Your browser doesn't support javascript.
loading
Improving patient safety culture in general practice: an interview study.
Verbakel, Natasha J; de Bont, Antoinette A; Verheij, Theo J M; Wagner, Cordula; Zwart, Dorien L M.
Afiliación
  • Verbakel NJ; PI Research Quality and Safety in general practice, head of students education of general practice, Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
  • de Bont AA; Researcher at the Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.
  • Verheij TJ; PI Research Quality and Safety in general practice, head of students education of general practice, Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
  • Wagner C; EMGO+ Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
  • Zwart DL; PI Research Quality and Safety in general practice, head of students education of general practice, Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
Br J Gen Pract ; 65(641): e822-8, 2015 Dec.
Article en En | MEDLINE | ID: mdl-26622035
BACKGROUND: When improving patient safety a positive safety culture is key. As little is known about improving patient safety culture in primary care, this study examined whether administering a culture questionnaire with or without a complementary workshop could be used as an intervention for improving safety culture. AIM: To gain insight into how two interventions affected patient safety culture in everyday practice. DESIGN AND SETTING: After conducting a randomised control trial of two interventions, this was a qualitative study conducted in 30 general practices to aid interpretation of the previous quantitative findings. METHOD: Interviews were conducted at practice locations (n = 27) with 24 GPs and 24 practice nurses. The theory of communities of practice--in particular, its concepts of a domain, a community, and a practice--was used to interpret the findings by examining which elements were or were not present in the participating practices. RESULTS: Communal awareness of the problem was only raised after getting together and discussing patient safety. The combination of a questionnaire and workshop enhanced the interaction of team members and nourished team feelings. This shared experience also helped them to understand and develop tools and language for daily practice. CONCLUSION: In order for patient safety culture to improve, the safety culture questionnaire was more successful when accompanied by a practice workshop. Initial discussion and negotiation of shared goals during the workshop fuelled feelings of coherence and belonging to a community wishing to learn about enhancing patient safety. Team meetings and day-to-day interactions enhanced further liaison and sharing, making patient safety a common and conscious goal.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Errores Médicos / Medicina General / Mejoramiento de la Calidad Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Br J Gen Pract Año: 2015 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Errores Médicos / Medicina General / Mejoramiento de la Calidad Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Br J Gen Pract Año: 2015 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido