Why patient safety is akin to weaving textiles: an International Society for Quality in Health Care perspective on the 7th Global Ministerial Summit on Patient Safety 2025

The 7th Global Ministerial Summit on Patient Safety, convened in Manila in April 2025, advanced global efforts to reduce harm in healthcare under the theme 'Weaving Strengths for the Future of Patient Safety'. Drawing on the metaphor of textile weaving, the Summit emphasised that safeguarding patients is a collaborative endeavour, requiring integrated action across sectors and systems. The Mandaluyong Declaration reaffirmed commitments to the WHO Global Patient Safety Action Plan (2021-2030) and made four pledges: strengthening global collaboration, advancing leadership and governance, integrating patient safety into disaster preparedness and climate resilience, and building people-centred safety systems. The mission of the International Society for Quality in Health Care (ISQua), a key presence at the Summit, is aligned with these aims, contributing through its White Paper on patient safety, its Green Paper on climate-resilient health systems, and its Person-Centred Care White Paper. The Summit marked a shift from commitment to implementation, recognising the importance of climate change, digital transformation, and equity as integral to safe care. Patient safety now stands as both a global health and environmental priority. ISQua will continue supporting this work through advocacy, standards development, and partnerships, helping to weave patient safety into the daily practice of healthcare worldwide.