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1.
Int J Qual Health Care ; 25(6): 621-5, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24154846

RESUMO

This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the health-care related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety concepts to the information model of the WHO's International Classification for Patient Safety and the AHRQ Common Formats; (v) the review of vertical chapter content in all chapters of the ICD-11 beta version and (vi) downstream field testing of ICD-11 prior to its official 2015 release. The transition from ICD-10 to ICD-11 promises to produce an enhanced classification that will have better potential to capture important concepts relevant to measuring health system safety and quality-an important use case for the classification.


Assuntos
Classificação Internacional de Doenças/organização & administração , Segurança do Paciente , Qualidade da Assistência à Saúde , Organização Mundial da Saúde/organização & administração , Comitês Consultivos/organização & administração , Humanos , Segurança do Paciente/normas , Melhoria de Qualidade/organização & administração , Melhoria de Qualidade/normas , Indicadores de Qualidade em Assistência à Saúde/organização & administração , Indicadores de Qualidade em Assistência à Saúde/normas , Qualidade da Assistência à Saúde/organização & administração , Qualidade da Assistência à Saúde/normas
2.
J Patient Saf ; 10(3): 125-32, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25119788

RESUMO

The Partnership for Patients, launched in April 2011, is a national quality improvement initiative from the Department of Health and Human Services that has set ambitious goals for U.S. providers to improve patient safety and care transitions. This paper outlines the initiative's measurement strategy, describing four measurement-related objectives: (1) to track national progress toward the program goals that U.S. hospitals reduce preventable adverse events by 40% and readmissions by 20%; (2) to support local quality improvement measurement in participating hospitals by providing the appropriate tools, training, and programmatic structure; (3) to obtain feedback on hospital and contractor progress, in close to real time, so the project can be effectively managed; and (4) to evaluate the program's impact on adverse event and readmission rates.


Assuntos
Hospitalização/estatística & dados numéricos , Segurança do Paciente/normas , Melhoria de Qualidade/organização & administração , Indicadores de Qualidade em Assistência à Saúde , Hospitais/normas , Humanos , Erros Médicos/estatística & dados numéricos , Medicare , Readmissão do Paciente/estatística & dados numéricos , Desenvolvimento de Programas , Gestão da Segurança , Estados Unidos
3.
BMJ Qual Saf ; 21(1): 70-7, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21949437

RESUMO

CONTEXT: Information is needed on the performance of hospitals' adverse-event reporting systems and the effects of national patient-safety initiatives, including the Patient Safety and Quality Improvement Act (PSQIA) of 2005. Results are presented of a 2009 survey of a sample of non-federal US hospitals and changes between 2005 and 2009 are examined. METHODS: The Adverse Event Reporting System survey was fielded in 2005 and 2009 using a mixed-mode design with stratified random samples of non-federal US hospitals; risk managers were respondents. Response rates were 81% in 2005 and 79% in 2009. RESULTS: Virtually all hospitals reported they had centralised adverse-event-reporting systems. However, scores on four performance indexes suggested that hospitals have not effectively implemented key components of reporting systems. Average index scores improved somewhat between 2005 and 2009 for supportive environment (0.7 increase; p<0.05) and types of staff reporting (0.08 increase; p<0.001). Average scores did not change for timely distribution of event reports or discussion with key departments and committees. Some within-hospital inconsistencies in responses between 2005 and 2009 were found. These self-reported responses may be optimistic assessments of hospital performance. CONCLUSIONS: The 2009 survey confirmed improvement needs identified by the 2005 survey for hospitals' event reporting processes, while finding signs of progress. Optimising the use of surveys to assess the effects of national patient-safety initiatives such as PSQIA will require decreasing within-hospital variations in reporting rates.


Assuntos
Hospitais/estatística & dados numéricos , Gestão da Segurança/métodos , Estudos Transversais , Pesquisas sobre Atenção à Saúde , Hospitais/normas , Humanos , Erros Médicos/estatística & dados numéricos , Segurança do Paciente/normas , Segurança do Paciente/estatística & dados numéricos , Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Estados Unidos/epidemiologia
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