Patient-safety indicators: a systematic review, criteria-based characterization and prioritization

Abstract

Objective To identify and classify internationally published and applied patient safety indicators (PSIs) and their caracterization as a subgroup of quality indicators. Prioritizing PSIs considering the need for action on patient safety of the German health care and their validation by applying scientific quality criteria. Methods A systematic review of publications indexed from January 2000 to December 2009 was conducted using Medline and websites of institutions. PSIs were characterized as a subgroup of quality indicators by defined criteria and prioritized using a criteria-based procedure.Results A total of 2,973 PSIs were identified and classified in a PSI-database. A Medline search resulted in 1,568 PSIs and 1,405 PSIs were identified by analyzing indicator sets of institutions. Finally, 60 PSIs were the result of prioritizing and validating the search outcomes. Discussion The characterization of PSIs and the criteriabased instrument were suitable to identify appropriate PSIs, so that they can be validated later on using a Delphimethod and a pilot and can be eventually implemented into practice.

Quality criteria/key components for high quality of diabetes management to avoid diabetes-related complications

“…Problems can result from perceived and real barriers, and lead to poorer health outcomes (Zgibor and Songer 2001). Therefore, in addition to the need of identifying the best programs, patient needs and barriers should be also taken in consideration in the context of the programs (Kuske et al 2013;Rothe 2010).…”

Eignung von Qualitätsindikatorensets in der Gesundheitsversorgung für verschiedene Einsatzgebiete – Forschungs- und Handlungsbedarf

“…International werden Kriterien angewendet, die allgemein zur Priorisierung von Indikatoren für die Verwendung in den jeweiligen Indikatorensets genutzt werden. Orientiert an den jeweiligen Zielsetzungen und Einsatzgebieten werden die Kriterien "Wissenschaftlichkeit", "Schweregrad ", "Häufigkeit", "Kostenfaktoren", "Interesse der Öffentlichkeit", "Machbarkeit" und "Vulnerabilität" herangezogen [24]. Je nach Fragestellung können weitere Kriterien wie "Ausgewogenheit der Settings" sowie "Ausgewogenheit der Qualitätsdimensionen" sowie "Repräsentativität" herangezogen werden.…”