当前位置： SCI文献检索 > BMC Family Practice期刊下所有文献 > Cluster randomized, controlled trial on patient safety improvement in general practice: a study protocol.

Cluster randomized, controlled trial on patient safety improvement in general practice: a study protocol.

Abstract：

BACKGROUND:An open, constructive safety culture is key in healthcare since it is seen as a main condition for patient safety. Studies have examined culture improvement strategies in hospitals. In primary care, however, not much is known about effective strategies to improve the safety culture yet. The purpose of this study is to examine the effect of two patient safety culture interventions: a patient safety culture questionnaire solely, the SCOPE, or the SCOPE questionnaire combined with a patient safety workshop. The purpose of this paper is to describe the rationale and design of this trial. METHODS/DESIGN:The SCOPE Intervention Study is a cluster randomized, three-armed controlled trial, that will be conducted in 30 general practices in the Netherlands. Ten practices in the first intervention arm will complete the SCOPE questionnaire and are expected to draw and implement their own improvement initiatives based on a computerised feedback report. In the second intervention arm, staff of the ten practices also will be asked to complete the SCOPE questionnaire and in addition will be given a complementary workshop. This workshop is theoretical and interactive, educating staff and facilitating discussion, leading to a practice specific action plan for patient safety improvement. The results of the SCOPE questionnaire are incorporated in the workshop. The ten practices in the control arm continue care as usual. Baseline and follow-up measurements will be conducted with an implementation period of one year. The primary outcome will include the number of incidents reported and secondary several quality and safety indicators and the patient safety culture. Moreover, interviews will be conducted at follow-up to evaluate the implementation process of the intervention. DISCUSSION:Results of this study will give insight in the effect of administering a culture questionnaire or the questionnaire with a complementary workshop. This knowledge will aid implementation of patient safety tools and future research. Attention has been given to the strengths and limitations of the study. TRIAL REGISTRATION:Netherlands Trial Register: NTR3277.

journal_name

BMC Fam Pract

journal_title

BMC family practice

authors

Verbakel NJ,Langelaan M,Verheij TJ,Wagner C,Zwart DL

doi

10.1186/1471-2296-14-127

subject

Has Abstract

pub_date

2013-08-29 00:00:00

pages

127

issn

1471-2296

pii

1471-2296-14-127

journal_volume

14

pub_type

杂志文章,多中心研究,随机对照试验

相关文献

BMC Family Practice文献大全
  • Patient understanding of two commonly used patient reported outcome measures for primary care: a cognitive interview study.

    abstract：BACKGROUND:Standardised generic patient-reported outcome measures (PROMs) which measure health status are often unresponsive to change in primary care. Alternative formats, which have been used to increase responsiveness, include individualised PROMs (in which respondents specify the outcomes of interest in their own w...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-018-0850-2

    authors： Murphy M,Hollinghurst S,Salisbury C

    更新日期：2018-09-27 00:00:00

  • Effectiveness of an implementation strategy for a breastfeeding guideline in Primary Care: cluster randomised trial.

    abstract：BACKGROUND:The protection and promotion of breastfeeding is considered a priority in Europe where only 22% of infants less than 6 months old are exclusively breastfed. In Spain this percentage reaches 24.8% but in our city it falls to 18.26%. Various studies emphasise that the improvement of these results should be bas...

    journal_title：BMC family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1471-2296-12-144

    authors： Martín-Iglesias S,del-Cura-González I,Sanz-Cuesta T,Arana-Cañedo Argüelles C,Rumayor-Zarzuelo M,Alvarez-de la Riva M,Lloret-Sáez Bravo AM,Férnandez-Arroyo RM,Aréjula-Torres JL,Aguado-Arroyo Ó,Góngora-Maldonado F,García-Corraliza M

    更新日期：2011-12-30 00:00:00

  • The relationship of primary health care use with persistence of insomnia: a prospective cohort study.

    abstract：BACKGROUND:Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health ...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-13-8

    authors： Hayward RA,Jordan KP,Croft P

    更新日期：2012-02-16 00:00:00

  • Validation of Self-Management Screening (SeMaS), a tool to facilitate personalised counselling and support of patients with chronic diseases.

    abstract：BACKGROUND:A rising number of people with chronic conditions is offered interventions to enhance self-management. The responsiveness of individuals to these interventions depends on patient characteristics. We aimed to develop and validate a tool to facilitate personalised counselling and support for self-management in...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-015-0381-z

    authors： Eikelenboom N,Smeele I,Faber M,Jacobs A,Verhulst F,Lacroix J,Wensing M,van Lieshout J

    更新日期：2015-11-11 00:00:00

  • The cost of monitoring warfarin in patients with chronic atrial fibrillation in primary care in Sweden.

    abstract：BACKGROUND:Warfarin is used for the prevention of stroke in chronic atrial fibrillation. The product has a narrow therapeutic index and to obtain treatment success, patients must be maintained within a given therapeutic range (International Normalised Ratio;INR). To ensure a wise allocation of health care resources, sc...

    journal_title：BMC family practice

    pub_type： 杂志文章,多中心研究

    doi：10.1186/1471-2296-8-6

    authors： Björholt I,Andersson S,Nilsson GH,Krakau I

    更新日期：2007-02-26 00:00:00

  • Swiss family physicians' perceptions and attitudes towards knowledge translation practices.

    abstract：BACKGROUND:Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources ...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-015-0392-9

    authors： Bengough T,Bovet E,Bécherraz C,Schlegel S,Burnand B,Pidoux V

    更新日期：2015-12-11 00:00:00

  • Understanding the work of general practitioners: a social science perspective on the context of medical decision making in primary care.

    abstract：BACKGROUND:The work of general practitioners (GPs) is increasingly being looked at from the perspective of the strategies and factors shaping it. This reflects the importance given to primary care services in health care system reform. However, the literature provides little insight into the medical decision-making pro...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-9-12

    authors： Geneau R,Lehoux P,Pineault R,Lamarche P

    更新日期：2008-02-19 00:00:00

  • The relationship between having a regular general practitioner (GP) and the experience of healthcare barriers: a cross-sectional study among young people in NSW, Australia, with oversampling from marginalised groups.

    abstract：BACKGROUND:Young people (12-24 years) visit general practice but may not have a 'regular' general practitioner (GP). Whether continuity of GP care influences experiences with, and barriers to, health care among young people is unknown. This paper explores the association between having a regular GP and experience of he...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01294-8

    authors： Kang M,Robards F,Luscombe G,Sanci L,Usherwood T

    更新日期：2020-10-28 00:00:00

  • The role of the general practitioner in managing age-related hearing loss: perspectives of general practitioners, patients and practice staff.

    abstract：BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01157-2

    authors： Bennett RJ,Fletcher S,Conway N,Barr C

    更新日期：2020-05-14 00:00:00

  • Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care - a 14-year follow-up questionnaire study.

    abstract：BACKGROUND:The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had been achieved over a 14-year period of time in Finland. METHODS:Nine questionnaire surveys were co...

    journal_title：BMC family practice

    pub_type： 杂志文章,多中心研究

    doi：10.1186/1471-2296-15-98

    authors： Raivio R,Jääskeläinen J,Holmberg-Marttila D,Mattila KJ

    更新日期：2014-05-15 00:00:00

  • Determinants of referral of women with urinary incontinence to specialist services: a national cohort study using primary care data from the UK.

    abstract：BACKGROUND:Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study aimed to investigate characteristics associated with referrals from primary to specialist ...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01282-y

    authors： Gurol-Urganci I,Geary RS,Mamza JB,Iwagami M,El-Hamamsy D,Duckett J,Wilson A,Tincello D,van der Meulen J

    更新日期：2020-10-16 00:00:00

  • Staff perceptions of addressing lifestyle in primary health care: a qualitative evaluation 2 years after the introduction of a lifestyle intervention tool.

    abstract：BACKGROUND:Preventive services and health promotion in terms of lifestyle counselling provided through primary health care (PHC) has the potential to reduce morbidity and mortality in the population. Health professionals in general are positive about and willing to develop a health-promoting and/or preventive role. A n...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-13-99

    authors： Carlfjord S,Lindberg M,Andersson A

    更新日期：2012-10-10 00:00:00

  • Evaluation of two family-based intervention programs for children affected by rare disease and their families - research network (CARE-FAM-NET): study protocol for a rater-blinded, randomized, controlled, multicenter trial in a 2x2 factorial design.

    abstract：BACKGROUND:Families of children with rare diseases (i.e., not more than 5 out of 10,000 people are affected) are often highly burdened with fears, insecurities and concerns regarding the affected child and its siblings. Although families caring for children with rare diseases are known to be at risk for mental disorder...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01312-9

    authors： Boettcher J,Filter B,Denecke J,Hot A,Daubmann A,Zapf A,Wegscheider K,Zeidler J,von der Schulenburg JG,Bullinger M,Rassenhofer M,Schulte-Markwort M,Wiegand-Grefe S

    更新日期：2020-11-20 00:00:00

  • Implementation of Spanish adaptation of the European guidelines on cardiovascular disease prevention in primary care.

    abstract：BACKGROUND:The successful implementation of cardiovascular disease (CVD) prevention guidelines relies heavily on primary care physicians (PCPs) providing risk factor evaluation, intervention and patient education. The aim of this study was to ascertain the degree of awareness and implementation of the Spanish adaptatio...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-14-36

    authors： Brotons C,Lobos JM,Royo-Bordonada MÁ,Maiques A,de Santiago A,Castellanos Á,Diaz S,Obaya JC,Pedro-Botet J,Moral I,Lizarbe V,Moreno R,Pérez A,Cordero A,Fornés-Ubeda F,Serrano-Saiz B,Camafort-Babkowski M,Elosua R,Sans S

    更新日期：2013-03-18 00:00:00

  • 'Very brief advice' (VBA) on smoking in family practice: a qualitative evaluation of the tobacco user's perspective.

    abstract：BACKGROUND:Very Brief Advice on smoking (VBA) is an evidence-based intervention designed to increase quit attempts among patients who smoke. VBA has been widely disseminated in general practice settings in the United Kingdom, however its transferability to Southern European settings is not well established. This study ...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01195-w

    authors： Papadakis S,Anastasaki M,Papadakaki M,Antonopoulou Μ,Chliveros C,Daskalaki C,Varthalis D,Triantafyllou S,Vasilaki I,McEwen A,Lionis C

    更新日期：2020-06-24 00:00:00

  • Adaptation and validation of the Charlson Index for Read/OXMIS coded databases.

    abstract：BACKGROUND:The Charlson comorbidity index is widely used in ICD-9 administrative data, however, there is no translation for Read/OXMIS coded data despite increasing use of the General Practice Research Database (GPRD). Our main objective was to translate the Charlson index for use with Read/OXMIS coded data such as the...

    journal_title：BMC family practice

    pub_type： 历史文章,杂志文章

    doi：10.1186/1471-2296-11-1

    authors： Khan NF,Perera R,Harper S,Rose PW

    更新日期：2010-01-05 00:00:00

  • Acceptance of interventions to promote primary care: What do physicians prioritize?

    abstract：BACKGROUND:Switzerland is facing a shortage of primary care physicians (PCPs); government organizations therefore suggested a broad variety of interventions to promote primary care. The aim of the study was to prioritize these interventions according to the acceptance and perceived barriers of most relevant groups of p...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-015-0397-4

    authors： Tandjung R,Djalali S,Hasler S,Scherz N,Rosemann T,Markun S

    更新日期：2015-12-15 00:00:00

  • More negative self-esteem and inferior coping strategies among patients diagnosed with IBS compared with patients without IBS--a case-control study in primary care.

    abstract：BACKGROUND:Irritable Bowel Syndrome (IBS) is a chronic, relapsing gastrointestinal disorder, that affects approximately 10% of the general population and the majority are diagnosed in primary care. IBS has been reported to be associated with altered psychological and cognitive functioning such as mood disturbances, som...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-015-0225-x

    authors： Grodzinsky E,Walter S,Viktorsson L,Carlsson AK,Jones MP,Faresjö Å

    更新日期：2015-01-28 00:00:00

  • Prescribing ANtiDepressants Appropriately (PANDA): a cluster randomized controlled trial in primary care.

    abstract：BACKGROUND:Inappropriate use of antidepressants (AD), defined as either continuation in the absence of a proper indication or continuation despite the lack of therapeutic efficacy, applies to approximately half of all long term AD users. METHODS/DESIGN:We have designed a cluster randomized controlled clinical trial to...

    journal_title：BMC family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1471-2296-14-6

    authors： Muskens E,Eveleigh R,Lucassen P,van Weel C,Spijker J,Verhaak P,Speckens A,Voshaar RO

    更新日期：2013-01-08 00:00:00

  • A qualitative exploration of the use of calendar landmarking instruments in cancer symptom research.

    abstract：BACKGROUND:Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to p...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-014-0167-8

    authors： Mills K,Emery J,Cheung C,Hall N,Birt L,Walter FM

    更新日期：2014-10-25 00:00:00

  • General practice and ethnicity: an experimental study of doctoring.

    abstract：BACKGROUND:There is extensive evidence of health inequality across ethnic groups. Inequity is a complex social phenomenon involving several underlying factors, including ethnic discrimination. In the field of health care, it has been established that ethnic discrimination stems partially from bias or prejudice on the p...

    journal_title：BMC family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1471-2296-15-89

    authors： Lepièce B,Reynaert C,van Meerbeeck P,Lorant V

    更新日期：2014-05-09 00:00:00

  • Primary care physician perspectives on barriers to diagnosing axial Spondyloarthritis: a qualitative study.

    abstract：BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-020-01274-y

    authors： Lapane KL,Khan S,Shridharmurthy D,Beccia A,Dubé C,Yi E,Kay J,Liu SH

    更新日期：2020-09-29 00:00:00

  • An explorative qualitative study on acceptability of physical activity assessment instruments among primary care professionals in southern Sydney.

    abstract：BACKGROUND:There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help o...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-016-0536-6

    authors： Dutton SN,Dennis SM,Zwar N,Harris MF

    更新日期：2016-09-22 00:00:00

  • Frequency of alcohol use and obesity in community medicine patients.

    abstract：BACKGROUND:Obesity is an important public health problem. However, the effects of alcohol use on the risk for obesity have not been thoroughly explored. This study focuses on how frequency of alcohol use is related to the risk of obesity in a community medicine clinic population. METHODS:This study used a cross-sectio...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-6-17

    authors： Rohrer JE,Rohland BM,Denison A,Way A

    更新日期：2005-04-22 00:00:00

  • Patient safety and safety culture in primary health care: a systematic review.

    abstract：BACKGROUND:Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety me...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-018-0793-7

    authors： Lawati MHA,Dennis S,Short SD,Abdulhadi NN

    更新日期：2018-06-30 00:00:00

  • How do we improve men's mental health via primary care? An evaluation of the Atlas Men's Well-being Pilot Programme for stressed/distressed men.

    abstract：BACKGROUND:Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men's Well-b...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-016-0410-6

    authors： Cheshire A,Peters D,Ridge D

    更新日期：2016-02-02 00:00:00

  • Effectiveness and cost-effectiveness of an educational intervention for practice teams to deliver problem focused therapy for insomnia: rationale and design of a pilot cluster randomised trial.

    abstract：BACKGROUND:Sleep problems are common, affecting over a third of adults in the United Kingdom and leading to reduced productivity and impaired health-related quality of life. Many of those whose lives are affected seek medical help from primary care. Drug treatment is ineffective long term. Psychological methods for man...

    journal_title：BMC family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1471-2296-10-9

    authors： Siriwardena AN,Apekey T,Tilling M,Harrison A,Dyas JV,Middleton HC,Ørner R,Sach T,Dewey M,Qureshi ZM

    更新日期：2009-01-26 00:00:00

  • 'We can do only what we have the means for' general practitioners' views of primary care for older people with complex health problems.

    abstract：BACKGROUND:Due to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandate...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/s12875-015-0249-2

    authors： Herzog A,Gaertner B,Scheidt-Nave C,Holzhausen M

    更新日期：2015-03-14 00:00:00

  • A qualitative study of primary care clinicians' views of treating childhood obesity.

    abstract：BACKGROUND:The prevalence of childhood obesity is rising and the UK Government have stated a commitment to addressing obesity in general. One method has been to include indicators relating to obesity within the GP pay-for-performance Quality and Outcomes Framework (QOF) contract. This study aimed to explore general pra...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-8-50

    authors： Walker O,Strong M,Atchinson R,Saunders J,Abbott J

    更新日期：2007-09-03 00:00:00

  • The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders.

    abstract：BACKGROUND:Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to e...

    journal_title：BMC family practice

    pub_type： 杂志文章

    doi：10.1186/1471-2296-13-14

    authors： van Dijk-de Vries A,Moser A,Mertens VC,van der Linden J,van der Weijden T,van Eijk JT

    更新日期：2012-03-12 00:00:00