Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19)
Autores da FMUP
Participantes de fora da FMUP
- Van Poel, Esther
- Vanden Bussche, Pierre
- Collins, Claire
- Lagaert, Susan
- Ares-Blanco, Sara
- Astier-Pena, Maria Pilar
- Gabrani, Jonila
- Gomez Bravo, Raquel
- Hoffmann, Kathryn
- Klemenc-Ketis, Zalika
- Mallen, Christian
- Ozvacic, Zlata
- Tkachenko, Victoria
- Zwart, Dorien
- Willems, Sara
Unidades de investigação
Abstract
Background: This article aims to examine patient safety in general practice during COVID-19. Methods: In total, 5489 GP practices from 37 European countries and Israel flled in the online self-reported PRICOV-19 survey between November 2020 and December 2021. The outcome measures include 30 patient safety indicators on structure, process, and outcome. Results: The data showed that structural problems often impeded patient safety during COVID-19, as 58.6% of practices (3209/5479) reported limitations related to their building or infrastructure. Nevertheless, GP practices rapidly changed their processes, including the appointment systems. Implementation proved challenging as, although 76.1% of practices (3751/4932) developed a protocol to answer calls from potential COVID patients, only 34.4% (1252/3643) always used it. The proportion of practices reported having suffcient protected time in general practitioners' schedules to review guidelines remained consistent when comparing the pre-COVID (34.2%,1647/4813) with the COVID period (33.2%,1600/4813). Overall, 42.8% of practices (1966/4590) always informed home care services when patients were diagnosed with COVID19, while this decreased to 30.1% for other major infectious diseases (1341/4458). Most practices reported at least one incident of delayed care in patients with an urgent condition, most often because the patient did not come to the practice sooner (60.4%, 2561/4237). Moreover, 31.1% of practices (1349/4199) always organized a team discussion when incidents happened. Overall, large variations were found across countries and patient safety indicators. Conclusions: The results demonstrated that European GP practices adopted numerous measures to deliver safe care during COVID-19. However, multilayered interventions are needed to improve infection control and GP practice accessibility in future pandemics.
Dados da publicação
- ISSN/ISSNe:
- 0263-2136, 1460-2229
- Tipo:
- Article
- Páginas:
- -
- Link para outro recurso:
- www.scopus.com
Family Practice Oxford University Press
Documentos
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Filiações
Keywords
- COVID-19; primary health care; quality of health care; patient safety; International comparison
Proyectos asociados
Digital maturity and its determinants in General Practice: a cross sectional study in 20 countries
Investigador Principal: Ana Luisa Fernandes Neves Soares
Estudo Clínico Académico . 2023
Citar a publicação
Van E,Vanden P,Collins C,Lagaert S,Ares S,Astier MP,Gabrani J,Gomez R,Hoffmann K,Klemenc Z,Mallen C,Neves AL,Ozvacic Z,Tkachenko V,Zwart D,Willems S. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Fam. Pract. 2024. 42. (2):cmae059. IF:2,200. (3).