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Health Care Quality Indicators Project: Patient Safety Indicators Report 2009


  • Saskia Drösler

    (Niederrhein University of Applied Sciences)

  • Patrick Romano

    (University of California)

  • Lihan Wei



This paper reports on the progress in the research and development of the set of patient safety indicators developed by the Health Care Quality Indicators project. The indicators presented here have been recommended by an expert group for further consideration in international reporting on the quality of care on the key dimension of safety. The indicators have been selected by expert consensus, undergone validity testing and have been tested for comparability. While concern remains related to differences in coding and reporting from administrative hospital databases, the rigour with which the indicator work has been undertaken has resulted in the improved ability of countries to report on the quality of care. The work on the development of the patient safety indicators highlights the technical progress made in constructing measures and the ongoing need for methodological improvements. The indicators reported here should not be considered as making inferences on the state of patient safety in countries, but are intended to raise questions towards improving understanding of the reported differences. Ce document présente l’état d’avancement de la recherche et du développement d’un ensemble d’indicateurs en matière de sécurité des patients dans le cadre du projet sur les indicateurs de la qualité des soins (HCQI). Un groupe d’experts a recommandé l’utilisation des indicateurs présentés ici pour les comparaisons internationales sur une dimension clé de la qualité des soins : la sécurité. Les indicateurs ont été sélectionnés par un consensus d’experts, leur validité et leur comparabilité ont été testées. Bien qu’il reste quelques problèmes quant aux différences de codage et de déclaration venant des bases de données administratives hospitalières, la rigueur du travail sur les indicateurs a permis d’améliorer la capacité des pays à rendre compte de la qualité des soins. Le développement des indicateurs de la sécurité des patients met l’accent sur les progrès techniques réalisés dans la construction de mesures et le besoin récurrent d’améliorer la méthodologie. Les indicateurs présentés ici ne doivent pas donner lieu à des conclusions quant à la situation de la sécurité des patients dans les pays, mais visent plutôt à poser des questions pour une meilleure compréhension des différences observées.

Suggested Citation

  • Saskia Drösler & Patrick Romano & Lihan Wei, 2009. "Health Care Quality Indicators Project: Patient Safety Indicators Report 2009," OECD Health Working Papers 47, OECD Publishing.
  • Handle: RePEc:oec:elsaad:47-en

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    Cited by:

    1. James Gaughan & Anne Mason & Andrew Street & Padraic Ward, 2012. "English Hospitals Can Improve Their Use of Resources: An Analysis of Costs and Length of Stay for Ten Treatments," Working Papers 078cherp, Centre for Health Economics, University of York.

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    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other

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