Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study.

Autor:	Müller BS; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany., Lüttel D; Aktionsbündnis Patientensicherheit e.V., Berlin, Germany., Schütze D; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany., Blazejewski T; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany., Pommée M; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany., Müller H; Techniker Krankenkasse, Hamburg, Germany., Rubin K; Techniker Krankenkasse, Hamburg, Germany., Thomeczek C; Ärztliches Zentrum für Qualität in der Medizin, Berlin, Germany., Schadewitz R; Ärztliches Zentrum für Qualität in der Medizin, Berlin, Germany., Kintrup A; Kassenärztliche Vereinigung Westfalen-Lippe, Dortmund, Germany., Heuzeroth R; Asklepios Kliniken GmbH & Co. KGaA, Hamburg, Germany., Beyer M; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany., Schwappach D, Hecker R; Aktionsbündnis Patientensicherheit e.V., Berlin, Germany., Gerlach FM; From the Institute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany.
Jazyk:	angličtina
Zdroj:	Journal of patient safety [J Patient Saf] 2022 Aug 01; Vol. 18 (5), pp. 444-448. Date of Electronic Publication: 2021 Dec 17.
DOI:	10.1097/PTS.0000000000000953
Abstrakt:	Objective: The aim of this study was to analyze the strength of safety measures described in incident reports in outpatient care. Methods: An incident reporting project in German outpatient care included 184 medical practices with differing fields of specialization. The practices were invited to submit anonymous incident reports to the project team 3 times for 17 months. Using a 14-item coding scheme based on international recommendations, we deductively coded the incident reports and safety measures. Safety measures were classified as "strong" (likely to be effective and sustainable), "intermediate" (possibly effective and sustainable), or "weak" (less likely to be effective and sustainable). Results: The practices submitted 245 incident reports. In 160 of them, 243 preventive measures were described, or an average of 1.5 per report. The number of documented measures varied from 1 in 67% to 4 in 5% of them. Four preventive measures (2%) were classified as strong, 37 (15%) as intermediate, and 202 (83%) as weak. The most frequently mentioned measures were "new procedure/policy" (n = 121) and "information/notification/warning" (n = 45). Conclusions: The study provides examples of critical incidents in medical practices and for the first time examines the strength of ensuing measures introduced in outpatient care. Overall, the proportion of weak measures is (too) high, indicating that practices need more support in identifying strong measures. Competing Interests: The other authors disclose no conflict of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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