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929 / The European Practice Assessment Programme to improve management of primary care practices

GERMANY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient involvement
Documentation There is no specified text here
Topic of the reported practice
Quality management system
Aim and the benefit of the Patient Safety Practice
 
The European Practice Assessment program assesses the quality of care to primary care practices (providing most of primary care in Germany), provides feedback and outreach visits to facilitate quality improvement. Quality is assessed in five domains (infrastructure, people, information, finance, and quality and safety) by a patient and staff-questionnaire, an outreach visit by a facilitator and an interview with the practice management. Patient safety is addressed in several dimensions of these domains, e.g. fire safety, emergency exit, hygiene, medication and treatment errors, critical incidence reporting, patient information and education.

See more information at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255110
Description of the Patient Safety Practice
 
The system features 4+1 characteristic and distinctive elements: 1.Multiple perspectives: Patient safety is assessed from three different angles through questionnaires: the management’s, the staff’s and the patients’ perspective. 2.Visitation/quality audit: An external, trained facilitator visits the unit and assesses patient safety issues according to a check-list and conducts an interview with the head of the department. 3.Feedback: The data gathered through questionnaires and visitations are used to measure indicators. The facilitator then presents the results of the assessment process to the team of the concerned department or service. The teams can discuss results and develop immediately common objectives and concrete activities for improvements. 4.Benchmark: The results of one primary care practice can be compared to the mean of the results of all other primary care practices that have undergone the same assessment. This allows for benchmarking, taking the other primary care practices as reference for performance optimization with the aim of improving the own results. +1.Electronic support: an easy to handle, web-based software eases data assessment, calculation of indicators, and provides for immediate results and fast feedback as well as benchmarking.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
Szecsenyi J, Campbell S, Broge B, Laux G, Willms S, Wensing M, Goetz K 2011: effectiveness of a quality-improvement program in improving
management of primary care practices. CMAJ, December 13, 2011, 183(18)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255110
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Primary care
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Dental care
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Nurses
Health care assistants
Scientific staff / researchers
Technical support / technician
Administrative support (secretary, clerk, receptionist etc.)
Dentist
Other member of the dental team (dental assistant, dental hygienist, dental technician, dental therapist etc.) or dental technicians
Clinical manager
Quality manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
During the evaluation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
EPA brochure
EPA flyer
www.epa-qm.de
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
No motivation among staff
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Not relevant
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
Costs for EPA per primary care practice are 2.499,– Euro
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Anke Bramesfeld
Country: GERMANY
Organisation: AQUA-Institute
E-mail: anke.bramesfeld@aqua-institut.de
Phone: 0049 551 789 52 273
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