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Patient Safety Indicator Sets

Prioritization, Decision-Making Considering Healthcare Resilience, and Implementation Success

Bibliographic Data

ID13774973
AuthorsSilke Kuske (0000-0002-2221-4531, Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Düsseldorf, Germany, corresponding author), Andreas Beckmann (0009-0005-7066-6865, Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Düsseldorf, Germany), Janina Kitzka (0009-0001-3381-8322, Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Düsseldorf, Germany), Christine Maria Aumann (Fliedner Fachhochschule Düsseldorf), Christine Aumann (0000-0002-0744-5446, Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Düsseldorf, Germany), Stefanie Deckert (0000-0002-4889-3632, Center for Evidence-Based Healthcare, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Germany), Kathleen Leps (0009-0003-4414-9085, Center for Evidence-Based Healthcare, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Germany), Markus Rinck (0009-0004-8491-5706, Institute for Health Services Research and Clinical Epidemiology, School of Medicine, Marburg University, Germany), Michel Schmidt (0000-0001-8598-6531, German Coalition for Patient Safety, Berlin, Germany), Lisa-Marie Rudek (0009-0007-6910-2936, German Coalition for Patient Safety, Berlin, Germany), Giorgi Jokhadze (0009-0002-3116-3489, German Coalition for Patient Safety, Berlin, Germany), Jochen Schmitt (0000-0003-0264-0960, Center for Evidence-Based Healthcare, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Germany), Ruth Hecker (0009-0008-4893-9849, German Coalition for Patient Safety, Berlin, Germany), Max Geraedts (0000-0002-5596-6246, Institute for Health Services Research and Clinical Epidemiology, School of Medicine, Marburg University, Germany)
Year2026
Volume63
Pages469580261417598-469580261417598
Publication date2026-02-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580261417598
PMID41709592
OpenAlexW7130510322
LanguageEN
References cited37

Patient safety indicators are core measures for improving healthcare. We aimed to conceptualize the prioritization of such indicators and the requirements for developing a core set of nationwide, valid, low-bureaucracy patient safety indicators. We also aimed to develop a decision aid for adapting the core set to strengthen the resilience of healthcare provision with respect to crisis situations and to identify factors related to successful implementation. A hybrid focus group design of 4 guided online focus group interviews was used by combining a semi-structured discussion and supporting materials, including questionnaires. The data were analyzed using content and descriptive analysis. A framework for prioritizing patient safety indicators for core set development and adaptation was developed. Indicator prioritization is guided by the aim of the core set, considering stakeholders' needs, potential for improvement, context of use, scientific quality, and implementability criteria. Together with the requirement criteria, such as patient safety dimensions, the breadth and depth of the indicator set can be defined. The developed decision aid for crisis events was deemed suitable for maintaining patient safety. A modular system is recommended for the adaptation of the core set to address several different indicator measurement scenarios. The developed framework and decision aid allow context-(in)dependent prioritization on the basis of the criteria for prioritizing patient safety indicators for a core indicator set and for indicator decision-making in adapting the core set for crisis events. Further real-world validation of the framework and decision aid and the associated criteria is recommended

Adaptation (eye · Context (archaeology · Core (optical fiber · Health care · Patient safety · Prioritization · Resilience (materials science · Set (abstract data type · Disaster Response and Management · Patient Safety and Medication Errors · Viral Infections and Outbreaks Research

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Citation velocityhistorical
Highly citedNo
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