Our policy on patient safety: focus on Healthcare-Associated Infections (HAIs) and Antimicrobial Resistance (AMR)

Our commitment on the topic
Since its inception in 1978, Cittadinanzattiva Onlus has worked continuously to advocate for safer healthcare, first at the National level and then also at EU level through its international branch called Active Citizenship Network (ACN). In particular, in 2002, ACN drafted the European Charter of Patients' Rights together with other patient associations from 15 different countries. The Charter underlines, among others, the Patients’ Right to preventive measures, the Patients’ Right to the observance of quality standards, the Patients’ Right to safety, the Patients’ Right to Innovation.

To encourage the implementation of the abovementioned patients’ rights, we have developed activities in different fields of action:


At the national level:

Patient safety & prevention of nosocomial infections.

Cittadinanzattiva has always been committed to the safety and quality of health care and healthcare facilities, and for many years it has been dealing with the issue of healthcare-associated infections in Italy. The data from our latest report “Pit salute 2017,” elaborated by Cittadinanzattiva, confirm what is still to be done on the subject. Indeed, it is clear from the citizens’ reports that many critical issues are linked to infections. In addition to the reports collected by the citizens, the following initiatives have been carried out:


Contracting & concession services: accessibility, quality, civic evaluation.

  • Since 1998 in Italy, Cittadinanzattiva has launched initiatives of concrete experimentation on the accessibility and quality of the services managed in procurement & concession.
  • We started with a survey of the most significant experiences of citizens' participation in defining and verifying the implementation of procurement contracts in public services.
  • We have continued to promote a new governance of services, as a guarantee for the protection of collective interests, in three phases: the design of services and the definition of tender specifications; the monitoring of the implementation of procurement contracts; the evaluation for the redefinition of contracts and specifications.
  • We have promoted concrete experiments: practices of involving users in school catering contracts, personal services and hygiene services. Hence, the launch of specific activities in the field of cleaning services and urban hygiene, with the aim of involving citizens to ensure cleanliness. To learn more click here.
  • Among the main results obtained, with regard to the civic evaluation of services, there is undoubtedly the new regulation of the control of local public services introduced by the 2008 Budget Law (art.2 paragraph 461). This was followed by memoranda of understanding for the implementation of this legislation, for example, cf. the protocol signed with CONFSERVIZI (Asstra-Federambiente-FederUtility) for the participation and control of users in the utility services market.
  • Strong of these positive results, in the following years Cittadinanzattiva diversified its activity in terms of contracted services. On the one hand, in fact, the sector has been analyzed from the point of view of transparency and legality, on the other it has given rise to a growing activity of monitoring and quality analysis in public utility services. To learn more, click here.
  • Civic recommendation "The tender I would like - Purchases in health guaranteeing the rights”(2017-2018).


At the European level:

Innovation in hygiene and sanification to reduce healthcare associated infections and antimicrobial resistance in European hospitals

European training seminar (4 February 2019)
On February 4th, 2019, Active Citizenship Network organized a European training seminar on patient safety & healthcare-associated infections (HAIs), opened to a selected number of leaders of patients’ associations and advocacy groups coming from twelve EU Member States plus an Extra EU Member State (Kosovo). During the seminar, the following topics were presented and discussed:

  • The overall public and private engagement on the topic;
  • The role of innovation to improve hygiene in the healthcare sector;
  • The case history of the innovative sanitation system PCHS®;
  • New strategies to advocate in this field of action.

Read more about this initiative here.

Public Event at the European Parliament (5 February 2019)
On February 5th, ACN has realised a multi-stakeholder event at the EU Parliament, immediately after the European training seminar, taking the discussion on patient safety and HAIs to the institutional level. The meeting was hosted by the MEPs Interest Group “European Patients' Rights and Cross-border Healthcare”. This initiative is in line with an approach aimed to guarantee continuity and not just spot initiatives on patient safety and healthcare-associated infections. Active Citizenship Network realized this activity to improve access to a safer healthcare, raising awareness among patient associations, advocacy groups and EU Institutions.
Read more about this initiative here.

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