Medical errors occur daily in almost every part of the world. Significant errors include misdiagnosis, administration of a wrong drug, improper dose of a given medication, wrong route of administration, retained surgical instruments, transplanting organs of the wrong blood type and incorrect record keepin. The president of Pakistan Society of Health System Pharmacists (PSHP) stated that, “As many as 500,000 people, including women and children (1)annually die in Pakistan due to medication errors ”. Based on a British Medical Journal report, in the year 2013, there were 251,454 medical error related deaths in USA alone. While even one death is too many, there is always an effort to be made by institutions to prevent medical errors.


Dr. Sarwat Hussain

” Commitment of any society to deliver healthcare to its people can be judged by the quality of care its poorest, ‘nobody’ citizen patients, receive and not the elite. From the perspective of healthcare delivery there are six measurable and auditable indicators of quality: safe, effective, patient centered, timely, efficient and equitable. But from the point of view of a the ‘nobody’ patient in Pakistan, the critical determinants of quality are more basic:

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access without a long distant travel or waiting, dignity in interaction with staff, availability of medications, and most of all quick rehabilitation and back to work. Nations that aspires to provide universal healthcare coverage can accrue dual economic benefits of increased productivity and incentive investment in education.

There is growing evidence that universal health coverage without appropriate attention to quality will not improve population health outcomes. Optimal healthcare cannot be delivered simply by access, medical supplies and healthcare professionals. To achieve improvement in health indicators, a deliberate focus on quality of health services is necessary.

High quality of care must not be considered as a domain of the high-income countries or individuals. It must be an integral part of every process and standard operating procedures of healthcare delivery. Attention to quality for precision medicine and waste reduction is more relevant to the low and middle income countries. High quality increases value for money and helps deliver more efficient, effective and integrated services at a lower cost. Some other recordable benefits of high quality care are reduction in avoidable patient morbidity and mortality.
Resource allocation for quality improvement is scalable. It can start from low cost in-service training and implementation of a simple well thought out quality improvement plan. But one can also engage an international accreditation agency at a much higher cost. In both scenarios there is no substitute for engaging knowledgeable experts in the science of quality improvement. The Global Academy of Healthcare Quality is amongst the first organized commercial effort to introduce healthcare quality improvement in Pakistan and the region. Through modern and tested methods of quality improvement, we aim to be the change in Pakistan and the region.

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