Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19)

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Ana Luisa Fernandes Neves Soares

    Autor

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

Family Practice  Oxford University Press

Tipo:
Article
Páginas:
-
Link para outro recurso:
www.scopus.com

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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

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