Patient safety in Dutch primary care: a study protocol
| Autor: | Paul Giesen, Ria Nijhuis-van der Sanden, Annelies Jacobs, Sander Gaal, Eimert de Feijter, Simone A. van Dulmen, Mirjam Harmsen, Lucie Martijn, T.G.P.H. Mettes, Michel Wensing, Wim Verstappen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Health Informatics Health informatics Health administration 03 medical and health sciences Patient safety Study Protocol 0302 clinical medicine Health care medicine 030212 general & internal medicine Health policy Medicine(all) lcsh:R5-920 business.industry 030503 health policy & services Public health Health Policy Health services research Public Health Environmental and Occupational Health General Medicine 3. Good health Harm Family medicine lcsh:Medicine (General) 0305 other medical science business |
| Zdroj: | Implementation Science : IS Implementation Science, Vol 5, Iss 1, p 50 (2010) |
| ISSN: | 1748-5908 |
| Popis: | Background Insight into the frequency and seriousness of potentially unsafe situations may be the first step towards improving patient safety. Most patient safety attention has been paid to patient safety in hospitals. However, in many countries, patients receive most of their healthcare in primary care settings. There is little concrete information about patient safety in primary care in the Netherlands. The overall aim of this study was to provide insight into the current patient safety issues in Dutch general practices, out-of-hours primary care centres, general dental practices, midwifery practices, and allied healthcare practices. The objectives of this study are: to determine the frequency, type, impact, and causes of incidents found in the records of primary care patients; to determine the type, impact, and causes of incidents reported by Dutch healthcare professionals; and to provide insight into patient safety management in primary care practices. Design and methods The study consists of three parts: a retrospective patient record study of 1,000 records per practice type was conducted to determine the frequency, type, impact, and causes of incidents found in the records of primary care patients (objective one); a prospective component concerns an incident-reporting study in each of the participating practices, during two successive weeks, to determine the type, impact, and causes of incidents reported by Dutch healthcare professionals (objective two); to provide insight into patient safety management in Dutch primary care practices (objective three), we surveyed organizational and cultural items relating to patient safety. We analysed the incidents found in the retrospective patient record study and the prospective incident-reporting study by type of incident, causes (Eindhoven Classification Model), actual harm (severity-of-outcome domain of the International Taxonomy of Medical Errors in Primary Care), and probability of severe harm or death. Discussion To estimate the frequency of incidents was difficult. Much depended on the accuracy of the patient records and the professionals' consensus about which types of adverse events have to be recognized as incidents. |
| Databáze: | OpenAIRE |
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