Improving quality and safety of shared care between hospitals and general practitioner

Improving transitional patient safety: the Transitional Incident Prevention Programme (TIPP).

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON29629

Enrollment

1600

Registered

2014-09-24

Start date

2014-11-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

transitional safety, patient safety, patient safety culture, behavior, health care workers, hospital, general practice, integral care, continuity of care, quality of care, transitional care, discharge, referral, outpatient care

Interventions

TIPP is a multi-faceted intervention containing several components aimed at different aspects of transitional safety, developed using the Intervention mapping approach. The components can be tailored

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients treated by a GP AND Treated in usual care who are at risk for a transitional incident: - Patients referred to hospital by the GP OR - Patients discharged from hospital OR - Patients that have visited the outpatient clinic at the time of the study.

Exclusion criteria

Exclusion criteria: - Patients outside our research departments - Patients not treated by a GP within our study population

Design outcomes

Primary

Measure	Time frame
1)A composite endpoint of: serious adverse events (death, possibility of death or major permanent loss of function), acute visits to the Emergency Room (ER), re-admission within 30 days, and non-appropriate referrals. 2)Number, nature and harm of incidents recorded through a combination of methods: professional- and patient-reported incidents and incidents found in a medical record review.	—

Secondary

Measure	Time frame
1) Patient perception of transitional patient safety, as measured by the Transitional Risk and Incident Questionnaire (TRIQ) (see § Data collection; Patient perceptions on transitional patient safety and incidents). 2) Transitional patient safety culture according to the health care workers, as measured by the TRAnsitional patient safety Culture Evaluation (TRACE) (see § Data collection; Transitional patient safety culture). 3) The costs of (avoided) visits to the ER, readmissions, non-appropriate referrals and incidents compared to the direct costs of TIPP. 4) Components of TIPP that were actually implemented and used in the health care chain (process evaluation) 5) Experiences of all stakeholders (health care workers, managers and patients) (user evaluation)	—

Measure

Time frame

1) Patient perception of transitional patient safety, as measured by the Transitional Risk and Incident Questionnaire (TRIQ) (see § Data collection; Patient perceptions on transitional patient safety and incidents). 2) Transitional patient safety culture according to the health care workers, as measured by the TRAnsitional patient safety Culture Evaluation (TRACE) (see § Data collection; Transitional patient safety culture). 3) The costs of (avoided) visits to the ER, readmissions, non-appropriate referrals and incidents compared to the direct costs of TIPP. 4) Components of TIPP that were actually implemented and used in the health care chain (process evaluation) 5) Experiences of all stakeholders (health care workers, managers and patients) (user evaluation)

—

Contacts

Public ContactM.A. Melle, van

Julius Center, UMCU Str 6.101 Huispostnummer Str. 6.131 Postbus 85500

ma.vanmelle-2@umcutrecht.nl

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)