Summary
Safety is a core dimension of health care quality, and measurement of patient safety culture in Organisation for Economic Co-operation and Development (OECD) countries is increasingly conducted as part of efforts to monitor patient safety and to contribute to health system performance assessment. This Health Working Paper looks at the findings of the second OECD pilot on patient safety culture. This occurred in 2022-2023 and in total took data from 648,209 health care providers from 14 countries.
Content
A positive patient safety culture is associated with several benefits, including better health outcomes and patient experiences, as well as improved organisational productivity and staff satisfaction and retention.
Looking at patient safety culture in OECD countries, this report builds on a previous analysis of patient safety culture measurement and the findings of the first OECD pilot data collection on patient safety culture in 2020-2021. Key findings from this include:
- The domain of staffing and work pace (that there are enough staff to handle the workload, staff work appropriate hours and do not feel rushed, and there is appropriate reliance on temporary or float staff) remains the lowest scoring domain on average for countries.
- Less than half of respondents felt that there were safe staffing and work pace levels in their work environment there remains high levels of perceived punitive response to error in hospital work environments.
- The highest scoring domains related to interpersonal relationships in the workplace. These were teamwork and supervisor, manager, or clinical leader support for patient safety.
- There remains significant international variation in the performance across countries. Several domains— including, response to error, handoffs and information exchange, and organizational learning—continuous improvement—had an over 20 percentage point difference between the best and worst performing countries.
Following two successful pilot data collection efforts to assess the feasibility of collecting and reporting data on patient safety culture, the OECD will now begin to collect Patient Safety Culture indicators as part of its core data collection to provide insights on the state of patient safety among OECD countries.
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