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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

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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.



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Welcome Message by Piet Vanden Bussche

“Primum non nocere” (Do not harm) has been for more than 2500 years one of the most known principles of medicine. Already in the Greek period and from then on, for ages, doing no harm to the patient has been the priority of doctors. In 1999 the IOM institute published its report ‘to err is human: Building a safer health system’ and now 25 years later the topic is still very important. It is a cornerstone of a health system of high quality. A lot of reports have been published since then, many of them about hospital care.

EQuiP, the European Association on Quality and Safety in General practice/Family Medicine now invites you to participate in a conference on Patient Safety in primary care.

If you are an expert, you are very welcome to share the experience, project, research, knowledge in your practice, university, college, regional organisation. If you want to learn about Patient Safety and what it is all about in primary care, you should be there to become an expert. The EQuiP has a tradition of plenary sessions with international experts, very interactive workshops and smaller groups to deepen knowledge and share your vision on this topic.

What is the role of the doctor and of the patient? How can the organisation of the health system and of your practice assure safer care? How do you learn from your faults and make sure these don’t happen again? How important is a healthy doctor for safe care? Can the computer help or be a threat? Which faults are the most important in general practice? Are vulnerable patients more at risk then others? Can we teach about safe care to students and trainees? These and a lot of other related topics can be addressed.

The organising committee looks forward to making this congress a life-changing experience towards safer care for all participants and their patients.

Piet Vanden Bussche EQuiP President



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Welcome Message by Bohumil Seifert

Dear colleagues, friends, welcome to Prague! It is a great pleasure and honor for us, the EQuiP representatives of The Czech Society of General Practice, to host the EQuiP Closed Meeting and the EQuiP Conference here in Prague.

Prague is really becoming a GP promised city, taking into account the WONCA Europe 1997, the WONCA World 2013 and upcoming the WONCA Europe Conference in 2017. We also hosted twice the EQuiP Closed Meeting in 1997 and in 2007, and most recently the EURACT Meeting last year.

EQuiP Conference resolves an extremely hot and important topic of quality in primary care: patient safety. The top European experts in primary care quality and safety will give keynotes, lectures and organize workshops. We hope to hear “state of the art” expert lectures as well as to share individual experience and expertize of general practitioners from 24 countries around Europe.

The scientific programme looks very promising. But I hope that you will also find some time to enjoy beautiful Prague. The conference venue itself is a magnificent place which is located in the historical part of Prague.

We believe that you will create a relationship with our city and come again to the WONCA Europe Conference in June 2017.

Bohumil Seifert Chair of the Meeting

Jan Kovář Co-chair of the Meeting



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Organizing Committee

Bohumil Seifert - Chair General practitioner, head of the Department of General Practice, First Faculty of Medicine, Charles University in Prague, Czech Republic

Piet Vanden Bussche

General practitioner, President of EQuiP, Berchem, Belgium

Jan Kovar

General practitioner, Czech EquiP delegate, Volyne, Czech Republic

Isabelle Dupie

General practitioner, French EQuiP delegate, Paris, France

Ynse de Boer

General practitioner, Danish EQuiP delegate, Copenhagen, Denmark

Adrian Rohrbasser

General practitioner, Switzerland EQuiP delegate, Will, Switzerland

Jose Miguel Bueno Ortiz

General practitioner, SEMFYC delegate in EQuiP, Murcia, Spain

Dijana Ramic

General practitioner, Croatian EQuiP delegate, Krapina, Croatia



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Keynote Speakers

MARIA PILAR ASTIER-PENA, SPAIN

Maria Pilar Astier-Pena was born in Zaragoza (Spain) in 1967. She is a primary care professional and Associated Professor at the Medical School of the University of Zaragoza. At the beginning of her professional carrier she gained international experience in the European Office of World Health Organization. She participated in the project "Innovations in Health Care Delivery" and "Country Health Care Delivery Profile". Afterwards she worked as a Hospital Manager (Hospital Clínico Universitario de Zaragoza and Hospital de Navarra). She participates and acts in a wide variety of scientific societies, for instance the Patient Safety Group of Spanish Society of Family Medicine and Community, the Spanish Society of Healthcare Quality or Revista de Calidad Asistencial de la Sociedad Española de Calidad Asistencial (Spanish Healthcare Quality Journal) and Atención Primaria de la Sociedad Española de Calidad Asistencial (Primary Care Journal). With regard to her research interest she focuses mainly on the patient safety culture, good practices in primary care and, last but not least, second victims.

Keynote Speech: Are Spanish Healthcare professionals aware of patient safety in primary care?: results of a national survey on patient safety culture in primary care. Workshop: The aftermath of adverse events (AE) in primary care: interventions to reduce its impact on healthcare teams.



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ANEEZ ESMAIL, UNITED KINGDOM

Aneez Esmail is Professor of General Practice at the University of Manchester and Director of the NIHR Greater Manchester Patient Safety Translational Research Centre. As a health services researcher he has published work in several areas of public health. He has raised over £12 million in research grants, educational grants and consultancy fees over the last 20 years. He is currently responsible for a large area of work looking at patient safety in primary care and works collaboratively with researchers from North America, Australasia and Europe.

He worked as the only Medical Advisor to Dame Janet Smith, the Appeal Court judge who chaired the Shipman Inquiry between 2001-2005. He played a key role in developing the recommendations which resulted in significant changes on reform of the General Medical Council, death certification and investigation, controlled drugs regulation and the regulation and revalidation of doctors.

He is recognised internationally for his research on discrimination in the medical profession. Within the UK his work has resulted in significant changes in recruitment, selection, monitoring and assessment of the medical profession. This work was recognised internationally with the award of a Harkness Fellowship and Visiting Professorship at Harvard University in 1997.

He continues to practise as a clinician, at the Robert Darbishire Practice, a social enterprise based in one of the most deprived areas of Manchester. It is the largest practice in Manchester with over 22,000 registered patients. The practice has a turnover of over £2.5 million annually and provides an innovative service in relation to same day access, care of deprived populations and looking after patients with complex health needs. He was commended by the Heath Service Journal, as one of the top 100 Clinical Lead ers in the NHS in 2014.

Keynote Speech: Researching patient safety in primary care: Now and in the future

Workshop: How can we measure and monitor safety from the perspective of primary care?



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DAVID MARX, CZECH REPUBLIC

Dr. David Marx has spent his first professional years after graduation by training as a paediatrican. Since the early nineties, he has been actively participating in the health-care system reform of the Czech Republic. He has been acting as one of the national coordinators of a USAID funded QA project for health care and he has co-founded the Czech national Hospital Accreditation Agency (Spojená akreditační komise ČR), where he is at present acting as CEO.

In the years 1998-99 Dr. Marx chaired an international Task force of the Joint Commission on Accreditation of Healthcare Organisations preparing a set of International Hospital Accreditation Standards – first published in 1999. Since 2000 he has been a member of the Board of Directors of the Joint Commission Resources in Chicago and since 2007 he has been active as an international consultant of Joint Commission International having worked with over 100 hospitals worldwide.

Dr. Marx is at present advising the Czech Ministry of Health on issues concerning health care quality and safety. He is also a member of the Charles University (Prague) - vice-dean of the Third Medical faculty.

Keynote Speech: Patient Safety Sustainability - Ever Climbing, Never Rest!



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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


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


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



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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


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


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



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





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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


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


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




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Abstract Book Abstract Book can be found at the official website of the Meeting: www.equip2016.cz Scan the QR code here:

Meeting Venue – Kaiserstein Palace Address: Malostranské náměstí 23/37,110 00 Praha 1 www.kaiserstejnsky-palac.cz

Kaiserstein Palace is a Baroque building in the middle of the Prague's Lesser Town Square. Originally built in 1654, it is now protected as a historical landmark by UNESCO. The palace has had many famous guests over the years, such as opera diva Emmy Destinn, or the scientist Joachim Barrande.

Kaiserstein Palace has a variety of halls and function rooms available to meet all social event requirements in a refined style.

http://www.kaiserstejnsky-palac.cz/



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Social Event Date: Friday, April 22, 2016 Time: 19:00 Venue: Altány Kampa The social event takes place in the Altány Kampa restaurant. The restaurant is situated on a beautiful place right next to the Kampa park, 600m far from the Kaiserstein palace and 300m from the Charles bridge.

The map how to get to the Altány Kampa is on the back side of the ticket and it is also available at the registration desk.



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European Society for Quality

and Safety in Family Practice

The European Society for Quality and Safety in Family Practice (EQuiP) is one of WONCA Europe’s network organisations. The aim of EQuiP is to contribute to the achievement of high levels of quality and safety of care for patients in general practice in all European countries.

EQuiP will endeavour to achieve this by offering a network structure for collaboration and exchange of expertise and methodology and by initiating projects on development and evaluation with regard to Quality Improvement (QI), which will be used here as the most comprehensive definition.

EQuiP has been involved in developing and disseminating a number of tools and methods for quality improvement in general practice – EUROPEP, European Practice Assessment (EPA), and The International General Practice Maturity Matrix. From 2012-2015, EQuiP devised a project about patient empowerment in general practice. In collaboration with three project partners, EQuiP has developed an eLearning course about Motivational Interviewing as intervention, based on a systematic review that identified MI as the most effective approach to support patient self-management.

EQuiP holds two meetings a year: An open meeting is held in a new country every Spring concerning quality improvement and patient safety matters, and a closed seminar is arranged in Zagreb (Croatia) every Fall, addressing organisational development and collaboration with members.

EQuiP currently has 61 individual and 13 organisational members from 25 European countries. Please join us and become a member of the best functioning GP-based network on quality and safety in the world. The EQuiP network has nine active working groups of experts within: e-health, equity, patient safety, patient empowerment, professional health, social media, teaching quality, tools & methods and quality circles. Learn much more about new tools, methods and research results through EQuiP events, which are the primary platform to connect with international experts. Will you be our 75th member?



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You can sign up for the EQuiP newsletter by filling in a form on the website. Also, EQuiP is active on social media, and the network has its own YouTube Channel. More than 15.000 have viewed the web videos so far.

www.equip.dudal.com/ www.facebook.com/groups/EQuiP.WONCA/

Czech Society of General Practice Czech Medical Association of Jan Evangelista Purkyně

The Society of General Practice (SVL) is approaching its 40 years anniversary. It was founded two years after the general practice had been recognized as a medical specialty in the Czech Republic. Over the years the Society membership grew to almost 4500 from a total 5200 in the country.

The Society has created a platform for primary care research, CME, publications, the exchange of expertise, project development and implementation. It serves as a reference body for the Czech government, medical universities and postgraduate medical schools. The Society supports the development of academic departments of primary care at all eight medical faculties in the Czech Republic.

The information infrastructure system is based on regional coordinators, regular journal distribution and a website. A centre for guideline development established by the Society produces about ten practical guidelines a year. The Society is focused on quality and safety issues and recently supported a project of development of accreditation standards for primary care.

The Society has become an active member of WONCA. Representatives in WONCA networks and Special interest groups organized several meetings in Prague during last years. The Society hosts the EQuiP meeting for the third time.

The effort of an entire generation of Czech general practitioners culminated by the organization of the WONCA 2013 World Conference in Prague. The next challenge is the WONCA Europe Conference to be held in Prague in June 2017.

http://www.svl.cz/en/

http://www.equip.dudal.com/

http://www.facebook.com/groups/EQuiP.WONCA/

http://www.svl.cz/en/



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