Abstract
TheĀ healthcare regulations aims to address social problems, protect patient safety as well as deliver quality care impartially. However, the fragmented regulatory system in Nepal poses significant barriers to building a strong patient safety culture. Globally, countries such as Canada, Australia, Sweden, Thailand and the Philippines have established comprehensive systems defined by centralized leadership, adverse event reporting mechanisms as well as inclusive policy-making processes directed towards promoting patient safety. Overburdened practitiners, scarce resources, poor communication, and the lack of standard operating procedures are some of the challenges Nepal faces. Regulatory bodies such as the Professional Councils and Ministry of Health and Population function without appropriate coordination or incident reporting system; hence, as a result, progress is delayed. The lessons learned from international experience highlights the need for an integrated patient safety framework and a central statutory authority . This would need infrastructure investments, professional development, and transparency in reporting systems at the national level. With these reforms, Nepal can create a strong and unified healthcare system focussed on patient safety and public well-being.
References
World Health Organisation (WHO). Patient safety 2023 [Internet]. Geneva: WHO; 2023. Available from: [Full Text]
Weinberg J, Hilborne LH, Nguyen QT, et al., editors. Regulation of health policy: Patient safety and the states. In: Advances in patient safety: From research to implementation (Volume 1: Research findings). Rockville (MD): Agency for healthcare research and quality (US); 2005 Feb. [PubMed | Full Text]
United States of America (USA). History of anititrust regulation [Internet]. California: USA; 2019. Available from: [Full Text]
Oikonomou E, Carthey J, Macrae C, et al. Patient safety regulation in the NHS: Mapping the regulatory landscape of healthcare. BMJ Open. 2019 Jul 9;9(7):e028663. [PubMed | Full Text | DOI]
Tomer A. White paper on patient safety in Nepal [internet]. Kathmandu: Nepal Mediciti; 2019. Available from: [Full Text]
World Health Organisation (WHO). Global patient safety action plan 2021-2030 [internet]. Geneva: WHO; 2021. Available from: [Full Text]
Luxford K. The impact of accreditation on the quality of Australian health services [Internet]. Geneva: WHO; 2023. Available from: [Full Text]
RiskAnalytica. The case for investing in patient [internet]. Ontario, Canada: British Columbia Institute of Technology; 2021. Available from: [Full Text]
Gao X, Yan S, Wu W, et al. Implications from China patient safety incidents reporting system. Ther Clin Risk Manag. 2019 Feb 8;15:259-67. Available from: [PubMed | Full Text | DOI]