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  • 49th EQuiP Assembly Meeting 2016

    European Society for Quality and Safety in Family Practice

    Patient Safety

    in Primary Care

    April 22-23, 2016, Prague

    www.equip2016.cz

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    2

    Organizers

    European Society for Quality and Safety in Family Practice

    Partners of the Meeting

    WONCA Europe

    The Czech Society of General Practice CMA JEP

    The Ministry of Health of the Czech Republic

    The EQuiP Conference hosted by the Czech Society of General Practice CMA JEP is supported by the Ministry of Health of the Czech Republic. Svatopluk Němeček, MD, MBA, (Minister of Health of the Czech Republic) acts as a Honorary President of the Conference.

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    3

    Programme Overview

    Friday, April 22, 2016

    09:00-09:30 Welcome and Opening Session (Piet Vanden Bussche, BE; Jan Kovar, CZ)

    09:30-10:15 Plenary Session / Moderator: Bohumil Seifert, CZ Keynote: David Marx, CZ: Patient Safety Sustainability - Ever Climbing, Never Rest!

    10:30-11:00 Coffee and Tea

    11:00-12:30 Workshop 1 What is Patient safety in Primary Care

    Workshop 2 EQuiP´s Patient Safety Culture Survey

    Oral Presentations 1 Chair: Jan Kovar, CZ

    12:30-14:00 Lunch

    14:00-15:00 Plenary Session / Moderator: Jose Miquel Bueno Ortiz, ES Keynote: Maria Pilar Astier-Pena, ES: Are Spanish Healthcare professionals aware of patient safety in primary care?: results of a national survey on patient safety culture in primary care.

    15:00-16:30 Workshop 3 The aftermath of adverse events (AE) in primary care: interventions to reduce its impact on healthcare teams

    Workshop 4 Assessment by GPs of a GPs capacity to deliver healthcare which is safe for them and their patients

    Oral Presentations 2 Chair: Dijana Ramic, CR

    16:30-17:00 Coffee and Tea

    17:00-18:00 Panel Discussion: How can we engage our colleagues (doctors and staff) Moderator: Piet Vanden Busche, BE Job Metsemaker, NL, Isabell Dupie, FR, Tina Errikson DK, Jochen Genischen, GE, Maria Pilar Astier-Pena, ES

    19:00 Conference Dinner: Altany Kampa

    Saturday, April 23, 2016

    09:00-10:00 Plenary Session Moderator: Ynse de Boer, DK Keynote: Aneez Esmail, UK: Researching patient safety in primary care: Now and in the future

    10:00-11:30 Workshop 5 How to deal with unintended events

    Workshop 6 How to measure patient safety

    11:30-12:00 Coffee and Tea

    12:00-13:00 Conclusion Remarks: Where to go next with patient safety for primary care Piet Vanden Bussche, BE, Job Metsemaker, NL, Ynse de Boer, DK

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    4

    Workshops and Oral Presentations

    Workshop 1

    Title What is Patient safety in Primary Care

    Speaker Ynse de Boer, DK; Helle Soegaard Frappart, DK

    Date Friday, April 22, 2016, 11:00-12:30

    Room Malostransky Room (1st Floor)

    Workshop 2

    Title EQuip’s Patient Safety Culture Survey

    Speaker Isabelle Dupie, FR; Andre Nguyen Van Nhien, FR

    Date Friday, April 22, 2016, 11:00-12:30

    Room St. Nicolas Room (1st Floor)

    Oral Presentations 1

    Chair Jan Kovar, CZ

    Lectures 1. Janecke Thesen, DK: Don't assume that your patient is straight 2. Guido Schmiemann, GE: Inappropriate medication in nursing home residents– How to improve medication safety 3. Ivana Orlic Neretljak, CR: How do healthcare professionals assess patient safety culture in family medicine in Croatia? 4. Ana Marcelino, PT: Quality improvement in antibiotic prescription in uncomplicated Lower Urinary Tract Infections 5. Eva Arvidsson, FI: Patient safety for patients with chronic diseases

    Date Friday, April 22, 2016, 11:00-12:30

    Room Emma Destinnova Hall (2nd Floor)

    Workshop 3

    Title The aftermath of adverse events (AE) in primary care: interventions to reduce its impact on healthcare teams

    Speaker Maria Pilar Astier-Pena, ES

    Date Friday, April 22, 2016, 15:00-16:30

    Room Malostransky Room (1st Floor)

    Workshop 4

    Title Assessment by GPs of a GPs capacity to deliver healthcare which is safe for them and their patients

    Speaker Andree Rochfort, IRL; Zlata Ozvacic Adzic, CR

    Date Friday, April 22, 2016, 15:00-16:30

    Room St. Nicolas Room (1st Floor)

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    5

    Oral Presentations 2

    Chair Dijana Ramic, CR

    Lectures 1. Rebecca Hays, UK: Feeling safe in primary care: preliminary findings from a longitudinal, ethnographic study (MAXIMUM) of older people with multimorbidity 2. Beate S. Müller, GE: To report or not to report: That is the question! Using the theory of planned behavior to explain healthcare professionals’ use of CIRS in primary care. 3. Bohumil Seifert, CZ: Strengthening capacities to improve quality and patient safety in primary care. Experience from the Czech Republic 4. Martin Beyer, GE: The German Critical Incident Reporting System for Primary Care www.jeder-fehler-zaehlt.de is productive since 12 years – Content and perspectives 5. Marc Chaneliere, FR: PRisM study: assessment of a multifaceted program on teamwork and risk management in primary care (PC). 6. Kolozsvári László Róbert, HU: Patient safety in primary care in Hungary

    Date Friday, April 22, 2016, 15:00-16:30

    Room Emma Destinnova Hall (2nd Floor)

    Workshop 5

    Title How to deal with unintended events

    Speaker Piet Vanden Bussche, BE

    Date Saturday, April 23, 2016, 10:00-11:30

    Room Malostransky Room (1st Floor)

    Workshop 6

    Title How to measure patient safety

    Speaker Ynse de Boer, DK; Aneez Esmail, UK

    Date Saturday, April 23, 2016, 10:00-11:30

    Room St. Nicolas Room (1st Floor)

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    6

    Abstracts – Keynotes

    PATIENT SAFETY SUSTAINABILITY - EVER CLIMBING, NEVER REST!

    David Marx

    Although health care industry has been for long time known as a highly risky one, the introduction of risk-reduction tools into everyday clinical practice has been much slower that in other areas. Systematic quality improvement and patient safety measures started in the Czech republic in 1998, but it took over 10 years to launch nationwide tools to improve patient safety - in 2009 the country has introduced National patient safety goals and launched Action plan for patient safety. The presentation describes most frequent implementation obstacles observed in applying sustainable patient safety programs and examples of successful practice.

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    7

    ARE SPANISH HEALTHCARE PROFESSIONALS AWARE OF PATIENT

    SAFETY IN PRIMARY CARE?: RESULTS OF A NATIONAL SURVEY

    ON PATIENT SAFETY CULTURE IN PRIMARY CARE

    Maria Pilar Astier-Pena Background Knowledge about safety culture improves patient safety (PS) in health-care organizations. The first contact a patient has with health care occurs at the primary level. We conducted a survey to measure patient safety culture (PSC) among primary care professionals (PCPs) of health centres (HCs) in Spain and analyzed PS dimensions that influence PSC. Methods We used Agency for Healthcare Research and Quality (AHRQ) Medical Office Survey on Patient Safety Culture translated and validated into Spanish to conduct a cross- sectional anonymous postal survey. We randomly selected a sample of 8378 PCPs at 289 HCs operated by 17 Regional Health Services. Statistical analysis was performed on sociodemographic variables, survey items, PS dimensions and a patient safety synthetic index (PSSI), calculated as average score of the items per dimension, to identify potential predictors of PSC. We used AHRQ data to conduct international comparison. Results A total of 4344 PCPs completed the questionnaire. The response rate was 55.69%. Forty-two percent were general practitioners, 34.9% nurses, 18% administrative staff and 4.9% other professionals. The highest scoring dimension was ‘PS and quality issues’ 4.18 (4.1–4.20) ‘Work pressure and pace’ was the lowest scored dimension with 2.76 (2.74–2.79). Professionals over 55 years, with managerial responsibilities, women, nurses and administrative staff, had better PSSI scores. Professionals with more than 1500 patients and working for more than 11 years at primary care had lower PSSI scores. Conclusions This is the first national study to measure PSC in primary care in Spain. Results may reflect on-going efforts to build a strong PSC. Further research into its association with safety outcomes and patients’ perceptions is required.

  • 49th EQuiP Assembly Meeting 2016, Prague

    Patient Safety in Primary Care

    8

    RESEARCHING PATIENT SAFETY IN PRIMARY CARE: NOW

    AND IN THE FUTURE

    Aneez Esmail

    Over th