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Organisational targets of patient safety improvement programs in primary care; an international web-based survey

BACKGROUND: Organisational problems contribute to many errors in healthcare delivery. Our objective was to identify the most important organisational items in primary care which could be targeted by programs to improve patient safety. METHODS: A web-based survey was undertaken in an international pa...

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Autores principales: Wammes, Joost Johan Godert, Verstappen, Wim, Gaal, Sander, Wensing, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852588/
https://www.ncbi.nlm.nih.gov/pubmed/24083330
http://dx.doi.org/10.1186/1471-2296-14-145
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author Wammes, Joost Johan Godert
Verstappen, Wim
Gaal, Sander
Wensing, Michel
author_facet Wammes, Joost Johan Godert
Verstappen, Wim
Gaal, Sander
Wensing, Michel
author_sort Wammes, Joost Johan Godert
collection PubMed
description BACKGROUND: Organisational problems contribute to many errors in healthcare delivery. Our objective was to identify the most important organisational items in primary care which could be targeted by programs to improve patient safety. METHODS: A web-based survey was undertaken in an international panel of 65 experts on patient safety from 20 countries. They were asked to rate 52 patient safety items on a five-point Likert scale which regards importance of each item for use for educational interventions to improve patient safety. RESULTS: The following 7 organizational items were regarded ‘extremely important’ by more than 50% of the experts: the use of sterile equipment with small surgical procedures (63%), the availability of adequate emergency drugs in stock (60%), regular cleaning of facilities (59%), the use of sterile surgical gloves when recommended (57%), the availability of at least one adequately trained staff member to deal with collapse and need for resuscitation (56%), adequate information handover when a patient is discharged from the hospital (56%) and periodically training of GPs in basic life support and other medical emergencies (53%). CONCLUSION: Seven organisational items were consistently prioritized; other items may be relevant in specific countries only. The logical next step is to develop and evaluate interventions targeted at these items.
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spelling pubmed-38525882013-12-06 Organisational targets of patient safety improvement programs in primary care; an international web-based survey Wammes, Joost Johan Godert Verstappen, Wim Gaal, Sander Wensing, Michel BMC Fam Pract Research Article BACKGROUND: Organisational problems contribute to many errors in healthcare delivery. Our objective was to identify the most important organisational items in primary care which could be targeted by programs to improve patient safety. METHODS: A web-based survey was undertaken in an international panel of 65 experts on patient safety from 20 countries. They were asked to rate 52 patient safety items on a five-point Likert scale which regards importance of each item for use for educational interventions to improve patient safety. RESULTS: The following 7 organizational items were regarded ‘extremely important’ by more than 50% of the experts: the use of sterile equipment with small surgical procedures (63%), the availability of adequate emergency drugs in stock (60%), regular cleaning of facilities (59%), the use of sterile surgical gloves when recommended (57%), the availability of at least one adequately trained staff member to deal with collapse and need for resuscitation (56%), adequate information handover when a patient is discharged from the hospital (56%) and periodically training of GPs in basic life support and other medical emergencies (53%). CONCLUSION: Seven organisational items were consistently prioritized; other items may be relevant in specific countries only. The logical next step is to develop and evaluate interventions targeted at these items. BioMed Central 2013-10-01 /pmc/articles/PMC3852588/ /pubmed/24083330 http://dx.doi.org/10.1186/1471-2296-14-145 Text en Copyright © 2013 Wammes et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wammes, Joost Johan Godert
Verstappen, Wim
Gaal, Sander
Wensing, Michel
Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title_full Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title_fullStr Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title_full_unstemmed Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title_short Organisational targets of patient safety improvement programs in primary care; an international web-based survey
title_sort organisational targets of patient safety improvement programs in primary care; an international web-based survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852588/
https://www.ncbi.nlm.nih.gov/pubmed/24083330
http://dx.doi.org/10.1186/1471-2296-14-145
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