriam Roudaut from Observatoire des médicaments et de l innovation thérapeutique Aquitaine, France. Christian Thomeczek and Daniela Renner from the Agency for Quality in Medicine, Regine Nellen from the Ministry of Health, Constanze Lessing and Daniel Berning from the Institute for Patient Safety, Germany. Annemieke van Groenestijn, Elise Posma, Yvonne Salfischberger and Cule Cucic, CBO Dutch Institute for Healthcare Improvement (a TNO company), Netherlands. Peter Lee and Theng Hui Hwen from the Ministry of Health, Ong Biauw Chi from the Singapore General Hospital, Sophia Ang from the National University Hospital Singapore. Bill Munier and Deborah Perfetto from the U.S.A. Agency for Healthcare Research and Quality, Peter Goldschmidt, World Development Groups Inc., Jeremiah Bowman from American College of Surgeons, Lijian Leo Cai, Mike Gillard from the Wheaton Franciscan Healthcare System, USA. Martin Fletcher, Kate Beaumont, from the former National Patient Safety Agency, UK. Paula Wilson, Stacey Barrett, Laura Sutton, Heather Sherman and Karen Timmons from The Joint Commission and Joint Commission International. Ed Kelley and Eirini Rousi from the World Health Organization. The High 5s Project Interim Report 506

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