1 Next Steps: Toward a Workplan for Patient Safety Data Systems Development Ed Kelley Head, Health...
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Transcript of 1 Next Steps: Toward a Workplan for Patient Safety Data Systems Development Ed Kelley Head, Health...
1
Next Steps:
Toward a Workplan for Patient Safety Data Systems Development
Ed Kelley
Head, Health Care Quality Indicators Project
OECD Patient Safety Seminar – “Safety Data for Safer Care”
Dublin – June 29-30, 2006
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* questionnaire received** submission forthcoming
Bulgaria Cyprus Estonia Latvia
Lithuania Mlalta Romania Slovenia
Update on 2006 Data Collection
Current countries
New countries
Australia * Austria Belgium Canada *
Czech Republic Denmark Finland France
Germany Greece Hungary Iceland *
Ireland Italy Japan * Korea
Luxembourg Mexico * Netherlands * New Zealand
Norway Poland ** Portugal * Slovak Republic *
Spain Sweden ** Switzerland Turkey
United Kingdom United States *
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OECD Secretariat Proposals for HCQI Work – Two Initiatives
Initiative 1: Adapting hospital administrative data systems for patient safety internationally– Solicit set of volunteer collaborators through OECD Patient Safety
Expert Subgroup for “data”– Data-based research project examining in particular data and
coding issues– Principal questions to address
• What are the structural differences in hospital administrative data systems across countries that could influence their use as tools for tracking patient safety?
• Based on estimates across a set of sample countries, what hospital administrative data-based indicators from the OECD PSI set seem to be relatively comparable across countries?
– Build from existing US-Italian work, Swedish research, etc.– Next step: Circulation of detailed proposal by July 30
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OECD Secretariat Proposals for HCQI Work – Two Initiatives (2)
Initiative 2: Summary paper on reporting systems for adverse events– Solicit set of volunteer collaborators through OECD Patient
Safety Expert Subgroup for “data”– Formative research effort focusing on: medication errors,
hospital infections and blood product-related events– Country questionnaire and secondary sources to examine:
• Types of events and medications recorded • Completeness of recording • Confidentiality issues • Ownership of the data and use of the data for feedback
– Build from work done by WHO-Euro– Next steps: Circulation of detailed proposal by July 30
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Discussion
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Supplementary Information – HCQI 2006 Questionnaire
country
Breast Cancerobs
Breast Cancerrel
CervicalCancerobs
CervicalCancerrel
ColorectalCancerobs
ColorectalCancerrel
VaccinePrev
VaccineChild
Asthma Mort
Australia a a a a a a x x x
Canada a a a a a a x a x
Iceland x x x x x x x x x
Japan x x x x x x
Mexico x b x b b b x x x
Netherlands a a a a a a a a a
Portugal x a x
Slovak Republic x b x b x b x x x
United States x x x
x – dataa – no updates to previous valuesb – not available
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country AMI StrokeFract Surg
Diab LEA
Diab Eye Exam
Trans React Hip Fract
Diab Hosp
Asthma Hosp HTN Hosp
Australia x x b a a x x x x x
Canada x x x b x x x x x x
Iceland
Japan a a b x x x x x x
Mexico x x x x b x x x x
Netherlands a a a x b x b b
Portugal x x x x x x
Slovak Republic x x b x x b b b b b
United Statesx
x – dataa – no updates to previous valuesb – not available
Supplementary Information – HCQI 2006 Questionnaire