The history of science, like the history of all human ideas, is a history of irresponsible dreams, of obstinacy, and of error.
But science is one of the very few human activities - perhaps the only one - in which errors are systematically criticized and fairly often, in time, corrected.
This is why we can say that, in science, we often learn from our mistakes, and why we can speak clearly and sensibly about making progress there

Karl R. Popper
Conjectures and Refutations: The Growth of Scientific Knowledge (1963)


A brief introduction

It is the nature of Medicine as a science and art to improve itself.
In the global context, science and knowledge in medicine accumulate too quickly to be absorbed, understood and implemented, and often contain contradictions and disputes.
The changing organization, financing, and priority of healthcare systems are creating new imperatives for an interdisciplinary approach, attentive to the problems emerging within abroad conception of medicine, which acts as a stimulus to formulate reasoned interpretations, facilitating the updating of medical professionals through the diffusion of innovations and best practices.
Has clearly become imperative to understand that the improvement and development of healthcare service require a systemic approach to the problems, and respond to the educational and training needs of the healthcare professional.
Professional responsibility and safety in healthcare are constantly evolving, so as to require detailed knowledge of the requirements and responsibilities associated with activities of individual operators. Thus, the need to apply a new perspective and paradigm to understand the constant changes of healthcare systems.
We have to integrate a wide range of new perspectives to our analytical approach to understand and learn from different array of healthcare situations.
Extensive scientific literature has been published about healthcare systems that unintentionally and systemically generate various circumstances in which significant harm is experienced by the persons receiving care. The evidence that the magnitude of patient harm was unsustainable and unreasonable lead to the conditions to evaluate new approaches to provide solutions to unintentional patient harm.
Patient safety and responsibility are fundamental principles of healthcare.
Evidence has shown that to maintain and increase the health status of their populations, countries must strengthen their health systems in terms of addressing patient safety and quality of care.
Expectations of health system performance are mounting, challenging its readiness to change and adjust to technological development and emerging health threats.
Safety and accountability are part of the quality agenda and therefore a dimension of the quality culture, requiring broad commitment from both the organization and the community.
The contemporary culture every day demands more reliability, more competence, more transparency, more safety and more public accountability from every aspect of life.

It is time to reflect on the progress we have made and on the road ahead in patient safety, accountability and on areas that have not received the attention they deserve.
Healthcare Safety and Accountability
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