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Table 2 Results of the web-based survey in the Linneaus project (n = 65)

From: Organisational targets of patient safety improvement programs in primary care; an international web-based survey

  Item1 Number Percentage scored
    “Extremely important”
1 The practice uses only sterile equipment with small surgical procedures. (A ) 41/65 63.1%
2 The practice has adequate emergency drugs in stock. (C) 39/65 60.0%
3 Facilities are regularly cleaned (e.g. spirometry). (A) 38/65 58.5%
4 Sterile surgical gloves are used when recommended in prevailing guidelines. (A) 37/65 56.9%
5 There is at least one adequately trained staff member available to deal with collapse and need for resuscitation. (C) 36/64 56.3%
6 When a patient is discharged from the hospital adequate information is handed over to the GP. (F) 35/63 55.6%
7 GPs are periodically trained in basic life support and other medical emergencies. (C) 34/64 53.1%
8 Major diseases and health problems are labeled in the patient record (for example in a problem list). (E) 28/65 43.1%
9 A hygiene protocol is known to all clinicians at the practice. (A) 28/65 43.1%
10 The patient record system has a facility for information back-up. (B) 27/63 42.9%
11 An AED is present in the practice. (C) 27/65 41.5%
12 There is a system for showing alerts to inform GPs of seriously abnormal test results. (G) 27/65 41.5%
13 The practice analyses the reported incidents, and takes adequate actions. (D) 25/63 39.7%
14 Every clinical telephonic advice given is noted in the patient record. (E) 25/65 38.5%
15 There is an actual list of medication used present in the practice for every patient. (I) 23/63 36.5%
16 The practice has a control programme for oral anticoagulants when prescribed and dosed by the practice. (I) 23/63 36.5%
17 The practice has all documentation included in an electronic patient record system. (B) 23/63 36.5%
18 All prescriptions are done in an electronic prescribing system in the practice. (B) 22/63 34.9%
19 The practice analyses patient complaints. and takes adequate actions. (D) 22/63 34.9%
20 There is an explicit procedure for supplying and checking the content of the doctor’s bag. (C) 20/64 31.3%
21 The practice has an emergency telephone line. (J) 19/65 29.2%
22 Is it easy to get in contact with out-of-hours service. (J) 19/65 29.2%
23 Reminders and alerts regarding safety issues are integrated in the patient record system in the practice. (G) 18/65 27.7%
24 Patients can report incidents or complaints at the practice. (D) 17/63 27.0%
25 Computerized decision support regarding medication safety is present in the practice. (G) 17/65 26.2%
26 The practice has a control program for diabetes patients with regular HbA1c levels. (I) 14/63 22.2%
27 There is a adequate triage on the telephone to assess the urgency of the complaints. (J) 14/65 21.5%
28 The practice uses a national or international classification of diseases in the patient records. (E) 14/65 21.5%
29 The practice uses a procedure for reviewing repeat prescribing. (I) 13/63 20.6%
30 The practice has an incident register and healthcare workers reports incidents. (D) 13/63 20.6%
31 Out-of-hour care providers have access to the patient record. (E) 13/65 20.0%
32 The practice performs a periodic review of medication with pharmacists in patients who use risk full (combinations of) medication. (I) 12/63 19.0%
33 Clinical guidelines on the most prevailing diseases are present in the practice. (G) 12/65 18.5%
34 Patient complaints are registered in the practice. (D) 11/63 17.5%
35 The practice has a system for annual control of potassium and kidney function in patients using diuretics. (I) 11/63 17.5%
36 Measurement and feedback on safety culture in practice is done. (H) 11/64 17.2%
37 There is a system for recalling patients who need blood test monitoring. (G) 11/65 16.9%
38 If more than one health professional is involved in the treatment, one is clearly the central care provider. (F) 10/63 15.9%
39 Written protocols are present for the most high risk processes in care delivery. (H) 10/64 15.6%
40 There is a possibility to do diagnostic tests immediately if necessary (e.g. for C-Reactive Protein and D-dimer). (C) 10/64 15.6%
41 Known prevalence of major chronic diseases. like diabetes and depression. are documented in the practice and in line with national figures. (G) 9/65 13.8%
42 In the practice data are collected and analyzed regarding patient safety: for example: deceased patients, unplanned hospital admissions, delayed or missed diagnosis. (H) 8/64 12.5%
43 There is a system for recording outgoing requests and incoming results for diagnostic tests. (G) 8/65 12.3%
44 Patients in the practice are actively invited to raise concerns regarding patient safety as members of advisory groups. (D) 7/63 11.1%
45 The practice has a system to avoid that NSAID is prescribed without gastric protection when recommended. (I) 6/63 9.5%
46 The practice has an electronic prescribing system that is directly linked to a pharmacy. (I) 6/63 9.5%
47 The practice has working agreements with pharmacists. (I) 6/63 9.5%
48 The GP improves his knowledge on rare diseases when such a disease is diagnosed in one of the patients. (H) 6/64 9.4%
49 Patients with 3 or more different professional care providers are periodically discussed in a team meeting. (F) 5/63 7.9%
50 Every contact on the phone (for example with the practice nurse) is authorized by a GP on the same day. (J) 4/65 6.2%
51 A translator service is available in the practice. (J) 2/65 3.1%
52 The practice undergoes periodic audits by an external inspection authority. (H) 1/64 1.6%
  1. The items are ranked by importance score.
  2. 1 Domain A: hygiene, B: Information technology, C: emergency medicine, D: Incident reporting, E: patient records, F: coordination, G: decision support tools, H: quality improvement, I: medication, J: Accessibility/ triage.