 Thank you very much Mike. I'm pleased to be here, but I'm sombered by the grief Which I have which I share being a mother But on the other hand, I'm deeply inspired to see the commitment and the passion and the energy of families and patients to make a difference and with Stendon resolve to do always my best Because this is not acceptable We have to imbibe Put in our DNAs that till the time we achieve zero harm We are not going to rest and it has to sustain at zero harm There'll be new challenges coming to patient safety with new technology new developments But we have to keep that in mind and in low and middle-income countries where I come from We are still very very far when it comes to even simple procedures Even the implementation of technology in day-to-day work is not available Even paper based records are not done properly while we speak about electronic health records So we have a long way to go But first of all on a very positive note my congratulations to Jo Kiani and the entire family of patient safety movement Foundation for the 10th anniversary of the foundation and also for the 10th annual World Patient Safety Science and Technology Summit Major major milestones. I must say these are really important milestones. I believe that each summit which was organized by patient safety movement foundation actually spearheaded a global patient safety movement which has gone from strength to strength and Along with several key global initiatives particularly the Global Ministry of summits on patient safety I also truly believe that These this global patient safety movement which has been created has led to Significant incremental improvements in patient safety and also now Leading to transformative changes in safe safety of healthcare systems in many countries around the world In addition, I think there's more and more recognition of the huge burden and the problem which health systems are facing which is the burden of harm in healthcare which is avoidable which is unnecessary and Totally unacceptable whenever we ponder over. What is the problem? How big is the problem? We come across Estimates of the burden of harm mainly based on studies from high-income countries However, we all recognize that patient safety is a global Public health concern and it's a major challenge The studies still coming from low and middle-income countries are limited and Based on these limited studies the estimates which have we have from the literature is That every minute at least five patients die In low and middle-income countries in the hospitals So it is not incorrect to say That the burden of harm of in health care is grossly under estimated however, I think that actually the actual burden of harm is is not quantifiable Because these figures they never capture. They never take into account The suffering of people and the devastation it causes in their lives forever and Something which did not need to happen Which could have been easily avoided But caused Disproportionate harm as compared if you look at the error or the unsafe medic practices you might seeing it's not that serious But it causes disproportionate harm to people's lives When I was a medical student I witnessed several incidents of harm Looking around in my teaching hospital Somehow it appeared to me that Harm in health care those incidents appear that it had to happen. They were like normal consequences of treatment So back then Harm in health care was normalized that it has to happen But that should not be the situation and that is not the situation We have seen then to since the beginning of the millennium There has been patient safety movements from the report to Aris human to organization with a memory There have been several initiatives around the world and these initiatives through extensive efforts of leaders which are global patient safety advocates champions political leaders and I would like to name few of them without whom this movement would not have been possible Dr. Don Burwick sir Liam Donaldson Dr. Victor Zau Sue Sheridan Helen Huskel, Mr. Jo Kiani and Mr. Jammy Hunt and WHO DG's Dr. Chan and Dr. Ted Ross But there are many many others everyone in this room and everyone who works on patient safety They are contributing in their way to the global patient safety movement and this has really changed and it is continuous to change the scenario So I have a couple of slides which I would like to share so We all recognize that years of effort particularly since the time the global ministerial summit started Building on the momentum created by summits organized by patient safety women foundation and the one I've the first one I attended was in London where Dr. Ted Ross also joined all of them have provided a very very strong foundation for our global work on patient safety Unprecedented political momentum on patient safety and that led to a watershed Moment in May 2019 which saw the adoption of a resolution on patient safety global action on patient safety And that also provided a very important launching pad for establishment of World Patient Safety Day and the global patient safety action plan Sue spoke about the global patient safety action plan. So Liam also referred to it This is something again a very historic moment The adoption of this action plan was a historic moment in May of 2021 When the 74th World Hand Assembly adopted the the resolution and the action plan This the global action plan actually is enshrined in the vision of A world in which no one is harmony in healthcare. So we speak of zero harm no one is having healthcare and Every patient receives safe and respectful care every time everywhere and the vision also captures the The level of harm which is to health workers also should be addressed So it's encompassing patient safety and health worker safety the action plan which was developed actually it is A very important strategic framework for action Which provides a global roadmap for action for next ten years Presented as a seven by five metrics Which they are seven strategic objective which you see on your screen and each achievable through five corresponding strategies for each of these strategic objectives and Then also proposed actions to be taken by all stakeholders and partners this action plan has The way it is presented It's very comprehensive and had a has a systems approach to patient safety That we will achieve a zero harm in healthcare Which is the title itself is towards eliminating avoidable harm in healthcare a vision for next ten years a roadmap for next ten years through these seven key strategic objectives which is Firstly having policies to eliminate avoidable harm in healthcare a mindset of zero harm high reliability systems safety of clinical processes Patient and family engagement as a pillar and a foundation health worker education skills and safety information research and risk management and finally synergy partnership and and a solidarity WHO has been in the forefront of the global patient safety movement and has launched To align with the global patient safety action plan and as part of WHO's response to the global call for action of flagship initiative, which is a decade of patient safety 2021 to 2030 and There's several programs the key streams of work which we are undertaking as part of this flagship initiative First in the foremost is the establishment of world patient safety days so facilitating global advocacy and also catalyzing change through campaigns for world patient safety day and really on 17 September Implementing and monitoring progress of the global patient safety action plan through development of tools and guidelines as well as country support Designing and implementing global patient safety challenges and the current challenge which is ongoing is on medication without harm and in addition to giving strategic guidance to countries we are working on several tools as well to support countries in working towards medication without harm and It was presented this morning that The error which actually led to Justine's death was the lookalike sound like medication So we are working on and very near future. We are going to launch guidelines on how to prevent lookalike sound like medication ever Mike mentioned about global patient safety collaborative, so Providing country support and building capacities through a pioneering model initiative Coal head by UK government and WHO with Imperial College London as the academic partner Strengthening the global patient safety network and now this global patient safety network is also Expanding to include several regional networks as well as sub communities on specific theme based networks as well Bringing together experts and patient representatives Patients for patient safety network also is within the umbrella of global patient safety network Providing opportunity to patients and families and health workers who are committed to a patient family engagement to contribute to this discussion an interactive forum Also developing technical tools and guidelines Reporting and learning in particular Safety culture we are working on education and training leadership competency framework We also as earlier mentioned implications of the COVID pandemic on for patient safety. So several of these tools and guidelines And development is one of our core stream of work as well. And finally and most importantly Working for engaging and empowering patients particularly through the patients for patient safety network and also working very closely with patient organizations so when the Resolution on action action plan for patient safety and global action on patient safety 2019 was adopted one of the key actions which was asked to member states was to integrate and implement patient safety strategies in all clinical and Safety programs So that we could vent avoidable harm, which is related to health care procedures products and devices and to support this initiative to support the countries in implementing this particular action to integrate patient safety and Implement patient safety strategies in clinical programs We are now working across health systems and specific safety health and clinical programs And we've created agile teams which bring together the specific programs as well as the The health system programs. So we are bringing together the sub subject matter experts knowledge and profound understanding of systems and looking into Solutions and how to integrate patient safety strategies in all these programs on immunization safety medication safety Blood safety and several others and coming from a blood transfusion safety field I realized it was extremely important because on one hand it was actually Contributing to reduction of harm at the point of care It's through clinical and safety programs and on the other hand it was supporting the efforts for health systems 10th inning So this is the science of patient safety improvement which are now Implementing through the flagship initiative Monitoring and reporting is one of the key component of the global action plan When the World Health Assembly in 2021 was adopted in the action plan They also asked WHO to report on its progress every two years a till 2031 aligned with the sustainable development goals So just last Friday The World Health Assembly the 76 World Health Assembly considered the first progress report which was presented by WHO based on a first ever member states survey on patient safety and and we were able to collect Responses from 102 countries and an interim report was Produced and we are also working on a very comprehensive global patient safety report to be launched later this year And you can see the progress on the 10 code indicators which are part of the action plan and just want to share two or three of them 27% countries report that they have national policies and action plans and Only 18 countries a person countries have actually established their national targets for reduction in medication related harm and that Particularly for the patient family engagement. It is still the beginning only 13 person countries actually have reported That they have a patient representative in majority of the hospitals So more than 60 person hospitals have a patient representative only 13 countries in a way because one under two countries reported very very Such as really at the beginning and a long way to go in this so so mentioned about patient engagement and I think we really need to actually look into how we deliver care differently This the health systems are facing several challenges and the question which arise are can we create a paradigm shift in How healthcare is provided and can we eliminate all avoidable harm in healthcare? The answer is yes, we can We can by developing systems and protocols and procedures to reduce the risk of harm and also When harm happens reduces impact on patient. We need to innovate. We need to find solutions which are Working at local level We have to work with partners at local level to see what really works. So we need to innovate so that It's not necessary that we need to do different things But we need to do things differently so that we can address the challenges of of Health systems in providing safe care So this year world patient safety day is dedicated to Engaging patient for patient safety because we realize that when patients are treated as partners There's significant gains in safety in patient satisfaction as well as health outcomes So we want to give center stage to patients voice and elevate the voice of patients and the slogan for this year We are really inspired by people who actually are coming forward to share their stories of An experience of how they brought about change for safer care And we are having this initiative now to collect patient stories and experience in in health care And we would like to engage all of you in this initiative So to conclude my talk The WHO resolution clearly states that health is one of the fundamental rights of every human Acknowledging that the right to health is a is a health is a human right WHO elaborates that access to health care is also human right because until unless you have access to health care How will you ensure that? Health is a human right But it's very critical that we acknowledge And I want to to quote dr. Tedros That if it is not safe, it is not care So we have to acknowledge That access to safe health care is a human right It's really really important So while we are at the 10th summit dedicated to first-to-know harm We have to reiterate that first-to-know harm should be a foundation of every health system Particularly when we are building resilient health systems based on the lessons of COVID-19 and we are investing into health systems, strengthening and and developing resilient systems First-to-know harm should be the foundation of any health care system. So with that I conclude. Thank you very much