Table 3.

Actions to support local leaders

Hospital management	Develop and agree with staff local safety policies based on national policies. Support agreed risk control measures to ensure treatments given safely. Only introduce new technologies if staffing, training and resources sufficient to support effective and safe use.
National professional organisations	Develop of context appropriate guidelines and safety policies. Define levels of resources and skill that must be met before facilities advance to a new level. Provide shared resources and support for safety and quality improvement. Create and support of professional networks.
Funders of research in low-resource countries	Include evaluations of patient safety prior to any intervention. Ensure interventions that aim to advance technology supported care include careful evaluation of effects on patient safety. Include funding for strengthening local systems when introducing new technologies or treatments.
International organisations and professional networks	Sharing of experience. Coaching, mentoring and support. Publish and share accounts of safety improvement in low-resource settings.