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Application of patient safety indicators internationally: a pilot study among seven countries

Drösler, Saskia E. ; Klazinga, Niek S. ; Romano, Patrick S. ; Tancredi, Daniel J. ; Gogorcena Aoiz, Maria A. ; Hewitt, Moira C. ; Scobie, Sarah ; Soop, Michael ; Wen, Eugene ; Quan, Hude ; Ghali, William A. ; Mattke, Soeren ; Kelley, Edward

In: International Journal for Quality in Health Care, 2009, vol. 21, no. 4, p. 272-278

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    Titre
    • Application of patient safety indicators internationally: a pilot study among seven countries
    Auteur
    • Drösler, Saskia E.. Faculty of Industrial Engineering and Health Care, Niederrhein University of Applied Sciences, Reinarzstrasse 49, Krefeld, Germany
    • Klazinga, Niek S.. Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • Romano, Patrick S.. Division of General Medicine, University of California Davis School of Medicine, 4150 V Street, PSSB Suite 2400, Sacramento, CA, USA
    • Tancredi, Daniel J.. Center for Healthcare Policy and Research and Department of Pediatrics, University of California, Davis, Sacramento, CA, USA
    • Gogorcena Aoiz, Maria A.. Institute of Health Information, Ministry of Health, Madrid, Spain
    • Hewitt, Moira C.. Health Care Safety and Quality Unit, Australian Institute of Health and Welfare, Canberra, Australia
    • Scobie, Sarah. National Patient Safety Agency, London, UK
    • Soop, Michael. Unit for Qualifications and Patient Safety, Swedish National Board of Health and Welfare, Stockholm, Sweden
    • Wen, Eugene. Canadian Institute for Health Information, Toronto, Canada
    • Quan, Hude. Department of Community Health Sciences, University of Calgary, Calgary, Canada
    • Ghali, William A.. Department of Community Health Sciences, University of Calgary, Calgary, Canada
    • Mattke, Soeren. Rand Corporation, Washington, DC, USA
    • Kelley, Edward. World Health Association's Patient Safety Programme, Geneva, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal for Quality in Health Care, 2009, vol. 21, no. 4, p. 272-278. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:304951
    Summary
    Objective To explore the potential for international comparison of patient safety as part of the Health Care Quality Indicators project of the Organization for Economic Co-operation and Development (OECD) by evaluating patient safety indicators originally published by the US Agency for Healthcare Research and Quality (AHRQ). Design A retrospective cross-sectional study. Setting Acute care hospitals in the USA, UK, Sweden, Spain, Germany, Canada and Australia in 2004 and 2005/2006. Data sources Routine hospitalization-related administrative data from seven countries were analyzed. Using algorithms adapted to the diagnosis and procedure coding systems in place in each country, authorities in each of the participating countries reported summaries of the distribution of hospital-level and overall (national) rates for each AHRQ Patient Safety Indicator to the OECD project secretariat. Results Each country's vector of national indicator rates and the vector of American patient safety indicators rates published by AHRQ (and re-estimated as part of this study) were highly correlated (0.821-0.966). However, there was substantial systematic variation in rates across countries. Conclusions This pilot study reveals that AHRQ Patient Safety Indicators can be applied to international hospital data. However, the analyses suggest that certain indicators (e.g. ‘birth trauma', ‘complications of anesthesia') may be too unreliable for international comparisons. Data quality varies across countries; undercoding may be a systematic problem in some countries. Efforts at international harmonization of hospital discharge data sets as well as improved accuracy of documentation should facilitate future comparative analyses of routine databases