The increasing of healthcare services complexity over the past
decades, and the increasing of the healthcare coverage has led to a
corresponding rise in the number of reported adverse events,
unintended injuries and medical errors that might be more serious
than the disease itself. Concurrently, developing of the quality
management concepts ensured the applications of good documentation
and reporting systems, which helped in identifying the size of the
problem, such as in the famous report of the US Institute of
Medicine "To Err is Human: Building a Safer Health System." This
huge size of reported medical errors recognized by WHO as one of
the key issues facing healthcare services. Consequently, led to
establishment of World Alliance for Patient Safety at the start of
the 21st century. The Alliance considered the importance of
improving the safety of surgery as the second global patient safety
challenge in 2008. Patient safety systems as a public health issue
are challenging in all levels; in development of evidence based
standards, implementation and assessment.
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