Table 1 Analytical framework for assessing health care quality and patient safety
Component | Elements |
|---|---|
Macro-level | |
 Health systems context | • Governance, financial and delivery arrangement of the health system in each country |
 Policies and legislation | • Presence of an explicit and comprehensive national policy for quality and patient safety • Incentives and disincentives for participation in quality improvement and patient safety initiatives |
 Organizations & institutions | • Coordination of quality improvement and patient safety initiatives • Accountability and mechanisms to implement and follow up on quality improvement and patient safety initiatives • Support structures for quality:  - National council on clinical governance  - National society for quality in healthcare |
 Methods, techniques & tools | • Licensing of health professionals and healthcare institutions • Systems for adverse drug event reporting • National health care accreditation programs • National performance indicators |
Meso-level | |
 Health care infrastructure and resources | • Infrastructure for quality improvement and patient safety • Human resources for health • Health information system • Financial resources |