Economic evaluation in patient safety: a literature review of methods (original) (raw)
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BMJ open, 2017
Recent avoidable failures in patient care highlight the ongoing need for evidence to support improvements in patient safety. According to the most recent reviews, there is a dearth of economic evidence related to patient safety. These reviews characterise an evidence gap in terms of the scope and quality of evidence available to support resource allocation decisions. This protocol is designed to update and improve on the reviews previously conducted to determine the extent of methodological progress in economic analyses in patient safety. A broad search strategy with two core themes for original research (excluding opinion pieces and systematic reviews) in 'patient safety' and 'economic analyses' has been developed. Medline, Econlit and National Health Service Economic Evaluation Database bibliographic databases will be searched from January 2007 using a combination of medical subject headings terms and research-derived search terms (see table 1). The method is infor...
Costs of unsafe care and cost effectiveness of patient safety programmes
2016
Given the growing importance of patient safety not only for health systems but firstand foremost for patients, it is necessary to assess the impact of patient safety efforts and to develop priorities for action. In light of the recent economic crisis, the economic burden associated with unsafe patient care received more attention. Member States have set efforts to cut expenditures and to improve efficiency in their health care systems. In addition to increased cost of healthcare services, unsafe care also leads to loss of trust in health care systems by the public and diminished satisfaction by patients and health care professionals. Patient safety programmes may prevent and reduce such adverse events which ultimately results in less harm inflicted to patients. According to the Council of the European Union, a large proportion of adverse events both in the hospital sector and in primary care are preventable. Contextual systemic factors play an important role. The three main objectiv...
The economics of patient safety
OECD Health Working Papers, 2017
working-papers.htm OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s). Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works. Comments on Working Papers are welcomed, and may be sent to health.contact@oecd.org. This series is designed to make available to a wider readership selected health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language-English or Frenchwith a summary in the other. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Economic evaluation of occupational safety preventive measures in a hospital
Work (Reading, Mass.), 2014
When an organization performs an integrated analysis of risks through its Occupational Health and Safety Management System, several steps are suggested to address the implications of the identified risks. Namely, the organization should make a detailed analysis of the monetary impact for the organization of each of the preventive measures considered. However, it is also important to perform an analysis of the impact of each measure on society (externalities). The aim of this paper is to present a case study related to the application of the proposed economic evaluation methodology in a Hospital is presented. An analysis of the work accidents has been made. Three of the major types of accidents have been selected: needle stings, falls and excessive strain. Following the risk assessment, some preventive measures have been designed. Subsequently, the Benefit/Cost ratio (B/C) of these measures has been calculated, both in financial terms (from the organization's perspective) and in ...
Pricing for safety and quality in healthcare: A discussion paper
Infection, Disease & Health, 2018
Introduction: Increasingly, over the past decade, there has been a global shift in healthcare away from fixed "fee for service" payment mechanisms towards value-based reimbursement models rewarding safety and quality patient outcomes. Curbing the burgeoning costs of healthcare while incentivising higher quality and safer patient care are key drivers of this approach. At face value, this is clearly a worthwhile endeavour. However, there is a lack of conclusive evidence to support the effectiveness of such schemes where they have been introduced internationally. For this reason, Australia has largely been an observer of the shift in payment modalities that are occurring in other countries such as the United States and the United Kingdom. Method: This paper presents an overview of current Australian practice in pricing for safety and quality in Healthcare. Recommendations are provided to help infection control professionals prepare for the upcoming introduction of funding reforms aimed at reducing complications acquired in Australian public hospitals. Conclusion: The implications for infection control professionals are wide-ranging. This will be a period of significant adjustment for the public health system in Australia.