1)This session organised by the ISQua External Evaluation Association’s  (ISQua EEA’s) Accreditation Council will explore the strategic role of accreditation in times of complexity, crisis, and workforce challenges. It will  discuss topics such as digital health, incentives for global adoption and the  building of resilient health systems. At the end, participants will co-create a  collective manifesto, reaffirming their commitment to patient safety and  healthcare excellence. Objectives:  Outlining the role of accreditation as a strategic tool in complex and  challenging contexts Exploring ways to strengthen workforce resilience in healthcare through  accreditation. Understanding the challenges and opportunities of digital health and its  relationship to quality and safety. Co-creating a manifesto that reflects commitments and visions for the  future of healthcare accreditation.

1)Are healthcare regulators and accreditors having trouble keeping up? There is always a lag between establishing regulations and standards and changes in health systems. Healthcare is becoming more complex and changes are accelerating. Many argue for a system-based approach to patient safety improvement but in practice we still see a linear logic not taking the complexity into account. Individuals are sanctioned and blamed because what is considered objective evidence of healthcare practice is assessed against compliance to procedures close to the patient where the active failure occurred. This needs to change and we must rethink how regulation and accreditation contributes to promoting patient safety improvement, accountability and learning health systems and where innovation is needed. Session participants will: 1) Increase knowledge about the role of regulation and accreditation in patient safety from different perspectives (research, patient, regulation, accreditation, clinical) 2) Learn about systems vs individual responsibility logic in patient safety from different countries 3) Participate in chaired panel/group discussions about how different regulation/accreditation practices contributes to system improvement or allocating blame and suggest new ways of innovating the field.

1)ISQUA2025-ABS-1877: Gary Smith: Beyond Compliance: Evaluating the Real-World Impact of Accreditation on Healthcare Quality and Safety—A Systematic Review ISQUA2025-ABS-3492: Maria Carolina de Toledo Sivieri Moreno: Qualifying the Healthcare Provider Network: A Unimed-BH Quality Improvement Initiative ISQUA2025-ABS-2703: Isabelle Dorleans & Simon Renner: Integrating specific AI-systems criteria in the French accreditation of healthcare facilities ISQUA2025-SES-2415: Isabelle Dorleans & Patrick Mechain: Technological Innovation for people: leveraging the new French healthcare certification ISQUA2025-ABS-1444: Dilantha Dharmagunawardene: What is required to establish, sustain and make effective an accreditation program in a LMIC? ISQUA2025-ABS-1980: A. Lee: Adapting an international accreditation system to regional regulations and practice.

1)ISQUA2025-ABS-2128: Gilvane Lolato Lolato: Training Surveyors: development and challenges in the Brazilian Accreditation System ISQUA2025-SES-2124: Gilvane Lolato Lolato: Enhancing Healthcare Quality: Evaluating the impact of Virtual Surveys ISQUA2025-SES-1794: Ahmed Taha: GAHAR’s Trailblazing Journey: Accreditation, National Quality Indicators, and Sustainable Healthcare ISQUA2025-SES-1546: Muddrik Anwar: Quad A’s Unique Accreditation Approach: Mastering the Global Balancing Act