Table 2.
A summary of key information of each included document
| Title of the document | Year published | Pages | Prepared by | Stated aim | Target population | Setting | Number of methods of MMS measures included |
|---|---|---|---|---|---|---|---|
| Patient Safety Strategy 2019–2024 | 2019 | 26 | Health Service Executive (HSE) | To improve the safety of all patients by identifying and reducing preventable harm within the health and social care system | ‘Patient’ refers to all people who attend/use health and social care services. “Staff” includes all healthcare professionals (HCPs), clinicians, support workers, managers, and administration | Every level of health and social care services, within both community and acute hospital services | N = 52* |
| 1. Harm, 12 (22.6%) | |||||||
| 2. Reliability of safety critical processes, 3 (5.6%) | |||||||
| 3. Sensitivity to operations, 10 (18.8%) | |||||||
| 4. Anticipation and preparedness, 12 (22.6%) | |||||||
| 5. Integration and learning, 16 (30.2%) | |||||||
| Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance | 2008 | 227 | Government of Ireland. The Commission on Patient Safety and Quality Assurance | To provide recommendations for a framework of patient safety and quality | ‘Patient’ refers to all people who use health and social care services. ‘Clinician’ refers to all HCPs involved in clinical work | All levels of the health system | N = 6 |
| 1. Harm, 1 (16.6%) | |||||||
| 2. Reliability of safety critical processes, 1 (16.6%) | |||||||
| 3. Sensitivity to operations, 3 (50%) | |||||||
| 4. Anticipation and preparedness, 0 (%) | |||||||
| 5. Integration and learning, 1 (16.6%) | |||||||
| Acute Hospitals Key Performance Indicator Metadata 2021 | 2021 | 118 | Health Service Executive (HSE) | Key Performance Indicator (KPI) metadata templates are completed for all National Service Plan metrics and provide the most up-to-date information relating to KPIs | Information includes definition, rationale, reporting frequency, and data source. They underpin data quality, accessibility, and records management for data collectors and inform users of data | Acute hospitals | N = 15 |
| 1. Harm, 5 (33.3%) | |||||||
| 2. Reliability of safety critical processes, 10 (66.6%) | |||||||
| 3. Sensitivity to operations, 0 (%) | |||||||
| 4. Anticipation and preparedness, 0 (%) | |||||||
| 5. Integration and learning, 0 (%) | |||||||
| National Standards for the Conduct of Reviews of Patient Safety Incidents 2017 | 2017 | 60 | Health Information and Quality Authority (HIQA) and Mental Health Commission (MHC) | To promote a framework for best practice in the conduct of reviews of patient safety incidents in order to set a standard for cohesive, person-centred reviews of such incidents | The standards were developed with an initial focus on services-specific for acute hospitals and mental health services | Acute hospitals under HIQA’s remit and mental health services under the remit of the MHC | N = 37 |
| 1. Harm, 2 (5.4%) | |||||||
| 2. Reliability of safety critical processes, 16 (43.2%) | |||||||
| 3. Sensitivity to operations, 3 (8.2%) | |||||||
| 4. Anticipation and preparedness, 5 (13.5%) | |||||||
| 5. Integration and learning, 11 (29.7%) | |||||||
| Incident Management Framework 2020 | 2020 | 42 | Health Service Executive (HSE) | To provide an overarching practical approach, based on best practice, to assist providers of HSE and HSE-funded services to manage all incidents (clinical and non-clinical) in a manner that is cognisant of the needs of those affected and supports services to learn and improve | Staff, managers, and Senior Accountable Officer (SAO) and related teams/committees in HSE and HSE-funded agencies | All publicly funded health and social care services provided in Ireland | N = 23 |
| 1. Harm, 6 (26%) | |||||||
| 2. Reliability of safety critical processes, 5 (21.7%) | |||||||
| 3. Sensitivity to operations, 0 (%) | |||||||
| 4. Anticipation and preparedness, 1 (4.3%) | |||||||
| 5. Integration and learning, 11 (47.8%) | |||||||
| National Standards for Safer Better Healthcare | 2012 | 157 | Health Information and Quality Authority (HIQA) | The National Standards for Safer Better Healthcare aim to give a shared voice to the expectations of the public, service users, and service providers. They also provide a roadmap for improving the quality, safety, and reliability of healthcare | Service users and service providers. The term service provider refers to any person, organisation, or part of an organisation delivering healthcare services, as described in the Health Act 2007 | These National Standards apply to all healthcare services (excluding mental health) provided or funded by the HSE including, but not limited to hospital care, ambulance services, community care, primary care, and general practice | N = 29 |
| 1. Harm, 4 (13.7%) | |||||||
| 2. Reliability of safety critical processes, 5 (17.2%) | |||||||
| 3. Sensitivity to operations, 0 (%) | |||||||
| 4. Anticipation and preparedness, 10 (34.4%) | |||||||
| 5. Integration and learning, 10 (34.4%) |
*One of the methods of MMS was classified under two dimensions, and so these percentages are calculated using a denominator of 53
HCPs healthcare professionals