1 Next Steps: Toward a Workplan for Patient Safety Data Systems Development Ed Kelley Head, Health Care Quality Indicators Project OECD Patient Safety.

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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