398 / SAFETY IN PRESCRIPTION IN PRIMARY CARE: SURVEY ON GP'S KNOWLEDGES AND ATTITUDES TOWARDS IT

SPAIN
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Communication
Documentation There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
As a part of a global policy of quality improvement in our Primary Health Center, we have recently created a Ptatient's Safety Group which with several aims. From these aims, we have priorized safety in prescriptions.
Description of the Patient Safety Practice
 
As a first part we have implemented the following research strategy (we report aim, method and results:
AIM: To determine general practitioners (GPs) knowledge and attitudes towards safety in prescription (SiP) as a first step of a program to improve quality in clinical practice.
METHOD: A survey of 13 questions was conducted to GPSs in a Primary Health Area checking the following issues related to Safety in Prescription: 1- self reported knowledge of a list of 10 proposed information sources 2- self reported usefulness of the proposed sources 3- self reported personal interest towards SiP ( 0 to 10 scale) 4- self reported importance of SiP in clinical practice (0 to 10 scale).
RESULTS: the survey was sent to 108 GPs. We received 38 answers (35.2%) Three of them were trainees. Predominant age group was 35-45 years. 26 of the respondents were female (68.4%). All the sources suggested in the survey were known by 26.3% of GPs and 78.9% of them knew the main 4 sources. Individual feed-back given by electronic records of computerized clinical history was considered the most useful tool by GPs. Most respondents (34.2%) rated their interest in SiP as a 9 out of 10 and 39.4% rated its importance as a 9 out of 10.
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, partly
Level of implementation of reported practice
Team level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Not relevant
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
Type of before-and after evaluation
There is no specified text here
Enclosure of a reference or attachment in case of published evaluation's results
Not yet.
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
Not known
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
There is no specified text here
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Motivated staff
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
No
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
There is no specified text here
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: Ignacio Lopez
Country: SPAIN
Organisation: Institut Catala de la Salut, Catalonia
E-mail: ilopezp.bnm.ics@gencat.cat
Phone: 0034934666453
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