Initially, an analysis of patterns and trends in reporting was undertaken to explore whether higher reporting rates were associated with particular hospital characteristics or types of incident (Table 1). Secondly, the relationship between reporting rates and other safety data was explored (Table 2). Table 1: Analysis of patterns and trends in reporting Analyses Datasets used Trend in Number of reports to NRLS per month per hospital, provided by the reporting rates NPSA over time Relationship with Number of reports to NRLS per month per hospital categorised by type/severity of incident type and severity, provided by the NPSA incidents reported Relationship with Healthcare Commission definitions of hospital type and size.[20] hospital size and Data on patient age, gender, length of stay, and proportions of characteristics emergency and day-case admissions for 2004-5, obtained from the Hospital Episodes Statistics (HES) website[21] Table 2: Analysis of relationships between reporting rates and other safety data Analyses Datasets used Relationship Proportion of staff at each hospital giving positive responses to the with safety 2004 and 2005 NHS Staff Survey questions on safety culture and culture data incident reporting, obtained from the Healthcare Commission website[18] Risk management ratings per hospital awarded by the NHS Litigation Authority, ranging from 0 (lowest standard) to 3 (highest standard); data for December 2005 were obtained from the NHS Litigation Authority website[19] Relationship Number of reports of Methicillin-Resistant Staphylococcus Aureus with reporting (MRSA) bacteraemias during 2004-5, obtained from the Department rates to other of Health website[16] systems Number of reports about medical devices to the Medicines and Healthcare Products Regulatory Agency (MHRA)[17] during 2005, obtained from the MHRA via the NPSA Relationship Hospital Standardised Mortality Ratios (HSMRs) for each hospital for with outcome 2004-5, obtained from the Dr Foster website[22] data Hospital-level data on Patient Safety Indicators, measures of safety and quality which can be calculated using HES data. These indicators were adapted by the Healthcare Commission and the NPSA from those developed by the Agency for Healthcare Research and Quality (AHRQ) in the US;[23] data were provided by the NPSA.
Initially, an analysis of patterns and trends in reporting was undertaken to explore whether higher reporting rates were associated with particular hospital characteristics or types of incident (Table 1). Secondly, the relationship between reporting rates and other safety data was explored (Table 2). Table 1: Analysis of patterns and trends in reporting Analyses Datasets used Trend in reporting rates over time Number of reports to NRLS per month per hospital, provided by the NPSA Relationship with type/severity of incidents reported Number of reports to NRLS per month per hospital categorised by incident type and severity, provided by the NPSA Relationship with hospital size and characteristics Healthcare Commission definitions of hospital type and size.[20] Data on patient age, gender, length of stay, and proportions of emergency and day-case admissions for 2004-5, obtained from the Hospital Episodes Statistics (HES) website[21] Table 2: Analysis of relationships between reporting rates and other safety data Analyses Datasets used Relationship with safety culture data Proportion of staff at each hospital giving positive responses to the 2004 and 2005 NHS Staff Survey questions on safety culture and incident reporting, obtained from the Healthcare Commission website[18] Risk management ratings per hospital awarded by the NHS Litigation Authority, ranging from 0 (lowest standard) to 3 (highest standard); data for December 2005 were obtained from the NHS Litigation Authority website[19] Relationship with reporting rates to other systems Number of reports of Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteraemias during 2004-5, obtained from the Department of Health website[16] Number of reports about medical devices to the Medicines and Healthcare Products Regulatory Agency (MHRA)[17] during 2005, obtained from the MHRA via the NPSA Relationship with outcome data Hospital Standardised Mortality Ratios (HSMRs) for each hospital for 2004-5, obtained from the Dr Foster website[22] Hospital-level data on Patient Safety Indicators, measures of safety and quality which can be calculated using HES data. These indicators were adapted by the Healthcare Commission and the NPSA from those developed by the Agency for Healthcare Research and Quality (AHRQ) in the US;[23] data were provided by the NPSA.
eThesis.docx