tailieunhanh - báo cáo khoa học: " Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study | Gaal et al. Implementation Science 2011 6 37 http content 6 1 37 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Prevalence and consequences of patient safety incidents in general practice in the Netherlands a retrospective medical record review study 1 11 1 2 1 Sander Gaal Wim Verstappen René Wolters Henrike Lankveld Chris van Weel and Michel Wensing Abstract Background Patient safety can be at stake in both hospital and general practice settings. While severe patient safety incidents have been described quantitative studies in large samples of patients in general practice are rare. This study aimed to assess patient safety in general practice and to show areas where potential improvements could be implemented. Methods We conducted a retrospective review of patient records in Dutch general practice. A random sample of 1 000 patients from 20 general practices was obtained. The number of patient safety incidents that occurred in a one-year period their perceived underlying causes and impact on patients health were recorded. Results We identified 211 patient safety incidents across a period of one year 95 CI 185 until 241 . A variety of types of incidents perceived causes and consequences were found. A total of 58 patient safety incidents affected patients seven were associated with hospital admission none resulted in permanent disability or death. Conclusions Although this large audit of medical records in general practices identified many patient safety incidents only a few had a major impact on patients health. Improving patient safety in this low-risk environment poses specific challenges given the high numbers of patients and contacts in general practice. Background Since the publication of the landmark report To Err is Human in 1999 1 patient safety has received considerable attention worldwide although this attention has been mostly focussed upon hospital care. In countries with a strong primary healthcare .