Safety Data for Safer Care: The Importance of International Consensus and Action
Safety Data for Safer Care: The Importance of International Consensus and Action
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true "titulo" => "Safety Data for Safer Care: The Importance of International Consensus and Action" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "317" "paginaFinal" => "326" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Edward Kelley, Jesús M Aranaz" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Edward" "apellidos" => "Kelley" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Jesús M" "apellidos" => "Aranaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Agency for Healthcare Research and Quality, Rockville, MD, USA" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Department of Preventive Medicine, Sant Joan d'Alacant Teaching Hospital, Department of Public Health, History Science, and Gynecology, Miguel Hernández University of Elche, Elche, Alicante, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Safety Data for Safer Care: The Importance of International Consensus and Action" ] ] "pdfFichero" => "256v22n06a13113632pdf001.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec233252" "palabras" => array:3 [ 0 => "Seguridad de pacientes" 1 => "Indicadores de seguridad" 2 => "Calidad asistencial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec233254" "palabras" => array:3 [ 0 => "Patient safety" 1 => "Safety indicators" 2 => "Quality care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "Objetivo: El interés en la medida y en la evaluación de la calidad ha crecido considerablemente a través de las últimas 2 décadas debido a diversos factores, como el reconocimiento de la gran variabilidad existente en la práctica clínica, la mayor disponibilidad de evidencia de eficacia probada y la creciente preocupación sobre el costo y la calidad del cuidado de la salud. En particular, el interés ha crecido en asegurar que el cuidado de la salud sea seguro, sobre todo desde que en 2001 el Institute of Medicine (IOM) incluyera la seguridad como una más de las dimensiones de la calidad. Este interés en la seguridad no está relacionado con barreras internacionales o con las particularidades de "mayor desarrollo" o "menor desarrollo" de un país. Iniciativas internacionales del más alto nivel gubernamental, como las de la Organización para la Cooperación Económica y del Desarrollo (OCDE), el Proyecto de Indicadores de Calidad en Salud (HQIP) y su grupo de trabajo en Seguridad del Paciente o la de la Alianza mundial por la Seguridad del Paciente de la OMS, resaltan la necesidad de un convenio internacional para lograr un mayor aprendizaje sobre la seguridad del paciente. Sin embargo, poco se ha estado haciendo para mejorar la disponibilidad y la comparabilidad de los datos/indicadores acerca de la seguridad del paciente dentro y entre los países. Material y método: En este artículo, describimos el trabajo realizado por cuerpos nacionales como la Agencia para la Investigación y la Calidad de la Asistencia Sanitaria (AHRQ) de Estados Unidos y por organizaciones internacionales como la OCDE y la Alianza Mundial (OMS) para mejorar los datos de seguridad en la búsqueda de proveer un cuidado más seguro, a la vez que contrastamos con la información existente en España sobre esta misma cuestión. Resultados: La propuesta de la OCDE pretende identificar las medidas apropiadas para favorecer comparaciones en el ámbito internacional, aunque una serie de dificultades (disponibilidad de datos, aspectos éticos, organización de los sistemas) hace que el número de indicadores sugeridos se haya visto reducido. Los indicadores que propone la AHRQ, basándose en varias fuentes de información sólidas, ofrecen una visión más rica respecto a la seguridad del paciente en el ámbito nacional. En España, existen iniciativas para comparación internacional mediante los indicadores propuestos por la OCDE e, internamente, usando los propuestos por la AHRQ, basándose en el CMBD. Conclusiones: El desarrollo de los sistemas de datos sobre seguridad del paciente, tanto en el ámbito nacional como en el internacional, tiene aún un largo camino por recorrer. Un aspecto importante a considerar es la necesidad de involucrar a los pacientes y sus asociaciones en la recogida y registro de datos sobre seguridad del paciente." ] "en" => array:1 [ "resumen" => "Objective: Interest in comparative quality measurement and evaluation has grown considerably over the past two decades due to several factors, such as recognition of widespread variation in clinical practice, the increased availability of evidence on medical effectiveness, and increasing concern about the cost and quality of healthcare. Interest in ensuring that healthcare is safe has grown, particularly since 2001 when the Institute of Medicine (IOM) included patient safety as another quality dimension. This interest in safety is not limited by international borders or by classifications of "more developed" or "less developed" countries. International initiatives at the highest levels of government such as the Organization for Economic Cooperation and Development's (OECD) Health Care Quality Indicators Project and its Patient Safety Working Group, as well as the World Alliance for Patient Safety, highlight the need for international agreement to increase learning on patient safety. However, little is being done to improve the availability and comparability of data/indicators on patient safety within and between countries. Material and method: In this paper, we describe the work being done by national bodies such as the US Agency for Healthcare Research and Quality (AHRQ), and international organizations such as the OECD and the World Alliance (WHO) to improve safety data with a view to providing safer care. At the same time, we compare this with information existing in Spain on this same question. Results: The proposal by the OECD attempts to identify suitable measurements to enable comparisons at international level, although several difficulties (availability of data, ethical aspects, organization of the systems) mean that the number of indicators has been reduced. The indicators proposed by the AHRQ, based on several solid information sources, offer a much clearer vision as regards patient safety at national level. In Spain, there are initiatives for international comparisons using the indicators proposed by the OECD and, at national level, using the proposals by AHRQ, based on the MBDS (minimum basic data set). Conclusions: The development of patient safety data systems, both at national and international level, still has a long way to go. One important aspect to consider, is the need to involve patients and their associations in the collection and recording of data on patient safety." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "referenciaCompleta" => "Accroître la sécurité du système. Une stratégie integrée pour améliorer la sécurité des patients dans le système de santé Canadian (acceded 04/10/2007). National Steering Committee on Patient Safety. 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Health Working Paper no. 27. (Paris: OECD). 2007. Avaiulable from: www.oecd.org/health/hcqi" "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Kelley E" 1 => "García-Armesto S" 2 => "Gil Lapetra ML" 3 => "Wei L and members of the HCQI Expert Group." ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "referenciaCompleta" => "Selecting indicators for patient safety at the health systems level in OECD countries. OECD Technical Working Paper no. 18. October 2004. Available from: www.oecd.org/health/hcqi" "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Selecting indicators for patient safety at the health systems level in OECD countries. OECD Technical Working Paper no. 18. October 2004. Available from: www.oecd.org/health/hcqi" "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Millar J" 1 => "Mattke S and Members of the OECD Patient Safety Panel." ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "referenciaCompleta" => "Selecting indicators for the quality of mental health care at the health systems level in OECD countries. OECD Technical Working Paper no. 17. October 2004. Available from: www.oecd.org/health/hcqi" "contribucion" => array:1 [ 0 => array:3 [ "titulo" => "Selecting indicators for the quality of mental health care at the health systems level in OECD countries. OECD Technical Working Paper no. 17. October 2004. Available from: www.oecd.org/health/hcqi" "idioma" => "en" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Hermann R" 1 => "Mattke S and the Members of the OECD Mental Health Care Panel." ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/1134282X/0000002200000006/v0_201308011132/13113632/v0_201308011133/es/main.assets" "Apartado" => array:4 [ "identificador" => "17663" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Experiencias internacionales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/1134282X/0000002200000006/v0_201308011132/13113632/v0_201308011133/es/256v22n06a13113632pdf001.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13113632?idApp=UINPBA00004N" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 1 | 3 | 4 |
| 2024 Octubre | 9 | 6 | 15 |
| 2024 Septiembre | 9 | 11 | 20 |
| 2024 Agosto | 13 | 5 | 18 |
| 2024 Julio | 15 | 6 | 21 |
| 2024 Junio | 5 | 6 | 11 |
| 2024 Mayo | 11 | 5 | 16 |
| 2024 Abril | 13 | 17 | 30 |
| 2024 Marzo | 16 | 9 | 25 |
| 2024 Febrero | 13 | 6 | 19 |
| 2024 Enero | 14 | 4 | 18 |
| 2023 Diciembre | 13 | 2 | 15 |
| 2023 Noviembre | 14 | 4 | 18 |
| 2023 Octubre | 16 | 3 | 19 |
| 2023 Septiembre | 18 | 1 | 19 |
| 2023 Agosto | 17 | 9 | 26 |
| 2023 Julio | 10 | 6 | 16 |
| 2023 Junio | 9 | 2 | 11 |
| 2023 Mayo | 6 | 6 | 12 |
| 2023 Abril | 5 | 16 | 21 |
| 2023 Marzo | 8 | 11 | 19 |
| 2023 Febrero | 5 | 13 | 18 |
| 2023 Enero | 9 | 4 | 13 |
| 2022 Diciembre | 11 | 9 | 20 |
| 2022 Noviembre | 15 | 19 | 34 |
| 2022 Octubre | 19 | 12 | 31 |
| 2022 Septiembre | 9 | 9 | 18 |
| 2022 Agosto | 19 | 22 | 41 |
| 2022 Julio | 12 | 21 | 33 |
| 2022 Junio | 13 | 18 | 31 |
| 2022 Mayo | 22 | 13 | 35 |
| 2022 Abril | 29 | 28 | 57 |
| 2022 Marzo | 29 | 17 | 46 |
| 2022 Febrero | 17 | 12 | 29 |
| 2022 Enero | 15 | 18 | 33 |
| 2021 Diciembre | 12 | 18 | 30 |
| 2021 Noviembre | 11 | 18 | 29 |
| 2021 Octubre | 11 | 18 | 29 |
| 2021 Septiembre | 6 | 15 | 21 |
| 2021 Agosto | 17 | 9 | 26 |
| 2021 Julio | 11 | 5 | 16 |
| 2021 Junio | 19 | 6 | 25 |
| 2021 Mayo | 7 | 6 | 13 |
| 2021 Abril | 32 | 15 | 47 |
| 2021 Marzo | 22 | 9 | 31 |
| 2021 Febrero | 14 | 7 | 21 |
| 2021 Enero | 9 | 16 | 25 |
| 2020 Diciembre | 12 | 4 | 16 |
| 2020 Noviembre | 5 | 7 | 12 |
| 2020 Octubre | 8 | 8 | 16 |
| 2020 Septiembre | 4 | 3 | 7 |
| 2020 Agosto | 7 | 8 | 15 |
| 2020 Julio | 7 | 1 | 8 |
| 2020 Junio | 5 | 1 | 6 |
| 2020 Mayo | 9 | 3 | 12 |
| 2020 Abril | 3 | 2 | 5 |
| 2020 Marzo | 12 | 6 | 18 |
| 2020 Febrero | 6 | 3 | 9 |
| 2020 Enero | 13 | 9 | 22 |
| 2019 Diciembre | 11 | 10 | 21 |
| 2019 Noviembre | 7 | 3 | 10 |
| 2019 Octubre | 8 | 5 | 13 |
| 2019 Septiembre | 16 | 5 | 21 |
| 2019 Agosto | 4 | 4 | 8 |
| 2019 Julio | 15 | 12 | 27 |
| 2019 Junio | 27 | 10 | 37 |
| 2019 Mayo | 55 | 15 | 70 |
| 2019 Abril | 28 | 10 | 38 |
| 2019 Marzo | 4 | 1 | 5 |
| 2019 Febrero | 6 | 18 | 24 |
| 2019 Enero | 3 | 1 | 4 |
| 2018 Diciembre | 6 | 9 | 15 |
| 2018 Noviembre | 4 | 2 | 6 |
| 2018 Octubre | 7 | 8 | 15 |
| 2018 Septiembre | 4 | 7 | 11 |
| 2018 Agosto | 8 | 2 | 10 |
| 2018 Julio | 9 | 6 | 15 |
| 2018 Junio | 4 | 1 | 5 |
| 2018 Mayo | 1 | 3 | 4 |
| 2018 Abril | 1 | 6 | 7 |
| 2018 Marzo | 7 | 2 | 9 |
| 2018 Enero | 0 | 3 | 3 |
| 2017 Diciembre | 0 | 1 | 1 |
| 2017 Noviembre | 2 | 1 | 3 |
| 2017 Octubre | 4 | 7 | 11 |
| 2017 Septiembre | 2 | 2 | 4 |
| 2017 Agosto | 5 | 4 | 9 |
| 2017 Julio | 3 | 2 | 5 |
| 2017 Junio | 1 | 3 | 4 |
| 2017 Mayo | 9 | 3 | 12 |
| 2017 Abril | 21 | 3 | 24 |
| 2017 Marzo | 27 | 3 | 30 |
| 2017 Febrero | 11 | 2 | 13 |
| 2017 Enero | 3 | 0 | 3 |
| 2016 Diciembre | 16 | 1 | 17 |
| 2016 Noviembre | 23 | 3 | 26 |
| 2016 Octubre | 27 | 11 | 38 |
| 2016 Septiembre | 21 | 1 | 22 |
| 2016 Agosto | 16 | 1 | 17 |
| 2016 Julio | 20 | 9 | 29 |
| 2016 Junio | 21 | 27 | 48 |
| 2016 Mayo | 16 | 8 | 24 |
| 2016 Abril | 17 | 12 | 29 |
| 2016 Marzo | 17 | 14 | 31 |
| 2016 Febrero | 16 | 16 | 32 |
| 2016 Enero | 18 | 16 | 34 |
| 2015 Diciembre | 16 | 14 | 30 |
| 2015 Noviembre | 14 | 9 | 23 |
| 2015 Octubre | 14 | 14 | 28 |
| 2015 Septiembre | 8 | 5 | 13 |
| 2015 Agosto | 17 | 3 | 20 |
| 2015 Julio | 5 | 3 | 8 |
| 2015 Junio | 4 | 1 | 5 |
| 2015 Mayo | 12 | 2 | 14 |
| 2015 Abril | 5 | 5 | 10 |
| 2015 Marzo | 9 | 2 | 11 |
| 2015 Febrero | 7 | 2 | 9 |
| 2015 Enero | 31 | 4 | 35 |
| 2014 Diciembre | 32 | 3 | 35 |
| 2014 Noviembre | 23 | 2 | 25 |
| 2014 Octubre | 25 | 3 | 28 |
| 2014 Septiembre | 24 | 0 | 24 |
| 2014 Agosto | 18 | 1 | 19 |
| 2014 Julio | 30 | 2 | 32 |
| 2014 Junio | 38 | 1 | 39 |
| 2014 Mayo | 22 | 2 | 24 |
| 2014 Abril | 19 | 2 | 21 |
| 2014 Marzo | 22 | 1 | 23 |
| 2014 Febrero | 21 | 2 | 23 |
| 2014 Enero | 17 | 2 | 19 |
| 2013 Diciembre | 18 | 2 | 20 |
| 2013 Noviembre | 14 | 2 | 16 |
| 2013 Octubre | 25 | 1 | 26 |
| 2013 Septiembre | 14 | 4 | 18 |
| 2013 Agosto | 18 | 2 | 20 |
| 2013 Julio | 14 | 2 | 16 |
| 2007 Noviembre | 566 | 0 | 566 |
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