The WHO Patient Safety Charter supports the principle of care available to all during the day and night. As a family doctor I spent 40 minutes on average with each patient face to face each year. ((I had 3000 registered patients.)
"Patient safety rights charter
The Patient safety rights charter is a key resource intended to support the implementation of the Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care. The Charter aims to outline patients’ rights in the context of safety and promotes the upholding of these rights, as established by international human rights standards, for everyone, everywhere, at all times.
Affirm patient safety as a core patient right, for everyone, everywhere. Identify the key patient safety rights that health and care workers and health care leaders are to uphold when planning, designing and delivering safe health services. Promote a culture of safety, equity, transparency and accountability within health systems.
Empower patients to actively participate in their own care as partners and to assert their right to safe care. Support the development and implementation of policies, procedures and best practices that strengthen patient safety. Recognize patient safety as an integral component of the right to health.
Right to timely, effective and appropriate care. Patients have the right to receive timely and effective care tailored to their health needs, particularly in situations where delays in receiving required health care in a timely manner could lead to disease progression, clinical deterioration, failure to rescue, and poor outcomes such as preventable patient harm. This right extends to receiving effective care during out-of-hours periods, ensuring its availability around the clock. Patients also have the right to be notified promptly of any critical test results, especially after discharge."
When patients have access to their health records, they will be able to share them with Dr Bot. This supports one of the four principles of medical ethics - autonomy. (The three other principles are beneficence, non-maleficence, and justice ("a concern for justice, peace, and genuine respect for people").
Dr Bot will be available to patients, families, communities, who have access to the appropriate technology 525,600 minutes a year.
Following the WHO Patient Safety Charter workshop in Geneva in September 2023, and the small Glossop RUFC patient workshop in June of this year, a small group are crafting an article for submission to a substantial international journal entitled "Patient access to digital records - future of healthcare". It is possible that the combination of Dr Bot and patient access to their records will have a positive effect on health outcomes for everyone? The article is still being shaped, but currently covers the following issues:
"1.Introduction
2. Ethics, risk, and bad actors
3. Mobile and digital health resources
4. A new health system for the twenty first century
5. Lifelong GP health records
6. Patient access to records in England
7. Patient access globally
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8. Patient and community agency
9. Health literacy
10. Adult learning
11. Data, knowledge, context, and understanding
12. Benefits to patients
13. Benefits to doctors
14. Sharing beyond the original service provider
15. The WHO Patient Safety Charter
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16. Doctors as confidants
17. Breaking bad news
18. Decision making and consent.
19. Refusing access
20. Errors in records
21. Patients with disabilities
22. Family, friends, and carers - proxy access
23. Minors, adolescents, and parents
24. Choosing not to share data with patients
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25. Patient participation
26. Engagement and social return
27. Traditional medicine
28. Low, and middle income countries
29. Global personal health data governance and cross border records
30. Language translation, creation, and AI
31. Who owns the record?
32. Dr Bot
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33. Professional education
34. The NHS App
35. Society 5.0, the integration of physical space and cyber space -----------------------------------------------------------------------------------------------
36. Remaining Questions
37. Conclusion
38. References
HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data Email address: richardpeterfitton7 AT gmail.com