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  • 1
    Language: English
    Pages: 1 Online-Ressource (circa 58 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 106
    Keywords: Gesundheitsversorgung ; Ambulante Behandlung ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Building on published patient safety research literature, this paper aims to broaden the existing knowledge base on safety lapses occurring in primary and ambulatory care settings. The findings of this paper show that safety lapses in primary and ambulatory care are common. About half of the global burden of patient harm originates in primary and ambulatory care, and estimates suggest that nearly four out of ten patients experience safety issue(s) in their interaction with this setting. Safety lapses in primary and ambulatory care most often result in an increased need for care or hospitalisations. Available evidence estimates the direct costs of safety lapses – the additional tests, treatments and health care – in primary and ambulatory care to be around 2.5% of total health expenditure. Safety lapses resulting in hospitalisations each year may count 6% of total hospital bed days and more than 7 million admissions in the OECD.
    Note: Zusammenfassung in französischer Sprache
    URL: Volltext  (lizenzpflichtig)
    URL: Volltext  (lizenzpflichtig)
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  • 2
    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
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  • 3
    Language: English
    Pages: 1 Online-Ressource (61 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.148
    Keywords: Chirurgie ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Osteoarthritis impacts 7% of the global population, affecting more than 500 million people worldwide. As populations of OECD countries age, an increasing number of hip and knee replacement surgeries calls for further work on assessment of quality of care, particularly from patients’ point of view. Thirteen programmes from nine countries participated in the PaRIS Hip and Knee PROMs comparative reporting in 2020-21 by collecting and submitting data by generic and condition-specific PROMs. All programmes showed improvements in patient outcomes though the relative improvement varied. Crosswalks from SF-12 to EQ-5D provided valuable lessons on conversion errors. Results of this work call for improving the use of data for comparative reporting as well as further collaboration on utilising patient-reported metrics in quality-of-care improvement and policymaking.
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  • 4
    Language: English
    Pages: 1 Online-Ressource (33 p.)
    Series Statement: OECD Health Working Papers no.128
    Keywords: Künstliche Intelligenz ; Gesundheitswesen ; Gesundheitsversorgung ; Social Issues/Migration/Health ; Science and Technology
    Abstract: Artificial intelligence (AI) has the potential to make health care more effective, efficient and equitable. AI applications are on the rise, from clinical decision-making and public health, to biomedical research and drug development, to health system administration and service redesign. The COVID-19 pandemic is serving as a catalyst, yet it is also a reality check, highlighting the limits of existing AI systems. Most AI in health is actually artificial narrow intelligence, designed to accomplish very specific tasks on previously curated data from single settings. In the real world, health data are not always available, standardised, or easily shared. Limited data hinders the ability of AI tools to generate accurate information for diverse populations with potentially very complex conditions. Having appropriate patient data is critical for AI tools because decisions based on models with skewed or incomplete data can put patients at risk. Policy makers should beware of the hype surrounding AI and identify and focus on real problems and opportunities that AI can help address. In setting the foundations for AI to help achieve health policy objectives, one key priority is to improve data quality, interoperability and access in a secure way through better data governance. More broadly, policy makers should work towards implementing and operationalising the OECD AI Principles, as well as investing in technology and human capital. Strong policy frameworks based on inclusive and extensive dialogue among all stakeholders are also key to ensure AI adds value to patients and to societies. AI that influences clinical and public health decisions should be introduced with care. Ultimately, high expectations must be managed, but real opportunities should be pursued.
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  • 5
    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.
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  • 6
    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.
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  • 7
    Language: English
    Pages: 1 Online-Ressource (73 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.145
    Keywords: Patienten ; Sicherheit ; Gesundheitsökonomik ; Pflegefinanzierung ; Social Issues/Migration/Health
    Abstract: Building on previous OECD Health Working Papers on the economics of patient safety, this paper firstly provides an update on the health burden, and financial and economic cost of unsafe care. It then summarises the evidence on the cost-effectiveness and return on investment of various programmes and interventions to improve the safety of care across all care settings. Globally, unsafe care results in over 3 million deaths each year with an estimated disease burden similar to that of HIV/AIDS. In developed countries, the direct cost of unsafe care on to health budgets approaches 13% of healthcare spending (about USD 606 Billion a year or just over 1% of the combined economic output of OECD countries). Using a willingness to pay approach, the full global economic cost is estimated at over USD 1 trillion a year. A human capital approach suggests that patient harm slows global economic growth by 0.7% a year. Improving patient safety requires a whole of system approach, with the value created by implementing and investing in mutually re-enforcing interventions within a policy framework that encompasses all health system strata. Most cost-effective are multi-modal approaches that align clinical, corporate, and professional risk across system silos.
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  • 8
    Language: English
    Pages: 1 Online-Ressource (64 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.150
    Keywords: Social Issues/Migration/Health
    Abstract: In the backdrop of the COVID-19 pandemic, ensuring the safety of health care services remains a serious, ongoing challenge. This once-in-a-century global health crisis exposed the vulnerability of healthcare delivery systems and the subsequent risks of patient harm. Given the scale of the occurrence and costs of preventable patient safety events, intervention and investment are still relatively modest. Good patient safety governance focuses on what leaders and policy makers can do to improve system performance and reduce the financial burden of avoidable care. Moreover, it is essential in driving progress in improving safety outcomes. This report examines how patient safety governance mechanisms in OECD countries have withstood the test of COVID-19 and provides recommendations for countries in further improving patient safety governance and strengthening health system resilience.
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  • 9
    Language: English
    Pages: 1 Online-Ressource (83 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.160
    Keywords: E-Health ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Electronic Health Records (eHR) represent a significant digital transformation in the healthcare sector. A 2021 OECD survey of 27 countries revealed a growing adoption of eHRs. However, system fragmentation remains a concern: only 15 countries have a nationally unified system. Twenty-four countries have adopted a minimum data set for standardized core health information. While patient access to eHRs has notably increased since 2016, obstacles such as provider resistance, technical barriers, and legal hurdles continue to exist. The COVID-19 pandemic underscored the pivotal role of eHRs, particularly in vaccine tracking and post-market surveillance, highlighting the pressing need for international cooperation to maximize the benefits of eHRs in healthcare. Furthermore, as eHRs integrate with artificial intelligence, new governance challenges arise.
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