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  • 1
    Online Resource
    Online Resource
    Measuring patient experiences (PREMS) : progress made by the OECD and its member countries between 2006 and 2016 (2017)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (circa 63 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 102
    Keywords: 2006 - 2016 ; Gesundheitsversorgung ; Dienstleistungsqualität ; Patienten ; Kundenzufriedenheit ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: The OECD has been leading the work on international comparisons of patient-reported experience measures (PREMs) across its member states for over a decade. This paper synthesises national developments in relation to measuring and monitoring PREMs between 2006 and 2016 across countries participating in the OECD Health Care Quality Indicator expert group. This report shows that most OECD countries measure patient experience at a national level. It also highlights that efforts to measure and report patient-reported measures which used to be conducted in an ad hoc manner previously, have been institutionalised and standardised in an increasing number of countries. This national progress has enabled the international reporting of patient experiences with ambulatory care across 17 OECD countries in the recent edition of OECD’s flagship publication, Health at a Glance 2017. The scope of these indicators is currently limited, but recent national progress suggests that there is an opportunity to expand PREMs data collection in different domains for international reporting. The OECD plans to continue developing PREMs that would be useful for policy makers, and help drive improvements in health system performance for health care users, building on the PREMs work to date undertaken in consultation with countries.
    Note: Zusammenfassung in französischer Sprache
    DOI: 10.1787/893a07d2-en
    URL: Volltext  (lizenzpflichtig)
    URL: Volltext  (lizenzpflichtig)
    URL: lizenzpflichtig
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  • 2
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    Online Resource
    Culture as a cure : assessments of patient safety culture in OECD countries (2020)
    [Paris] : OECD
    Details
    Language: English
    Pages: 1 Online-Ressource (circa 103 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 119
    Keywords: Gesundheitsversorgung ; Patienten ; Gesundheitsrisiko ; Dienstleistungsqualität ; Performance-Messung ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: While health care quality has been improving on average in OECD members countries, patient safety remains a central priority for policy makers and health care leaders. A growing research body has found that PSC is associated with numerous positive outcomes, including improved health outcomes, improved patient experience, and organisational productivity and staff satisfaction. Tools to measure PSC have proliferated in recent decades and are now in wide-spread use. This report includes findings from OECD countries on the state of the art for measurement practices related to PSC. Overall, measurement of PSC is prevalent across OECD countries, though the application, purpose, and tools vary. International learning and benchmarking has significant potential for better understanding and improvement of patient safety and health care quality.
    DOI: 10.1787/6ee1aeae-en
    URL: lizenzpflichtig
    URL: lizenzpflichtig
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  • 3
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    Online Resource
    The economics of patient safety Part III: Long-term care : Valuing safety for the long haul (2020)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (101 p.)
    Series Statement: OECD Health Working Papers no.121
    Keywords: Social Issues/Migration/Health
    Abstract: Long-term care (LTC) institutions are now providing care to a greater number of people, and more residents with chronic conditions and multiple co-morbidities, than ever before. Trends suggest this strain will continue to increase as OECD populations continue to age. The total cost of avoidable admissions to hospitals from LTC facilities in 2016 was almost USD 18 Billion, equivalent to 2.5% of all spending on hospital inpatient care or 4.4% of all spending on LTC. Research shows that over half of the harm that occurs in LTC is preventable, and over 40% of admissions to hospitals from LTC are avoidable. The root causes of these events can be addressed through improved prevention and safety practices and workforce development—including skill-mix and education. Targeted investments in a number of key areas can have a significant impact by mitigating the main cost drivers of adverse events in LTC.
    DOI: 10.1787/be07475c-en
    URL: lizenzpflichtig
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  • 4
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    Online Resource
    Developing international benchmarks of patient safety culture in hospital care : Findings of the OECD patient safety culture pilot data collection and considerations for future work (2022)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (69 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.134
    Keywords: Krankenhaus ; Krankenhausmanagement ; Patienten ; Qualitätsmanagement ; Dienstleistungsqualität ; Qualität ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic. Findings from benchmarking work in PSC show that there is significant room for improvement. Across included survey findings from OECD countries, less than half (46% ) of surveyed health workers believe that important patient care information is transferred across hospital units and during shift changes. Just two-in-five surveyed health workers in OECD countries believe the staffing levels at their workplace are appropriate for ensuring patient safety (40%) or that mistakes and event reports would not held against them (41%). International benchmarking is a feasible and useful addition to exiting measurement initiatives on safety culture and may help accelerate necessary improvements in patient safety outcomes.
    DOI: 10.1787/95ae65a3-en
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  • 5
    Online Resource
    Online Resource
    International comparisons of the quality and outcomes of integrated care : Findings of the OECD pilot on stroke and chronic heart failure (2022)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (77 Seiten) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.142
    Keywords: Gesundheitswesen ; Gesundheitsversorgung ; Chronische Krankheit ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Across OECD countries, two in three people aged over 65 years live with at least one chronic condition often requiring multiple interactions with different providers, making them more susceptible to poor and fragmented care. This has prompted calls for making health systems more people-centred, capable of delivering high-quality integrated care. Despite promising, mostly local-level, experiences, systems remain fragmented, focused on acute care and unsuitable to solve complex needs. Moreover, assessing and comparing the benefits of integrated care remains difficult given the lack of technically sound, policy-relevant indicators. This report presents the results of the first OECD pilot of a new generation of indicators to support international benchmarking of quality of integrated care. Lessons from the pilot call for further work on: (1) expanding work on indicator development; (2) performing policy analysis to understand cross-country variations on governance models and health financing; (3) upscaling data linkage; and (4) measuring care fragmentation.
    DOI: 10.1787/480cf8a0-en
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  • 6
    Online Resource
    Online Resource
    The economics of patient safety : strengthening a value-based approach to reducing patient harm at national level (2017)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (circa 68 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 96
    Keywords: Gesundheitswesen ; Medizinische Behandlung ; Patienten ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: About one in ten patients are harmed during health care. This paper estimates the health, financial and economic costs of this harm. Results indicate that patient harm exerts a considerable global health burden. The financial cost on health systems is also considerable and if the flow-on economic consequences such as lost productivity and income are included the costs of harm run into trillions of dollars annually. Because many of the incidents that cause harm can be prevented, these failures represent a considerable waste of healthcare resources, and the cost of failure dwarfs the investment required to implement effective prevention. The paper then examines how patient harm can be minimised effectively and efficiently. This is informed by a snapshot survey of a panel of eminent academic and policy experts in patient safety. System- and organisational-level initiatives were seen as vital to provide a foundation for the more local interventions targeting specific types of harm. The overarching requirement was a culture conducive to safety.
    Note: Zusammenfassung in französischer Sprache
    DOI: 10.1787/5a9858cd-en
    URL: Volltext
    URL: Volltext
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  • 7
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    Online Resource
    Ökonomie der Patientensicherheit, Teil III: Langzeitpflege : Der Wert der Sicherheit auf lange Sicht (2021)
    Paris : OECD Publishing
    Details
    Language: German
    Pages: 1 Online-Ressource (111 p.)
    Parallel Title: Parallele Sprachausgabe The economics of patient safety Part III: Long-term care: Valuing safety for the long haul
    Keywords: Social Issues/Migration/Health
    Abstract: Heute werden mehr Menschen in Langzeitpflegeeinrichtungen versorgt als je zuvor, darunter immer mehr Personen mit chronischen Krankheiten und Mehrfacherkrankungen. Diese Entwicklung dürfte sich in Anbetracht der zunehmenden Bevölkerungsalterung im OECD-Raum fortsetzen. Die Kosten vermeidbarer Krankenhauseinweisungen aus Langzeitpflegeeinrichtungen beliefen sich 2016 auf knapp 18 Mrd. USD. Dies entspricht 2,5 % der Ausgaben für die stationäre Krankenhausversorgung bzw. 4,4 % der Ausgaben für die Langzeitpflege. Forschungsarbeiten zeigen, dass mehr als die Hälfte der unerwünschten Ereignisse in der Pflege und 40 % der Krankenhauseinweisungen aus Pflegeeinrichtungen vermeidbar sind. Den Grundursachen dieser Ereignisse kann durch bessere Prävention, Sicherheitsmaßnahmen und Personalentwicklung – insbesondere im Hinblick auf den Kompetenzmix und die Ausbildung – begegnet werden. Durch gezielte Investitionen in Schlüsselbereichen können signifikante Effekte erzielt und die wichtigsten Kostentreiber unerwünschter Ereignisse in der Langzeitpflege reduziert werden.
    DOI: 10.1787/03307512-de
    URL: lizenzpflichtig
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  • 8
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    Online Resource
    The economics of patient safety Part IV: Safety in the workplace : Occupational safety as the bedrock of resilient health systems (2021)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (103 p.)
    Series Statement: OECD Health Working Papers no.130
    Keywords: Arbeitsschutz ; Betriebliches Gesundheitsmanagement ; OECD-Staaten ; Social Issues/Migration/Health ; Economics
    Abstract: Health care settings are inherently hazardous places, with very unpredictable and complex working environments. These hazards and risks not only result in a range of injuries and ill-health among workers but also jeopardise the safety of patients. The COVID-19 crisis has amplified the importance of ensuring that the health care that is provided is safe—for patients and health workers alike. A sufficient, and capable, workforce, is the foundation of resilient systems. Policy makers need to focus now on how to build and support an appropriate workforce to respond to future shocks. This includes health workers beyond the hospital—including those in community, long-term, and primary care. The safety of both patients and health workers should be protected through appropriate mechanisms to ensure the safety of protective equipment and sufficient supplies, appropriate staffing levels, training and support at the workplace. These governance mechanisms are even more relevant when policy makers face trade-offs between health, safety and economic concerns.
    DOI: 10.1787/b25b8c39-en
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  • 9
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    Online Resource
    Ökonomie der Patientensicherheit, Teil IV: Sicherheit am Arbeitsplatz : Arbeitssicherheit als Fundament resilienter Gesundheitssysteme (2022)
    Paris : OECD Publishing
    Details
    Language: German
    Pages: 1 Online-Ressource (108 Seiten) , 21 x 28cm.
    Parallel Title: Parallele Sprachausgabe The economics of patient safety Part IV: Safety in the workplace: Occupational safety as the bedrock of resilient health systems
    Keywords: Social Issues/Migration/Health ; Economics
    Abstract: Gesundheitsversorgungssettings sind gefährliche Orte und komplexe Arbeitsumgebungen, in denen ständig etwas Unvorhergesehenes geschehen kann. Die Gefahren und Risiken führen nicht nur zu Verletzungen und Erkrankungen von Arbeitskräften, sondern beeinträchtigen auch die Sicherheit der Patient*innen. In der Covid-19-Krise wurde in besonderem Maße deutlich, wie wichtig es ist, eine sichere Gesundheitsversorgung zu gewährleisten – für die Patient*innen ebenso wie für die Gesundheitskräfte. Ein ausreichendes Angebot an qualifizierten Arbeitskräften ist Grundvoraussetzung für ein resilientes Gesundheitssystem. Daher muss die Politik nun Wege finden, ein adäquates Arbeitskräfteangebot aufzubauen und zu fördern, damit das Gesundheitssystem für künftige Schocks gewappnet ist. Dies gilt nicht nur für den Krankenhaussektor, sondern auch für Gemeindesettings, die Pflege und die Primärversorgung. Außerdem sollten geeignete Mechanismen zum Schutz der Patient*innen und Gesundheitskräfte geschaffen werden, die eine sichere Schutzausrüstung, genügend medizinisches Material und eine angemessene Personalausstattung, Weiterbildung und Unterstützung am Arbeitsplatz gewährleisten. Besonders wichtig sind solche Mechanismen, wenn politisch Verantwortliche gesundheitliche, sicherheitsbezogene und wirtschaftliche Anforderungen miteinander in Einklang bringen müssen.
    DOI: 10.1787/b6820c98-de
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    MPI Ethno. Forsch.
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