The Impact of Risk Management Standards on Patient Safety: The Determinants of MRSA Infections in Acute NHS Hospitals, 2001-08

Paul Fenn*, Alastair Gray, Neil Rickman, Oliver Rivero-Arias, Dev Vencappa

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

We study a key part of National Health Service (NHS) policy to ensure high-quality health care: failure to supply such care cost the NHS £787m in clinical negligence payouts during 2009-10. The NHS uses risk management standards to incentivize care, and we examine their effects on methicillin resistant Staphylococcus aureus (MRSA) infections. Using a specially assembled data set, our GMM results suggest that improvements in the risk management standards attained by some hospitals are correlated with reductions in their MRSA infection rates. Moreover, the exogeneity of this relationship cannot be rejected for higher risk management levels, suggesting attainment of higher standards was instrumental in reducing infection rates.

Original languageEnglish
Pages (from-to)340-361
Number of pages22
JournalOxford Bulletin of Economics and Statistics
Volume75
Issue number3
DOIs
Publication statusPublished - Jun 2013

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