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The economics of patient safety in primary and ambulatory care: Flying blind

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Listed:
  • Ane Auraaen

    (OECD)

  • Luke Slawomirski

    (OECD)

  • Niek Klazinga

    (OECD)

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.

Suggested Citation

  • Ane Auraaen & Luke Slawomirski & Niek Klazinga, 2018. "The economics of patient safety in primary and ambulatory care: Flying blind," OECD Health Working Papers 106, OECD Publishing.
    • Handle: RePEc:oec:elsaad:106-en
    DOI: 10.1787/baf425ad-en
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    Cited by:

    1. Chao Liu & Hao Chen & Xinyi Cao & Yini Sun & Chia-Yih Liu & Kan Wu & Yu-Chao Liang & Szu-Erh Hsu & Ding-Hau Huang & Wen-Ko Chiou, 2022. "Effects of Mindfulness Meditation on Doctors’ Mindfulness, Patient Safety Culture, Patient Safety Competency and Adverse Event," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    2. Francisco Miguel Escandell-Rico & Juana Perpiñá-Galvañ & Lucía Pérez-Fernández & Ángela Sanjuán-Quiles & Piedras Albas Gómez-Beltrán & Juan Diego Ramos-Pichardo, 2021. "Nurses’ Perceptions on the Implementation of a Safe Drug Administration Protocol and Its Effect on Error Notification," IJERPH, MDPI, vol. 18(7), pages 1-10, April.
    3. Ferdinando Petrazzuoli & Claire Collins & Esther Van Poel & Athina Tatsioni & Sven Streit & Gazmend Bojaj & Radost Asenova & Kathryn Hoffmann & Jonila Gabrani & Zalika Klemenc-Ketis & Andrée Rochfort , 2023. "Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    4. Sunhwa Shin & Mihwa Won, 2021. "Trend Analysis of Patient Safety Incidents and Their Associated Factors in Korea Using National Patient Safety Report Data (2017~2019)," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    5. Slawomirski, Luke & Hensher, Martin & Campbell, Julie & deGraaff, Barbara, 2024. "Pay-for-performance and patient safety in acute care: A systematic review," Health Policy, Elsevier, vol. 143(C).
    6. Sun Hwa Shin & Mi Jung Kim & Ho Jin Moon & Eun Hye Lee, 2021. "Development and Effectiveness of a Patient Safety Education Program for Inpatients," IJERPH, MDPI, vol. 18(6), pages 1-16, March.
    7. Alessandro Rizzi & Enrico Sorano & Stefano A. Cerrato & Federico Riganti & Alessandro Stiari & Ernesto Macrì & Alberto Sardi, 2021. "Civil Liability of Regional Health Services: The Case of the Piedmont Region," IJERPH, MDPI, vol. 18(19), pages 1-13, September.

    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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