The International Classification for Patient Safety: an overview

The International Classification for Patient Safety: an overview In collaboration with WHO Classifications, Standards and Terminology March 2011

Every year, an inadmissible number of patients suffer injuries or die because of health care. Most of these injuries are preventable

A systemic problem that harms patients Procedures DEFENCES Physical barriers Training THE GAPS Culture Disease manage protocols missing or not actioned Poor compliance, poor supplies Patient harmed Inadequate knowledge, lack of training opportunities No clear leadership, no cohesive team structure

“Humans fail because the systems, tasks and processes in which they work and operate are wrongly designed" Dr Lucian Leape, testifying to the US President’s Commission on Consumer Protection and Quality in Health

The International Classification for Patient Safety (ICPS) aspires to become the shared global language necessary to facilitate the learning from unsafe acts as well as to develop solutions for improving patient safety.

The ICPS is intended to define, harmonize and group patient safety concepts into an internationally agreed classification in a way that is conducive to learning and improving patient safety across time and borders.

An International Initiative • WHO started work on patient safety in 2004, aiming to develop a taxonomy, leading to the International Classification for Patient Safety (ICPS) • The purpose is to enable categorization of patient safety information using • standardized sets of concepts with agreed definitions, • A domain ontology The World Alliance For Patient Safety Drafting Group; H Sherman, G Castro, M Fletcher, M Hatlie, P Hibbert, R Jakob, R Koss, P Lewalle, J Loeb, T Perneger, W Runciman, R Thomson, T van der Schaarf, M Virtanen. Towards an International Classification for, Patient Safety: the conceptual framework. International Journal for Quality in Health Care 2009; Volume 21, Number 1: pp. 2–8

ICPS Conceptual framework

Incident Types

http://www.who.int/patientsafety/taxonomy/icps_full_report.pdfhttp://www.who.int/patientsafety/taxonomy/icps_full_report.pdf

NON HIERARCHICAL TREES

ICPSMedinfoCapetown130910

NON FORMAL DEFINITIONS

APatient Safety Classification • ICPS Print version(s) "fit for use" in multiple settings and languages. • ICPS Computer version usable in electronic health record systems • ICPS Web Platform that allows to • access and browse the classification with descriptive characteristics • maintain and update classification using a Collaborative Authoring Tool with established workflows • ICPS with operational linkagesto other WHO-FIC classifications and standard terminologies like SNOMED-CT

Principles of ICPS development • The ICPS will be a member of WHO Family of International Classifications a • It will meaningfully link with other WHO Classifications and Terminologies. • The development will be harmonized and synchronized with the development of other WHO Classifications such as the ICD-11, ICF and ICHI • Modern methods in terminology and classification sciences will be utilized • The ICPS will be extensively field tested for relevance, applicability, quality and utility in practice in different countries • Main goal of the ICPS is to respond to the user needs for reporting, analyzing, monitoring, investigating patient safety incidents, facilitating safer patient management, improving patient safety practices in organizations, and building up patient safety indicators into existing health information systems to produce appropriate statistics and reporting systems.

From Conceptual Framework to Content Model • Development and population of ICPS Content Model. To organize patient safety knowledge in a consistent & structured way and enable ICPS for use with computerized terminologies and ontologies a ICPS Content Model (CM) is needed. The CM captures the key parameters for the definition of an ICPS category in a standard & systematic way: • What is a concept – category in PS? (e.g. Incident Type: Nutrition); • How do you define it: basic properties? (e.g. entity, process and problem involved in Incident Type: Nutrition); • What different values it can take? e.g. entity -> general or specific diet; process -> delivery, storage; problem -> wrong patient or wrong storage.

Tentative Timeline • 2011: Alpha version • +1 YR : Commentaries and consultations • 2012 : Beta version & Field Trials Version • +2 YR : Field trials • 2014 : Final version for public viewing • 2015 : WHA Approval • 2016+ implementation

In 2010-2011 • Creation of Web based Collaborative Authoring Tool (iCAT-PS). The tool (see Fig 4) will allow ICPS developers to enter, edit, structure and discuss content of each ICPS category & value sets. • Pre-population of iCAT-PS • Peer review process

Because behind every unsafe act, there are patients, families, health care professionals It is imperative to build safer systems

The International Classification for Patient Safety: an overview

The International Classification for Patient Safety: an overview

Presentation Transcript

THE BUSINESS CASE FOR PATIENT SAFETY

Partnership for Patients International Patient Safety Symposium

Patient Safety in Primary care: an overview

The Indianapolis Coalition for Patient Safety

Overview: National Patient Safety Survey

Patient Safety/ Quality Improvement Project Overview

Antimicrobial Stewardship Overview: An Urgent Patient Safety Imperative

Safety Across the World International Patient Safety Symposium November 10, 2011

International finance: An Overview

An Overview of Patient Matching

Is the “International Classification for Patient Safety” (ICPS) a Classification?

Redefining the Culture for Patient Safety

Patients for Patient Safety

Collaborative Learning from Patient Safety Organizations and International Patient Safety Culture

An overview of the Guidance points Ethical issues in Patient Safety Research

International Patient Safety Goals (IPSG)

Surrogacy For International Patient

Patient Cost Sharing: An Overview

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