1 Next Steps: Toward a Workplan for Patient Safety Data Systems Development Ed Kelley Head, Health Care Quality Indicators Project OECD Patient Safety Seminar – “Safety Data for Safer Care” Dublin – June 29-30, 2006

2 * questionnaire received ** submission forthcoming BulgariaCyprusEstoniaLatvia LithuaniaMlaltaRomaniaSlovenia Update on 2006 Data Collection Current countries New countries Australia *AustriaBelgiumCanada * Czech RepublicDenmarkFinlandFrance GermanyGreeceHungaryIceland * IrelandItalyJapan *Korea LuxembourgMexico *Netherlands *New Zealand NorwayPoland **Portugal *Slovak Republic * SpainSweden **SwitzerlandTurkey United KingdomUnited States *

3 OECD Secretariat Proposals for HCQI Work – Two Initiatives Initiative 1: Adapting hospital administrative data systems for patient safety internationally –Solicit set of volunteer collaborators through OECD Patient Safety Expert Subgroup for “data” –Data-based research project examining in particular data and coding issues –Principal questions to address What are the structural differences in hospital administrative data systems across countries that could influence their use as tools for tracking patient safety? Based on estimates across a set of sample countries, what hospital administrative data-based indicators from the OECD PSI set seem to be relatively comparable across countries? –Build from existing US-Italian work, Swedish research, etc. –Next step: Circulation of detailed proposal by July 30

4

5 OECD Secretariat Proposals for HCQI Work – Two Initiatives (2) Initiative 2: Summary paper on reporting systems for adverse events –Solicit set of volunteer collaborators through OECD Patient Safety Expert Subgroup for “data” –Formative research effort focusing on: medication errors, hospital infections and blood product-related events –Country questionnaire and secondary sources to examine: Types of events and medications recorded Completeness of recording Confidentiality issues Ownership of the data and use of the data for feedback –Build from work done by WHO-Euro –Next steps: Circulation of detailed proposal by July 30

6 Discussion

7 Supplementary Information – HCQI 2006 Questionnaire country Breast Cancer obs Breast Cancer rel Cervical Cancer obs Cervical Cancer rel Colorectal Cancer obs Colorectal Cancer rel Vaccine Prev Vaccine Child Asthma Mort Australia aaaaaaxxx Canada aaaaaaxax Iceland xxxxxxxxx Japan xxxxxx Mexico xbxbbbxxx Netherlands aaaaaaaaa Portugal xax Slovak Republic xbxbxbxxx United States xxx x – data a – no updates to previous values b – not available

8 countryAMIStroke Fract Surg Diab LEA Diab Eye Exam Trans ReactHip Fract Diab Hosp Asthma HospHTN Hosp Australia xxbaaxxxxx Canada xxxbxxxxxx Iceland Japan aabxxxxxx Mexico xxxxbxxxx Netherlands aaaxbxbb Portugal xxxxxx Slovak Republic xxbxxbbbbb United States x x – data a – no updates to previous values b – not available Supplementary Information – HCQI 2006 Questionnaire