{ "dataflow": "OECD.ELS.HD.DSD_HCQO@DF_PSC", "dataset_title": "Patient Safety Culture", "dataset_description": "Patient Safety Culture (PSC) is a subgroup of indicators within the HCQO database and provides data on how health workers perceive the organisational culture around patient safety in hospital settings. A positive patient safety culture – characterised by shared perceptions of the importance of safety, transparency, trust, and collective responsibility – is associated with better health outcomes, higher staff satisfaction, and improved organisational productivity. The database includes indicators on staff perceptions of effective teamwork, adequate staffing levels, open communication, response to error, managerial commitment to patient safety, staff workload, and information exchanges during shift changes. Indicators are disaggregated by job category (physicians, nursing staff, other clinical staff, support staff and management staff) to provide a granular view of patient safety culture across hospital staff roles. \n

\nFor further information, please consult: \n

", "fields": { "REF_AREA": { "type": "dimension", "concept": "REF_AREA", "label": "Reference area", "description": "", "codelist": "CL_AREA" }, "FREQ": { "type": "dimension", "concept": "FREQ", "label": "Frequency of observation", "description": "Time interval at which observations occur over a given time period.", "codelist": "CL_FREQ" }, "MEASURE": { "type": "dimension", "concept": "MEASURE", "label": "Measure", "description": "", "codelist": "CL_MEASURE_HCQO" }, "UNIT_MEASURE": { "type": "dimension", "concept": "UNIT_MEASURE", "label": "Unit of measure", "description": "Unit in which the data values are expressed.", "codelist": "CL_UNIT_MEASURE" }, "AGE": { "type": "dimension", "concept": "AGE", "label": "Age", "description": "", "codelist": "CL_AGE" }, "SEX": { "type": "dimension", "concept": "SEX", "label": "Sex", "description": "", "codelist": "CL_SEX" }, "STATISTICAL_OPERATION": { "type": "dimension", "concept": "STATISTICAL_OPERATION", "label": "Statistical operation", "description": "", "codelist": "CL_STATISTICAL_OPERATION" }, "INCOME_GROUP": { "type": "dimension", "concept": "INCOME_GROUP", "label": "Income group", "description": "", "codelist": "CL_QUANTILE_GROUP" }, "HEALTH_PROF": { "type": "dimension", "concept": "HEALTH_PROF", "label": "Health profession", "description": "", "codelist": "CL_HEALTH_PROF" }, "TIME_PERIOD": { "type": "time", "label": "Time period", "description": "Observation time period" }, "HSPA": { "type": "attribute", "concept": "HSPA", "label": "Health system performance assessment", "description": "", "codelist": null }, "METHODOLOGY": { "type": "attribute", "concept": "METHODOLOGY", "label": "Calculation methodology", "description": "", "codelist": "CL_CALC_METHODOLOGY" }, "TIME_RANGE": { "type": "attribute", "concept": "TIME_RANGE", "label": "Time range", "description": "", "codelist": null }, "SURVEY_VERSION": { "type": "attribute", "concept": "SURVEY_VERSION", "label": "Survey version", "description": "", "codelist": null }, "DECIMALS": { "type": "attribute", "concept": "DECIMALS", "label": "Decimals", "description": "", "codelist": "CL_DECIMALS" }, "OBS_STATUS": { "type": "attribute", "concept": "OBS_STATUS", "label": "Observation status", "description": "Information on the quality of a value or an unusual or missing value.", "codelist": "CL_OBS_STATUS" }, "OBS_STATUS2": { "type": "attribute", "concept": "OBS_STATUS2", "label": "Observation status 2", "description": "Information on the quality of a value or an unusual or missing value.", "codelist": "CL_OBS_STATUS" }, "OBS_STATUS3": { "type": "attribute", "concept": "OBS_STATUS3", "label": "Observation status 3", "description": "Information on the quality of a value or an unusual or missing value.", "codelist": "CL_OBS_STATUS" }, "UNIT_MULT": { "type": "attribute", "concept": "UNIT_MULT", "label": "Unit multiplier", "description": "Exponent in base 10 specified so that multiplying the observation numeric values by 10^UNIT_MULT gives a value expressed in the unit of measure.", "codelist": "CL_UNIT_MULT" }, "OBS_VALUE": { "type": "measure", "concept": "OBS_VALUE", "label": "Observation value", "description": "Value of a particular variable." } }, "codelists": { "CL_MEASURE_HCQO": { "AA": "Primary care", "ADMRASTH": "Asthma hospital admission", "ADMRCOPD": "Chronic obstructive pulmonary disease hospital admission", "ASCOCOMP": "Asthma and chronic obstructive pulmonary disease hospital admission", "ADMRCHFL": "Congestive heart failure hospital admission", "ADMRHYPT": "(Deprecated) Hypertension hospital admission", "CHHYCOMP": "(Deprecated) Congestive heart failure and hypertension hospital admission", "ADMRDBUC": "Diabetes hospital admission", "PATRDBLE": "(Deprecated) Lower extremity amputation in diabetic patients using linked data", "ADMRDBLE": "(Deprecated) Lower extremity amputation in diabetic patients using unlinked data", "PR": "Prescribing in primary care", "PRDMPCDD": "Diabetic patients with at least one prescription of cholesterol lowering medication", "PRDMPADD": "Diabetic patients with prescription of first choice antihypertensive medication", "PRBZOZDD": "Elderly patients with prescription of long-term benzodiazepines or related medications", "PRBZLAOP": "Elderly patients with prescription of long-acting benzodiazepines or related medications", "PRABCQDD": "Volume of cephalosporines and quinolones (second line antibiotics) as a proportion of all systemic antibiotics prescribed", "PRABOUDD": "Total volume of antibiotics for systemic use prescribed", "PRACCUNS": "(Deprecated) Patients with long-term prescription of any anticoagulating drug in combination with an oral NSAID", "PRPPOPFM": "Proportion of 75 years and over who are taking more than 5 medications concurrently", "PROPOUDD": "Overall volume of opioids prescribed", "PROPPCOU": "(Deprecated) Proportion of the population who are chronic opioid users", "PRPPANTI": "Proportion of people 65 and over prescribed antipsychotics", "AC": "Acute care", "MORTAMIO": "Acute myocardial infarction 30 day mortality (in- and out of hospital, linked data)", "MORTAMII": "Acute myocardial infarction 30 day mortality (during same hospital admission, unlinked data)", "MORTHSTO": "Haemorrhagic stroke 30 day mortality (in- and out of hospital, linked data)", "MORTHSTI": "Haemorrhagic stroke 30 day mortality (during same hospital admission, unlinked data)", "MORTISTI": "Ischaemic stroke 30 day mortality (during same hospital admission, unlinked data)", "MORTISTO": "Ischaemic stroke 30 day mortality (in- and out of hospital, linked data)", "IHWTHIPS": "Hip-fracture surgery initiated within 2 days of hospital admission", "ICISC": "Integrated care", "ICISCACR": "Ischaemic stroke - All-cause hospital readmissions within 365 days after discharge", "ICISCDSR": "Ischaemic stroke - Disease-specific hospital readmissions within 365 days after discharge", "ICISCACM": "Ischaemic stroke - All-cause mortality within 365 days after discharge", "ICISCMACR": "Ischaemic stroke - All-cause mortality or all-cause readmission within 365 days after discharge", "ICISCMDSR": "Ischaemic stroke - All-cause mortality or disease-specific readmission within 365 days after discharge", "ICCHFACR": "Congestive heart failure - All-cause hospital readmissions within 365 days after discharge", "ICCHFDSR": "Congestive heart failure - Disease-specific hospital readmissions within 365 days after discharge", "ICCHFACM": "Congestive heart failure - All-cause mortality within 365 days after discharge", "ICCHFMACR": "Congestive heart failure - All-cause mortality or all-cause readmission within 365 days after discharge", "ICCHFMDSR": "Congestive heart failure - All-cause mortality or disease-specific readmission within 365 days after discharge", "ICCHFCF": "Congestive heart failure - Case fatality within 30 days of the admission date", "CC": "Cancer care", "CCBRNTSR": "Breast cancer five-year net survival", "CCCVNTSR": "Cervical cancer five-year net survival", "CCCLNTSR": "Colon cancer five-year net survival", "CCRTNTSR": "Rectal cancer five-year net survival", "CCLKNTSR": "Childhood acute lymphoblastic leukaemia five-year net survival", "CCLUNTSR": "Lung cancer five-year net survival", "CCSTNTSR": "Stomach cancer five-year net survival", "MH": "Mental healthcare", "MORTSUMS": "Suicide within 30 days after discharge among patients diagnosed with a mental disorder", "MORTSUMD": "Suicide within 1 year after discharge among patients diagnosed with a mental disorder", "EXCESCHI": "Excess mortality for patients diagnosed with schizophrenia", "EXCEBIPO": "Excess mortality for patients diagnosed with bipolar disorder", "PS": "Patient safety", "FORBPROW": "(Deprecated) Retained surgical item or unretrieved device fragment (within 30 days of surgery, linked data)", "FORBPROC": "(Deprecated) Retained surgical item or unretrieved device fragment (during surgical hospital admission, unlinked data)", "POSTPESW": "Pulmonary embolism following hip and knee replacement (within 30 days of surgery, linked data)", "POSTPESP": "Pulmonary embolism following hip and knee replacement (during surgical hospital admission, unlinked data)", "POSTDVSW": "Deep vein thrombosis following hip and knee replacement (within 30 days of surgery, linked data)", "POSTDVSP": "Deep vein thrombosis following hip and knee replacement (during surgical hospital admission, unlinked data)", "POSTSESW": "Sepsis following abdominopelvic surgery (within 30 days of surgery, linked data)", "POSTSESP": "Sepsis following abdominopelvic surgery (during surgical hospital admission, unlinked data)", "OBSTVDWI": "Obstetric trauma vaginal delivery with instrument", "OBSTVDWO": "Obstetric trauma vaginal delivery without instrument", "PE": "Patient experiences", "COSKCOST": "Consultation skipped due to costs", "MTSKCOST": "Medical tests, treatment or follow-up skipped due to costs", "PMSKCOST": "Prescribed medicines skipped due to costs", "HPRTIPAT": "Doctor spending enough time with patients during the consultation", "RHPTIPAT": "Regular doctor spending enough time with patients during the consultation", "HPREXCLA": "Doctor providing easy-to-understand explanations", "RHPEXCLA": "Regular doctor providing easy-to-understand explanations", "HPRGOASK": "Doctor giving opportunity to ask questions or raise concerns", "RHPGOASK": "Regular doctor giving opportunity to ask questions or raise concerns", "HPRIPDEC": "Doctor involving patients in decisions about care or treatment", "RHPIPDEC": "Regular doctor involving patients in decisions about care or treatment", "MP": "Patient reported experience measures", "MPIPRESP": "Care providers treating mental health patients with courtesy and respect (inpatient care)", "MPCBRESP": "Care providers treating mental health patients with courtesy and respect (community-based care)", "MPIPTIME": "Care providers spending enough time with mental health patients (inpatient care)", "MPCBTIME": "Care providers spending enough time with mental health patients (community-based care)", "MPIPEXPL": "Care providers providing easy-to-understand explanations to mental health patients (inpatient care)", "MPCBEXPL": "Care providers providing easy-to-understand explanations to mental health patients (community-based care)", "MPIPINVO": "Care providers involving mental health patient in decisions about care and treatment (inpatient care)", "MPCBINVO": "Care providers involving mental health patient in decisions about care and treatment (community-based care)", "EC": "End-of-life care", "MORTHOSP": "Deaths in hospital", "ADMMOCAN": "Cancer deaths - unplanned/urgent in-patient admissions during the last 30 days of life", "ADMMOCAR": "Cardiovascular diseases' deaths - unplanned/urgent in-patient admissions during the last 30 days of life", "ADMMOCHR": "Chronic respiratory diseases' deaths - unplanned/urgent in-patient admissions during the last 30 days of life", "ADMMOALZ": "Alzheimer's and other dementias' deaths - unplanned/urgent in-patient admissions during the last 30 days of life", "ADMMOALL": "All causes of death - unplanned/urgent in-patient admissions during the last 30 days of life", "ADMDECAR": "Cardiovascular diseases' deaths - unplanned/urgent in-patient admissions during the last 180 days of life", "ADMDECHR": "Chronic respiratory diseases' deaths - unplanned/urgent in-patient admissions during the last 180 days of life", "ADMDEALZ": "Alzheimer's and other dementias' deaths - unplanned/urgent in-patient admissions during the last 180 days of life", "ADMDEALL": "All causes of death - unplanned/urgent in-patient admissions during the last 180 days of life", "ADMDECAN": "Cancer deaths - unplanned/urgent in-patient admissions during the last 180 days of life", "SUICMENT": "(Deprecated) In-patient death from suicide in patients with the hospital with a mental health condition", "ADMRDMAI": "Diabetes major lower extremity amputation using unlinked data", "ADMRDMAO": "Diabetes minor lower extremity amputation using unlinked data", "PRPPNPSY": "Proportion of people 65 and over prescribed antipsychotics among those without a mental health diagnosis causing psychotic symptoms", "ICISCPHT": "Prescribed antihypertensive medicines between 12 and 18 months after ischaemic stroke", "ICISCPTR": "Prescribed antithrombotics between 12 and 18 months after ischaemic stroke", "PRPPOPFL": "Proportion of 45 years and over who are taking between 5 and 9 medications concurrently", "PRPPOPFH": "Proportion of 45 years and over who are taking 10 or more medications concurrently", "ICCHFPQT": "Prescribed medicines between 12 and 18 months after heart failure (Quadruple therapy)", "ICCHFPTT": "Prescribed medicines between 12 and 18 months after heart failure (Triple therapy)", "ICCHFPDT": "Prescribed medicines between 12 and 18 months after heart failure (Dual therapy)", "MORTACUT": "Deaths in inpatient acute care", "MORTACCA": "Deaths in inpatient acute care, cancer deaths", "MORTACCD": "Deaths in inpatient acute care, cardiovascular diseases’ deaths", "MORTACCR": "Deaths in inpatient acute care, chronic respiratory diseases’ deaths", "MORTACAL": "Deaths in inpatient acute care, Alzheimer's and other dementias’ deaths", "MORTHSPC": "Deaths in hospital, cancer deaths", "MORTHSPD": "Deaths in hospital, cardiovascular diseases’ deaths", "MORTHSPR": "Deaths in hospital, chronic respiratory diseases’ deaths", "MORTHSPL": "Deaths in hospital, Alzheimer's and other dementias’ deaths", "PSC": "Patient Safety Culture", "TEAMWORK": "Teamwork", "STAFFING": "Staffing and work pace", "LEARNING": "Organisational learning – continuous improvement", "RESPONSE": "Response to error", "SUPER_SUP": "Supervisor, manager or clinical leader support for patient safety", "COM_ERR": "Communication about error", "COM_OP": "Communication openness", "REPORT": "Reporting patient safety events", "HOSP_SUP": "Hospital management support for patient safety", "HANDOFF": "Handoffs and information exchange", "RATING": "Patient safety rating", "HOURS": "Hours worked weekly in hospital", "HKP": "Hip and Knee Patient-Reported Outcome Measures", "POPREOHS": "Pre-operative patient-reported outcomes among people who undergo hip replacement surgery (pre-operative Oxford Hip Score)", "POPSTOHS": "Post-operative patient-reported outcomes among people who undergo hip surgery (post-operative Oxford Hip Score)", "POCHGOHS": "Change from pre-op to post-op patient-reported outcomes among people who undergo hip surgery (change in Oxford Hip Score)", "POPREEQH": "Pre-operative patient-reported outcomes among people who undergo hip surgery (pre-operative EQ-5D-5L score)", "POPSTEQH": "Post-operative patient-reported outcomes among people who undergo hip surgery (post-operative EQ-5D-5L score)", "POCHGEQH": "Change from pre-op to post-op patient-reported outcomes among people who undergo hip surgery (change in EQ-5D-5L score)", "POPREOKS": "Pre-operative patient-reported outcomes among people who undergo knee replacement surgery (pre-operative Oxford Knee Score)", "POPSTOKS": "Post-operative patient-reported outcomes among people who undergo knee replacement surgery (post-operative Oxford Knee Score)", "POCHGOKS": "Change from pre-op to post-op patient-reported outcomes among people who undergo knee replacement surgery (change in Oxford Knee Score)", "POPREEQK": "Pre-operative patient-reported outcomes among people who undergo knee replacement surgery (pre-operative EQ-5D-5L score)", "POPSTEQK": "Post-operative patient-reported outcomes among people who undergo knee replacement surgery (post-operative EQ-5D-5L score)", "POCHGEQK": "Change from pre-op to post-op patient-reported outcomes among people who undergo knee replacement surgery (change in EQ-5D-5L score)", "MORTAMIH": "Acute myocardial infarction 24 hour mortality (during same hospital admission, unlinked data)", "HPRCORES": "Doctor treating patient with courtesy and respect", "RHPCORES": "Regular doctor treating patient with courtesy and respect" }, "CL_HEALTH_PROF": { "_T": "Total", "VQ": "Human health and social work activities", "PHYS": "Physicians", "EMPLGENE": "Generalist medical practitioners", "EMPLGENP": "General practitioners", "EMPLOTGP": "Other generalist (non-specialist) medical practitioners", "EMPLSPMP": "Specialist medical practitioners", "EMPLPEDI": "General paediatricians", "EMPLGYNE": "Obstetricians and gynaecologists", "EMPLPSYS": "Psychiatrists", "EMPLSPEC": "Medical group of specialists", "EMPLSURG": "Surgical group of specialists", "EMPLOTSP": "Other specialists not elsewhere classified", "EMPLOTPH": "Medical doctors not further defined", "MIDW": "Midwifes", "MINU": "Nurses", "MINUQUAL": "Professional nurses", "MINUASSO": "Associate professional nurses", "RINF": "Hospital nurses", "CARE": "Caring personnel", "HOEMHHCA": "Healthcare assistants", "DNST": "Dentists", "PHST": "Pharmacists", "PSIO": "Physiotherapists", "HOEMHNUR": "Professional nurses and midwives", "HOEMHOTH": "Other health service providers employed in hospitals", "HOEMHOTS": "Other staff employed in hospitals", "_O": "Other", "_Z": "Not applicable", "MANAGEMENT": "Management staff" }, "CL_CALC_METHODOLOGY": { "CRUDE": "Crude rate", "STANDARD": "Standardised rate", "_Z": "Not applicable", "AGE_STANDARD": "Age standardised rate", "AGE_SEX_STANDARD": "Age and sex standardised rate" } } }