Risk Management, Primary Health Care, Patient Safety
Conditions
Keywords
Patient safety, Primary care, Incident reporting, Pluridisciplinary care offices, Risk management, Assessment
Brief summary
Avoidable care associated incidents are relatively frequent in primary care. In France for example, avoidable incidents rate is estimated to 22/1000 medical acts from general practitioners. Patient safety is now a growing issue in primary care. One tool to increase patient safety is incident reporting and analysis. It could reduce some important consequences for patients and could allow implementing substantial corrective actions. The aim of the PRisM study is to assess and compare the efficiency of a multifaceted risk management program implemented in the french pluridisciplinary offices in primary care in association with a centralized incident reporting system, versus a centralized incident reporting system only.
Interventions
OTHERPRisM
A risk management program for each professional of care in multiprofessional primary care offices in France.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Voluntary multiprofessional primary care offices * With at least 10 Full Time Equivalent (FTE) * With at least general practitioners and 3 different occupations in care
Exclusion criteria
* Monoprofessional primary care offices
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Annual incident declaration rate by full-time equivalent in both groups. | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Repartition of patient injury in different classes in both groups. | 18 months |
| Repartition of incidents causes in different classes in both groups. | 18 months |
| Repartition of preventive actions in different classes in both groups. | 18 months |
| Declaration rate of incident associated with patient injury in both groups | 18 months |
| A mean score of french version of Medical Office Survey on Patient Safety (MOSPS) in both groups, including a mean score for each dimension of the survey. | 1 &18 months |
| Identification of brakes and levers (qualitative assessment) of program implementation in intervention group. | after 18 months |
| Psychometric analysis of Medical Office Survey on Patient Safety (french translation) for dimensional structuration of the survey. | 1 month |
| Repartition of correctives actions in different classes in both groups. | 18 months |
Countries
France
Outcome results
None listed