Assessment of a Multifaceted Risk Management Program in French Multiprofessional Offices in Primary Care

Hospices Civils de Lyon50 enrolled

Overview

Avoidable care associated incidents are relatively frequent in primary care. In France for example, avoidable incidents rate is estimated to 22/1000 medical acts from general practitioners. Patient safety is now a growing issue in primary care. One tool to increase patient safety is incident reporting and analysis. It could reduce some important consequences for patients and could allow implementing substantial corrective actions. The aim of the PRisM study is to assess and compare the efficiency of a multifaceted risk management program implemented in the french pluridisciplinary offices in primary care in association with a centralized incident reporting system, versus a centralized incident reporting system only.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Risk Management Primary Health Care Patient Safety

Interventions

PRisM

A risk management program for each professional of care in multiprofessional primary care offices in France.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Voluntary multiprofessional primary care offices * With at least 10 Full Time Equivalent (FTE) * With at least general practitioners and 3 different occupations in care Exclusion Criteria: * Monoprofessional primary care offices

Locations (1)

Pôle IMER - Hospices Civils de Lyon

Lyon, France

Outcomes

Primary Outcomes

Annual incident declaration rate by full-time equivalent in both groups.

Time frame: 18 months

Secondary Outcomes

Declaration rate of incident associated with patient injury in both groups

Time frame: 18 months

Repartition of patient injury in different classes in both groups.

Time frame: 18 months

Repartition of incidents causes in different classes in both groups.

Time frame: 18 months

Repartition of preventive actions in different classes in both groups.

Time frame: 18 months

Repartition of correctives actions in different classes in both groups.

Time frame: 18 months

A mean score of french version of Medical Office Survey on Patient Safety (MOSPS) in both groups, including a mean score for each dimension of the survey.

Time frame: 1 &18 months

Identification of brakes and levers (qualitative assessment) of program implementation in intervention group.

Time frame: after 18 months

Psychometric analysis of Medical Office Survey on Patient Safety (french translation) for dimensional structuration of the survey.

Time frame: 1 month

Data from ClinicalTrials.gov

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