Home
  >  
Section 60
  >  
Chapter 59,869

Integral incident management system in primary care: Beyond patient safety

Luque Mellado, F.J.; Martos Molines, F.J.; Lebrero Villa, Y.

Revista de Calidad Asistencial Organo de la Sociedad Espanola de Calidad Asistencial 32(6): 335-341

2017

ISSN/ISBN: 1887-1364
PMID: 29169964
DOI: 10.1016/j.cali.2017.10.004
Accession: 059868887
Download citation:  
Text
  |  
BibTeX
  |  
RIS
To describe an integral system of notification and management of incidents, created by the Primary Care Team of Guineueta, as well as the main results after 18 months of implementation. Using a simple online form, health professionals notified any type of, already categorised, incident. Each of them were distributed to an improvement team that assessed and performed the necessary actions. In addition, the Quality Committee immediately assessed the ones that affected patient safety, as well as the most relevant or repetitive ones every 6 months. During the first 18 months of operation of the system, the health professionals reported 1,267 incidents, most notably informatics, maintenance/technical assistance, and errors in scheduling, in internal circuits and protocols. Eight of them were considered to significantly affect patient safety. The implementation of the described system has been consolidated into our team, facilitating the detection of problems, the accomplishment of improvement actions and involving the professionals in the improvement of the quality.

Full Text Article emailed within 0-6 h: $19.90




Related References

Homma, S. 2012: Patient safety and quality of medical care. Topics: I. Incident and accident in hospital: current situation; 1. Importance of an incident & occurrence-reporting system in patient safety management Nihon Naika Gakkai Zasshi. Journal of the Japanese Society of Internal Medicine 101(12): 3368-3378
Klemp, K.; Dovey, S.; Valderas, J.M.; Rohe, J.; Godycki-Cwirko, M.; Elliott, P.; Beyer, M.; Gerlach, F.M.; Hoffmann, B. 2015: Developing a patient safety incident classification system for primary care. A literature review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 35-38
Klemp, K.; Zwart, D.; Hansen, Jørgen.; Hellebek, T.; Luettel, D.; Verstappen, W.; Beyer, M.; Gerlach, F.M.; Hoffmann, B.; Esmail, A. 2015: A safety incident reporting system for primary care. A systematic literature review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 39-44
Runciman, W.B.; Williamson, J.A.H.; Deakin, A.; Benveniste, K.A.; Bannon, K.; Hibbert, P.D. 2006: An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classification Quality and Safety in Health Care 15(Suppl 1): I82-I90
Ruffles, S. 2002: Promoting patient safety in primary care. Practices should set up their own critical incident reporting Bmj 324(7329): 109
Homma, S. 2012: Importance of an Incident ^|^amp; Occurrence-reporting System in Patient Safety Management Nihon Naika Gakkai Zasshi 101(12): 3368-3378
Rea, D.; Griffiths, S. 2016: Patient safety in primary care: incident reporting and significant event reviews in British general practice Health and Social Care in the Community 24(4): 411-419
Michel, P.; Brami, J.; Chanelière, M.; Kret, M.; Mosnier, A.; Dupie, I.; Haeringer-Cholet, A.; Keriel-Gascou, M.; Maradan, C.; Villebrun, Fédéric.; Makeham, M.; Quenon, J-Luc. 2017: Patient safety incidents are common in primary care: A national prospective active incident reporting survey Plos one 12(2): E0165455
Spinelli, M.A.; Scott, H.M.; Vittinghoff, E.; Liu, A.Y.; Morehead-Gee, A.; Gonzalez, R.; Gandhi, M.; Buchbinder, S.P. 2018: Brief Report: A Panel Management and Patient Navigation Intervention Is Associated With Earlier PrEP Initiation in a Safety-Net Primary Care Health System Journal of Acquired Immune Deficiency Syndromes 79(3): 347-351
Panzica, M.; Krettek, C.; Cartes, M. 2011: The critical incident reporting system as an instrument of risk management for better patient safety Der Unfallchirurg 114(9): 758-767
Serre, N.; Espin, S.; Indar, A.; Bookey-Bassett, S.; LeGrow, K. 2022: Long-Term Care Nurses' Experiences with Patient Safety Incident Management: a Qualitative Study Journal of Nursing Care Quality 37(2): 188-194
Cooper, A.; Edwards, A.; Williams, H.; Evans, H.P.; Avery, A.; Hibbert, P.; Makeham, M.; Sheikh, A.; J Donaldson, L.; Carson-Stevens, A. 2017: Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports Age and Ageing 46(5): 833-839
Parker, D.; Wensing, M.; Esmail, A.; Valderas, J.M. 2015: Measurement tools and process indicators of patient safety culture in primary care. a mixed methods study by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 26-30
Verstappen, W.; Gaal, S.; Esmail, A.; Wensing, M. 2015: Patient safety improvement programmes for primary care. Review of a Delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 50-55
Esmail, A.; Valderas, J.M.; Verstappen, W.; Godycki-Cwirko, M.; Wensing, M. 2015: Developing a research agenda for patient safety in primary care. Background, aims and output of the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 3-7
Skalkidis, Y.; Manoli, A.; Evagelos, D.; Nikolaos, T.; Sekeri, Z.; Dantsi, F.; Wensing, M.; Esmail, A. 2015: First experiences with patient safety initiatives in Greek rural primary care. Action research by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 69-71
Brami, J.; Amalberti, R.é; Wensing, M. 2015: Patient safety and the control of time in primary care: a review of the French tempos framework by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 45-49
Evans, H.Prosser.; Anastasiou, A.; Edwards, A.; Hibbert, P.; Makeham, M.; Luz, S.; Sheikh, A.; Donaldson, L.; Carson-Stevens, A. 2019: Automated classification of primary care patient safety incident report content and severity using supervised machine learning (ML) approaches Health informatics journal 2019: 1460458219833102
Frigola-Capell, E.; Pareja-Rossell, C.; Gens-Barber, M.; Oliva-Oliva, G.òr.; Alava-Cano, F.; Wensing, M.; Davins-Miralles, J. 2015: Quality indicators for patient safety in primary care. a review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care European Journal of General Practice 21 Suppl: 31-34
Ricci-Cabello, I.; Avery, A.J.; Reeves, D.; Kadam, U.T.; Valderas, J.M. 2016: Measuring Patient Safety in Primary Care: The Development and Validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC) Annals of Family Medicine 14(3): 253-261