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

22 Pages Posted: 13 Apr 2013

See all articles by Paul Fenn

Paul Fenn

University of Nottingham

Alastair Gray

University of Oxford - Department of Public Health - Health Economics Research Centre (HERC)

Neil Rickman

University of Surrey - Department of Economics

Oliver Rivero‐Arias

University of Oxford

Dev V. Vencappa

Nottingham University Business School

Date Written: June 2013

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.

JEL Classification: I18, K13

Suggested Citation

Fenn, Paul and Gray, Alastair and Rickman, Neil and Rivero‐Arias, Oliver and Vencappa, Dev V., The Impact of Risk Management Standards on Patient Safety: The Determinants of MRSA Infections in Acute NHS Hospitals, 2001–08 (June 2013). Oxford Bulletin of Economics and Statistics, Vol. 75, Issue 3, pp. 340-361, 2013. Available at SSRN: https://ssrn.com/abstract=2250252 or http://dx.doi.org/10.1111/j.1468-0084.2012.00694.x

Paul Fenn

University of Nottingham ( email )

University Park
Nottingham, NG8 1BB
United Kingdom

Alastair Gray

University of Oxford - Department of Public Health - Health Economics Research Centre (HERC) ( email )

Department of Public Health
Old Road Campus
Oxford OX3 7LF
United Kingdom
+44 (0)1865 226885 (Phone)
+44 (0)1865 226842 (Fax)

Neil Rickman

University of Surrey - Department of Economics ( email )

Guildford
Surrey GU2 7XH
United Kingdom
+44 1483 689 923 (Phone)
+44 1483 689 548 (Fax)

Oliver Rivero‐Arias

University of Oxford ( email )

Mansfield Road
Oxford, Oxfordshire OX1 4AU
United Kingdom

Dev V. Vencappa

Nottingham University Business School ( email )

Jubilee Campus
Wollaton Road
Nottingham, NG8 1BB
United Kingdom

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