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Table 2 Views on importance and implementation of patient safety interventions

From: What do primary care physicians and researchers consider the most important patient safety improvement strategies?

Facilities in the practice % scored "very much important
for patient safety"
Percentage ">50%
present in country"
Computerised medical record system, which is adequately kept 82.3 82.7
Telephone facilitities that allow quick access to the practice, particularly for urgent health problems 70.7 82.7
Planned checks of safety of equipment, medication, and other facilities in the practice 69.0 53.8
Access to web-based clinical guidance tools in daily practice 68.0 57.6
Forms for reporting incidents available 67.9 28.3
Working agreements with pharmacists when problems arise with delivering medication e.g. alerts, interaction 67.3 46.2
Reminders and alerts regarding safety issues, which are integrated in the medical record system 61.5 43.1
Computerised decision support regarding medication safety in daily practice 60.8 44.0
Computerised decision support regarding test ordering in daily practice 47.1 13.7
Patient safety management % scored "very much important for patient safety" Percentage ">50% present in country"
Practice-based reporting and analysis of incidents (e.g. significant event audit) 74.5 19.2
Reporting and analysis of incidents in small educational groups (e.g. quality circles) 66.0 7.7
Measurement and feedback on safety culture in general practices 60.4 3.8
Nationwide or regional educational reporting system for incidents 57.7 11.5
Measurement and feedback on indicators for patient safety 57.7 5.7
Hygiene protocols and guidelines present 56.9 39.6
Campaigns to increase patients' and public awareness of patient safety in general practice 39.6 3.8
Periodic audits by an external inspection authority 38.5 13.5
Nationwide or regional incident reporting weeks 33.3 2.0
Surveys and other types of consultations of patients regarding safety incidents 0 3.8
Communication and collaboration % scored "very much important for patient safety" Percentage ">50% present in country"
Standards for record keeping (ICPC coding, electronic records) 75.0 62.3
Integrated medical records for communication with specialists and others 65.4 9.4
Structured formats for information on referral of patients 61.5 22.6
Electronic prescriptions and integrated medication overview in the records from the pharmacist 59.6 17.2
Periodic review of medication by pharmacists in patients who use dangerous (combinations of) medication 51.9 3.8
Comprehensive analysis of prescribing decisions in the pharmacy, using decision support systems 49.1 53.8
Patient-held medical records 41.2 13.2
Generic conditions for patient safety % scored "very much important for patient safety" Percentage ">50% present in country"
Culture and mentality which facilitates learning from incidents 73.6 9.6
Understanding of patient safety in health professionals, particularly regarding how it differs from complications of treatment 64.2 9.6
Workload is perceived as acceptable in general practice 52.9 13.5
Adequate procedures for identifying and managing burn-out in health professionals 50.9 0
Availability of information technology in general practice, and skills to use these adequately 0 34.6
Education on patient safety % scored "very much important for patient safety" Percentage ">50% present in country"
Education on patient safety in the vocational training of GPs 81.1 23.5
A guideline on patient safety is available 80.9 15.2
Education on patient safety in the vocational training of practice nurses 79.2 8.9
Postgraduate education on patient safety of GPs 78.7 13.7
Postgraduate education on patient safety of practice nurses 77.1 7.0
Education on patient safety in the medical curriculum, before graduation 73.6 17.3
Education on patient safety in the nursing curriculum, before graduation 72.5 13.6