EP06.01 - Measuring Patient Safety in Canadian Hospitals
e-Health ePoster Library. Frood J. Jun 7, 2016; 131544; EP06.01
Jennifer Frood
Jennifer Frood
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Purpose/Objectives: We have developed a global approach using existing administrative data to provide a comprehensive and repeatable measure of patient harm. We will present the three components of this work; a) the approach and concept behind the measure; b) a first look at analytic results and; c) description of resources for quality improvement. Methodology/Approach: The measure uses CIHI's administrative data from the Discharge Abstract Database to calculate the prevalence of a selection of events that can potentially represent harm to a patient. This list was based on previous published research and expert consultations. For an event to be included it had to be 1) important for patients, families and care providers; 2) actionable, within the hospitals span of control 3) have the potential to harm the patient. Finding/Results: We found that in Canadian hospitals, most patients experience safe care however, there is room for improvement. Approximately 1 in 15 (or over 150,000) patients experience an occurrence of harm while in hospital. These occurrences span all areas of care: from Healthcare Associated Infections (37%) and Healthcare/Medication Associated Conditions (37%), to Procedure Associated Conditions (24%) and Patient Accidents (2%). Some patients were at higher risk than others; surgical patients had a higher risk of harm, however, medical patients (non-OB) made up over half of patients experiencing harm. Patients who were more complex prior to admission were also more at risk for harm but comprise a small proportion of all patients who experienced harm. Conclusion/Implications/Recommendations: While there are other measures that capture the thin edge of the patient safety wedge, for the first time in Canada there is measure of global patient safety. With this measure, decision makers will be able to determine where to focus improvement efforts and have a framework for monitoring progress. This report, in conjunction with the big dot measure and resource library, provides a roadmap for future steps in achieving safer healthcare. 140 Character Summary: CIHI presents three components of a global patient safety measure; a) approach/concept of the measure; b) first results and; c) resources for quality improvement.
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