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All hands on deck: Co-developing the first international survey of people living with chronic conditions : Stakeholder engagement in the design, development, and field trial implementation of the PaRIS survey (2023)

Kendir, Candan [VerfasserIn] ; Naik, Rushay [MitwirkendeR] ; Bloemeke, Janika [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (55 p.) , 21 x 28cm.

Series Statement: OECD Health Working Papers no.149

Keywords: Social Issues/Migration/Health ; Development

Abstract: The OECD's Patient-Reported Indicator Surveys (PaRIS) initiative aims to measure outcomes and experiences of healthcare as part of an effort to improve the value of health system investments. The PaRIS survey, a survey of people living with chronic conditions, is currently being implemented in twenty countries. The PaRIS survey has been developed together with government officials, patients, providers, and researchers. However, the extent of stakeholder involvement varies between countries. This paper reports on the stakeholder engagement in design, development and implementation of the PaRIS survey Field Trial in seventeen countries. Engagement strategies were analysed by target group (patients, providers, or other stakeholders), and engagement level (co-designing, involving, consulting, and informing). The results provide valuable lessons for the implementation of the full PaRIS survey in 2023 and illustrate how stakeholders could be more actively engaged in health services research and policymaking.

DOI: 10.1787/8b31022e-en

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2

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Advancing patient safety governance in the COVID-19 response (2023)

de Bienassis, Katherine [VerfasserIn] ; Mieloch, Zuzanna [MitwirkendeR] ; Slawomirski, Luke [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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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.

DOI: 10.1787/9b4a9484-en

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Patient engagement for patient safety : The why, what, and how of patient engagement for improving patient safety (2023)

Kendir, Candan [VerfasserIn] ; Fujisawa, Rie [MitwirkendeR] ; Brito Fernandes, Óscar [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (74 p.) , 21 x 28cm.

Series Statement: OECD Health Working Papers no.159

Keywords: Patienten ; Dienstleistungsqualität ; Gesundheitsversorgung ; Selbsthilfe ; OECD-Staaten ; Social Issues/Migration/Health

Abstract: Patients' and citizens' perspectives and their active engagement are critical to make health systems safer and people-centred, and are key for co-designing health services and co-producing good health with healthcare professionals, and building trust in health systems. Patients, families, caregivers and citizens can contribute towards improving patient safety at all levels from clinical, local, institutional (e.g. hospital , nursing home), community (e.g. primary care, home care) and national levels of healthcare systems. This report, the sixth in the series on the Economics of Patient Safety, covers: (i) the economic impact of patient engagement for patient safety; (ii) the results of a pilot data collection to measure patient-reported experiences of safety and; (iii) the status of initiatives on patient engagement for patient safety taken in 21 countries, which responded to a snapshot survey. It also provides recommendations for countries to enhance patient engagement for patient safety.

DOI: 10.1787/5fa8df20-en

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4

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Ökonomie der Arzneimitteltherapiesicherheit : Verbesserung der Arzneimitteltherapiesicherheit durch kollektives Echtzeit-Lernen (2023)

de Bienassis, Katherine [VerfasserIn] ; Esmail, Laura [MitwirkendeR] ; Lopert, Ruth [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: German

Pages: 1 Online-Ressource (90 p.) , 21 x 28cm.

Parallel Title: Parallele Sprachausgabe The economics of medication safety: Improving medication safety through collective, real-time learning

Keywords: Arzneimittel ; Medizinische Behandlung ; Sicherheit ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health

Abstract: Durch ungeeignete Arzneimitteltherapien und inadäquate Systeminfrastrukturen, die unzureichende Adhärenz, medikationsbedingte Schäden und Medikationsfehler nach sich ziehen, kommen nur allzu oft Patient*innen zu Schaden. Im OECD-Raum ist möglicherweise ein Zehntel der Krankenhauseinweisungen auf medikationsbedingte Ereignisse zurückzuführen, und bei einem Fünftel der stationär behandelten Patient*innen treten während des Krankenhausaufenthalts medikationsbedingte Schädigungen auf. Die Kosten der vermeidbaren, auf medikationsbedingte Ereignisse zurückzuführenden Hospitalisierungen sowie der längeren Krankenhausaufenthalte aufgrund von vermeidbaren, im Krankenhaus auftretenden medikationsbedingten Schäden belaufen sich im OECD-Raum insgesamt auf mehr als 54 Mrd. USD. Der vorliegende Bericht umfasst vier Teile. Im ersten Teil werden die menschlichen und wirtschaftlichen Kosten medikationsbedingter sicherheitsrelevanter Ereignisse im OECD-Raum untersucht. Der zweite Teil beschreibt Möglichkeiten zur Verbesserung der Verordnungspraxis, der dritte Teil befasst sich mit den neusten Systemen und Maßnahmen zur Verbesserung der Arzneimitteltherapiesicherheit und im vierten Teil folgen Empfehlungen zur Verbesserung der Arzneimitteltherapiesicherheit auf nationaler Ebene.

DOI: 10.1787/d91edcf5-de

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5

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Establishing standards for assessing patient-reported outcomes and experiences of mental health care in OECD countries : Technical report of the PaRIS mental health working group pilot data collection (2022)

de Bienassis, Katherine [VerfasserIn] ; Hewlett, Emily [MitwirkendeR] ; Kendir, Candan [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (53 p.) , 21 x 28cm.

Series Statement: OECD Health Working Papers no.135

Keywords: Social Issues/Migration/Health

Abstract: Patient-reported measures are a critical tool for improving policy and practice in mental health care. However, to date, the use of patient-reported measures in mental health care is limited to a small number of countries and settings—and there is a pressing need, both within and across countries, to consistently and effectively measure the effects and impact of care for patients who use mental health care services. The PaRIS pilot data collection on mental health included 15 data sources from 12 countries, collected over the course of 2021. While the scope of included data varied, the results demonstrate increased adoption of national and subnational efforts to capture patient-reported information in mental health care systems. Analysis of data collected through the PaRIS mental health pilot documents, in general, positive patient-reported experiences of mental health care. The results also suggest improvement in patient-reported outcomes for those receiving mental health care services.

DOI: 10.1787/e45438b5-en

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6

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Health data and governance developments in relation to COVID-19 : How OECD countries are adjusting health data systems for the new normal (2022)

de Bienassis, Katherine [VerfasserIn] ; Fujisawa, Rie [MitwirkendeR] ; Oliveira Hashiguchi, Tiago Cravo [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (78 p.) , 21 x 28cm.

Series Statement: OECD Health Working Papers no.138

Keywords: Social Issues/Migration/Health

Abstract: At the onset of the COVID-19 pandemic many countries found that they lacked basic, timely data for decision making—such as information on health workforce, resources, hospitalisations, and mortality. Many policy makers have since leveraged COVID-19 related information system reforms in a way that may also address long-standing barriers in the structures, policies and institutions that have kept countries from fully utilising health related data. Health data governance reforms, in particular, have been an important aspect of countries responses. Improvements in the quality, coverage, completeness, and capacity for data sharing in regard to existing national personal health datasets were widely reported. Countries have also made significant investments in digital tools, systems for public health monitoring, assessments of resource use and availability, and data to monitor the status of non-COVID related health needs.

DOI: 10.1787/aec7c409-en

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7

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The economics of patient safety : From analysis to action (2022)

Slawomirski, Luke [VerfasserIn] ; Klazinga, Niek [MitwirkendeR]

Paris : OECD Publishing

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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.

DOI: 10.1787/761f2da8-en

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8

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International assessment of the use and results of patient-reported outcome measures for hip and knee replacement surgery : Findings of the OECD Patient-Reported Indicator Surveys (PaRIS) working group on hip and knee replacement surgery (2022)

Kendir, Candan [VerfasserIn] ; de Bienassis, Katherine [MitwirkendeR] ; Slawomirski, Luke [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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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.

DOI: 10.1787/6da7f06b-en

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9

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The economics of medication safety : Improving medication safety through collective, real-time learning (2022)

de Bienassis, Katherine [VerfasserIn] ; Esmail, Laura [MitwirkendeR] ; Lopert, Ruth [MitwirkendeR] ; [et al.]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (87 p.) , 21 x 28cm.

Series Statement: OECD Health Working Papers no.147

Keywords: Arzneimittel ; Medizinische Behandlung ; Sicherheit ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health

Abstract: Poor medication practices and inadequate system infrastructure—resulting in poor adherence, medication-related harms, and medication errors—too often results in patient harm. As many as 1 in 10 hospitalizations in OECD countries may be caused by a medication-related event and as many one in five inpatients experience medication-related harms during hospitalization. Together, costs from avoidable admissions due to medication-related events and added length of stay due to preventable hospital-acquired medication-related harms total over USD 54 billion in OECD countries. This report includes four components; it 1) assess the human impact and economic costs of medication safety events in OECD countries, 2) explores opportunities to improve prescribing practices 3) examines the state-of-the art in systems and policies for improving medication safety, and 4) provides recommendations for improving medication safety at the national level.

DOI: 10.1787/9a933261-en

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10

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System governance towards improved patient safety : Key functions, approaches and pathways to implementation (2020)

Auraaen, Ane [VerfasserIn] ; Saar, Kristin [MitwirkendeR] ; Klazinga, Niek [MitwirkendeR]

Paris : OECD Publishing

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Language: English

Pages: 1 Online-Ressource (118 p.)

Series Statement: OECD Health Working Papers no.120

Keywords: Social Issues/Migration/Health

Abstract: Safety governance refers to the approaches taken to minimise the risk for patient harm across an entity or system. It typically comprises steering and rule-making functions such as policies, regulations and standards. To date, governance has focused on the clinical level and the hospital setting, with limited oversight and control over safety in other parts of the health system. All 25 countries that responded to a 2019 OECD Survey of Patient Safety Governance have enacted legislation that aims to promote patient safety. These practices include external accreditation and inspections of safety processes and outcomes. Safety governance models are also moving away from punishment and shaming towards increased trust and openness. Learning from success as well as failures represents a paradigm shift in safety governance, an approach that has been increasingly adopted in OECD countries.

DOI: 10.1787/2abdd834-en

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