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121-721 / National Patient Safety Program (in Dutch: VMS Veiligheidsprogramma)

GOP Information  
Organisation sharing the GOP
Related practices from PaSQ database
Various hospitals involved in the GOP


Patient safety system
Program on quality and safety
Education in Patient Safety
Carrying out Patient Safety campaigns
GOP Description
Implementation level
Clinical settings
All Dutch hosptials have committed to this national program
To reduce preventable adverse events by 50% after five years of the National Patient Safety Program through the implementation of ten clinical topics and the implementation of a Safety Management System in all Dutch hospitals
All hospitals in the Netherlands and their patients
For each of the ten themes, information guides were made by experts. The guides contained information on the theme, the goals of the theme, the way to accomplish these goals and structure, process and outcome indicators by means of which to determine the degree of implementation.
The guides were published by the office of the national patient safety program. This office spread the guides in Dutch hospitals and they assisted the hospitals in the implementation of the guides by organizing national theme days, providing a call center, etc.
All hospital boards committed to the program and the hospitals were stimulated to implement each of the themes and the safety management system.
Timeframe implementation
Five years was given to the hospitals for proper implementation. Some hospitals needed less time, others required more.
Implementation tools available
Theme guides are available, as is a website.
NIVEL conducted the evaluation study of the program, for the themes evaluated an evaluation protocol is available.
Implementation cost
Method used to measure the results
Method used to measure the results*Checklists and registration forms were used to measure the outcomes of the ten themes. Themes were evaluated by means of observations, interviews or patient record review, whatever method best fitted the theme.
Most themes show an improvement, nation wide, however non of the themes achieved the individual theme goal set on a national level.
Large differences have been observed among hospitals, whereas some hospitals were close to achieving the theme related goals, others lagged behind.
Analysis of the results
longitudinal prospective study
Data was analysed on national level, multilevel analysis was used to see whether there had been significant improvement over time.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
Overall barriers were:
no sense of urgency, not being able to show effects of results within the hospital, discussions about the contents of the themes, lot of registration in addition to patient care, multidisciplinary themes are more difficult to implement, non-competent theme holder and no clear implementation process in which responsibilities and tasks are divided, little support from professionals, medical doctors and/or hospital board, lack of time, resources, ICT, were all mentioned as barriers to implementation.

In addition, theme specific barriers were identified.

Describe the strategies used to overcome the barriers (If needed)
Planning of and support of the implementation process

Competent and knowledgable theme leader and project group with clear tasks and responsibilities

Clear goals, for which results can be shown over the course of the implementation process
Other information
Other information about the GOP that you would like to add (Link or attached document)
Results on the ten themes will be made public by the end of April 2013

There is no specified text here
Contact information
Name: Steffie van Schoten
Position/function: Researcher
Department: Organization and quality of care and cure
Organisation: NIVEL
City: Utrecht
Country: Netherlands
Region: Netherlands
Phone: +31302729730
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