patient safety culture in general practice Methods for improvement of safety culture
Conditions
Interventions
Group 1: Application of the German version of the Manchester Patient Safety Framework called Frankfurt Patient Safety matrix (FraTrix) in general practices witrh a team size of at least three health c
Sponsors
Institut für Allgemeinmedizin
Johann Wolfgang Goethe-Universität Frankfurt am Main
Eligibility
Inclusion criteria
Inclusion criteria: General practices, solo or group practices in the south of hesse Practices of physicians for general practice, internal medicine or physicians without specialisation Size of the practice team: at least three persons
Exclusion criteria
Exclusion criteria: Practice already participated in the pilot study of this project or in another project with Frankfurter Patientensicherheitsmatrix pediatric practice with no participation of general physicianers or internists
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient safety indicator "A systematic error management is established in the surgery and in use." after 12 months time, consisting of eleven criteria. Each criterion will be judged if present. The end point consists of a summary score of up to eleven (ordinal scale). (Measured by interview and self-assessment: a practice nurse and a physician will be interviewed in the surgery) | — |
Secondary
| Measure | Time frame |
|---|---|
| Another eleven patient safety indicators after 12 months time: resuscitation training, drugs for basic life support, analysis of critical incidents, complaints management, drug allergies, medication plan, chronic drug prescription, oral anticoagulation, laboratory investigation and results, influenza vaccination (Measured by interview and self-assessment: a practice nurse and a physician will be interviewed in the surgery) || patient safety climate after 12 months time (Frankfurt questionnaire regarding saftey climate in general practices, FraSiK to each member of the practice team) || Quality of error management after 12 months time (assessment of documentation of critical incidents applying an adapted formative review of Significant Event Analyses SEA (McKay J, Murphy DJ, Bowie P, Schmuck ML, Lough M, Eva KW (2007). Development and testing of an assessment instrument for the formative peer review of significant event analyses. Qual Saf Health Care 16:150-3) | — |
Countries
Germany
Contacts
Public ContactBarbara Hoffmann
Institut für Allgemeinmedizin Johann Wolfgang Goethe-Universität Frankfurt am Main
Outcome results
None listed