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This manual offers a clear and practical guide to understanding how patient safety systems can be effectively designed, embedded, and sustained within healthcare organizations. Rather than focusing on isolated initiatives or formal compliance, it provides a coherent framework for translating patient safety principles into everyday organizational practice.
Developed within the Proyecto Impulso initiative, the document is structured around ten essential aspects that together define a mature, operational, and resilient approach to patient safety. It explores how governance, organizational structures, professional roles, and clinical processes must align to create conditions where safety is actively managed rather than reactively addressed.
Throughout the manual, particular emphasis is placed on leadership, culture, communication, and continuous learning, highlighting their role in turning patient safety into a shared organizational responsibility. The result is a practical reference designed to support decision-making, guide implementation, and help healthcare organizations move towards safer, more reliable care delivery.

The Venturi Project began in 2020 as an urgent response to a healthcare system under unprecedented pressure.
What started as an analysis of the pandemic’s impact on waiting lists has evolved into a comprehensive framework for understanding healthcare demand, system pressure, and patient flow dynamics in Spain.
Over five years, Venturi has combined data, forecasting, and strategic proposals to explain bottlenecks, reveal hidden demand, and highlight the essential regulatory role of Primary Care.
This book-report brings together the key insights, analyses, and proposals that define Venturi’s structural vision of the healthcare system — a practical and forward-looking framework for decision-makers, managers, and institutions committed to improving efficiency and patient care.

Waiting lists are one of the most visible indicators of healthcare performance, yet on their own they offer only a partial—and sometimes misleading—view of real access to care.
This document compares Spain and France to show that waiting lists are not a problem in themselves, but the result of how demand, capacity and care pathways are organised and managed. Rather than focusing on final figures, the analysis examines the underlying processes that regulate system inflows and outflows.
Developed within the conceptual framework of the Venturi Project, the report offers a structural and operational perspective on access to healthcare, aimed at decision-makers seeking sustainable solutions beyond headline waiting list numbers.
This manual provides a complete, practical framework for defining and implementing the Role of the Patient Safety Officer within any healthcare organization.
Based on the Project Impulso model, it outlines the essential functions, required competencies, organizational placement, and training needs — all structured around 10 key aspects and 100 actionable measures.
It also incorporates insights from major international reference frameworks (WHO, Joint Commission, NQF, UNE 179003), ensuring alignment with the most rigorous global standards.
Designed for healthcare leaders, quality and safety managers, training departments, and risk management professionals, this manual offers a clear, structured guide to strengthening patient safety culture and improving organizational performance.

