Towards an International Classification for Patient Safety: key concepts and terms
Top Cited Papers
Open Access
- 1 February 2009
- journal article
- research article
- Published by Oxford University Press (OUP) in International Journal for Quality in Health Care
- Vol. 21 (1), 18-26
- https://doi.org/10.1093/intqhc/mzn057
Abstract
Understanding the patient safety literature has been compromised by the inconsistent use of language. To identify key concepts of relevance to the International Patient Safety Classification (ICPS) proposed by the World Alliance For Patient Safety of the World Health Organization (WHO), and agree on definitions and preferred terms. Six principles were agreed upon—that the concepts and terms should: be applicable across the full spectrum of healthcare; be consistent with concepts from other WHO Classifications; have meanings as close as possible to those in colloquial use; convey the appropriate meanings with respect to patient safety; be brief and clear, without unnecessary or redundant qualifiers; be fit-for-purpose for the ICPS. Definitions and preferred terms were agreed for 48 concepts of relevance to the ICPS; these were described and the relationships between them and the ICPS were outlined. The consistent use of key concepts, definitions and preferred terms should pave the way for better understanding, for comparisons between facilities and jurisdictions, and for trends to be tracked over time. Changes and improvements, translation into other languages and alignment with other sets of patient safety definitions will be necessary. This work represents the start of an ongoing process of progressively improving a common international understanding of terms and concepts relevant to patient safety.Keywords
This publication has 10 references indexed in Scilit:
- Towards an International Classification for Patient Safety: a Delphi surveyInternational Journal for Quality in Health Care, 2009
- Towards an International Classification for Patient Safety: the conceptual frameworkInternational Journal for Quality in Health Care, 2009
- What do family physicians consider an error? A comparison of definitions and physician perceptionBMC Family Practice, 2006
- An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classificationBMJ Quality & Safety, 2006
- Shared meanings: preferred terms and definitions for safety and quality conceptsThe Medical Journal of Australia, 2006
- The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse eventsInternational Journal for Quality in Health Care, 2005
- FMEA and RCA: the mantras; of modern risk managementMaterials, 2004
- Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic risk modelling in health careHeart, 2003
- Error, Blame, and the Law in Health Care—An Antipodean PerspectiveAnnals of Internal Medicine, 2003
- An Evaluation of Ventilator Monitoring AlarmsAnaesthesia and Intensive Care, 1986