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Este artículo ofrece un compendio del trabajo del Health Care Quality Indicators Project de la OCDE en el campo de los indicadores de la seguridad del paciente. Además de aportar la lógica de la perspectiva internacional en el ejercicio de comparar indicadores internacionalmente, ofrece un análisis de la situación de los sistemas nacionales de información relacionados con la seguridad del paciente en los países industrializados y un esquema de la estrategia a seguir para mejorar tanto la comparabilidad como la disponibilidad de los datos en los ámbitos nacional e internacional. Esta estrategia gira en torno a tres ejes: a) la introducción de la seguridad del paciente en la agenda política nacional; b) el desarrollo de los sistemas de registro nacional de datos para aumentar la calidad y la disponibilidad de los datos y mejorar su comparabilidad internacional, y c) el establecimiento de un vínculo visible entre información y acción.
Palabras clave:
Seguridad del paciente
Calidad asistencial
Indicadores
Comparación internacional
This article reviews the work of the Organization for Economic Cooperation and Development (OECD) Healthcare Quality Indicators Project in the field of patient safety indicators. The article reflects on the logic for international comparison of patient safety indicators in addition to offering an analysis of the state of the national information systems linked to the measurement of patient safety across industrialized countries. To finish, a strategy to improve the comparability and availability of data both nationally and internationally is outlined. This strategy has a three-pronged approach: a) introduction of patient safety in the national agenda; b) development and expansion of national information systems and registries to improve both the quality and availability of data and enhance comparability across countries; c) establishment of a clear link between information and action.
Keywords:
Patient safety
Health care quality
Indicators
International comparison
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