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Investor Presentaiton

Patient Safety Ensuring our patients' safety is crucial. Therefore, we constantly invest in maintaining procedures, fostering a safe environment with integrated care and encouraging the multidisciplinary collaboration for problem solving. In order to ensure that our guidelines are complied with, we hold periodic technical visits to the units to assess patient safety procedures and standards of management excellence. We evaluate the compliance with Rede D'Or São Luiz Care Practice Manual and the hospitals' status regarding the accreditation standards of that unit (see more on page 86). At the end of each technical visit, a report is prepared with a score for the compliance with safety criteria and the unit is required to prepare an action plan for improvements. In 2021, we held 59 technical visits to 52 units to assess our units' safety, conducted remotely or on a hybrid model, without compromising the quality of the evaluation. The NPS1 for units receiving technical visits came to 77. Clinical audits, which have also been formatted to the hybrid mode, encompassed 48 hospitals, 3,720 patients in the safe identification goal, 1,098 patients in the safe surgery goal and 1,777 antibiotic prophylaxis patients. Safety perception Survey Since 2014, we have been using the Health Care Research Quality (AHRQ) tool to evaluate employee safety perception on teamwork, leaderships, management support, continuous improvement, feedback and communication at every Rede D'Or São Luiz hospital. 12 safety dimensions are evaluated in a total of 42 questions. The purpose is to internally assess safety culture perception, which encompasses a set of values, attitudes, skills and behaviors that determine the commitment OUR VALUE CREATION | Social and relationship capital to health and safety management, replacing guilt and punishment for the opportunity to learn from one's mistakes and to improve health care. In 2021, all units met the estimated sample (with 2% of sample error) and we received 42,650 answers, from 55 participating hospitals. In times of world crisis, we believe that institutions that rely on good, consolidated practices and a safety culture achieved based on well spread routines and in the long term have a greater possibility of achieving good results. The overall score for patient safety was deemed excellent or very good by 69% of participants. 149 REDE D'OR SÃO LUIZ | Annual Sustainability Report 2021 1. Net Promoter Score Strengths The hospital management provides a work environment that fosters patient safety The hospital management's initiatives show that patient safety is a priority 2021 Results 84% 83% Hospital units work well together to provide the best care to their patients 76% When there is a lot of work to be done fast, we work together as a team to complete the task 80% At this unit, people are treated with respect 83% We actively seek improvements to patient safety 91% Mistakes led to positive changes in this unit 75% When we make changes to improve patient safety, we assess their effectiveness 79% My supervisor/department head (DOES NOT) ignore recurring patient safety issues 87% 150
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