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Table 1 The 16 accreditation standards

From: Experiences of accreditation impact in general practice – a qualitative study among general practitioners and their staff

Name of standard Focus areas
1. The professional quality Use of diagnosis coding.
Collection, analysis and use of clinical data for quality improvement.
2. Use of good clinical practice Adherence to clinical guidelines particularly for diabetes and COPD.
Special attention to vulnerable patients via a yearly plan for a selected group
3. Adverse events Reporting, follow-up and process for learning in case of adverse events.
4. Patient evaluations Completion of a patient evaluation and follow-up on the results.
5. Prevention of confusion of patient’s identity Identification of patients principally by social security number and labelling of diagnostic material.
6. Prescription of medicine and renewal of prescriptions Rational and safe medicine ordination and renewal of prescriptions.
Participation in regional initiatives for correct medicine management.
Annual assessment of patients’ list of medicine.
Reporting of side effects.
7. Paraclinical tests (blood samples, urine samples, histological tests, smear tests, microbiological tests and diagnostic imaging tests) Execution of tests and handling of test materials.
Quality control of equipment.
Requisition and follow-up of paraclinical tests.
Procedures for test results in case of GP’s absence.
Procedures for missing tests results.
8. Emergency response and cardiac arrest Handling of acute disease and cardiac arrest in the clinic.
Regular control of emergency equipment and medicine (functionality, accessibility and expiry dates).
Documentation of participation in cardiopulmonary resuscitation course within the last three years.
9. The patient health record, data safety and confidentiality Content of patient health record conforms to current legislation.
Journal audit performed and followed-up upon if needed.
Safe storage, handling and destruction of sensitive personal data.
Discretion and confidentiality for patients.
10. Accessibility Accessibility in accordance with the collective agreement (e.g. telephone hours, opening hours and waiting time).
Physical accessibility.
Visitation of patients.
Online practice declaration with relevant information.
11. Referral Relevant and adequate content and handling of referrals.
12. Coordination of patient care Coordination and continuity of patient trajectories in the clinic and in collaboration with other health care providers.
13. Acquisition, storage and disposal of clinical utensils and medicine/vaccines Sufficient stuck of utensils, medicine and vaccines.
Correct storage of medicine e.g. at the right temperature.
Control of expiry dates.
Correct disposal.
14. Hygiene Cleaning of the clinic and inventory.
Cleaning and storage of medical equipment.
Correct hand hygiene.
Management of infectious patients.
15. Management and operations Ensuring good management via plans for quality improvement, division of responsibilities and tasks, quality control and development goals.
16. Hiring, introduction and competency development Procedures for employing new staff with the right competences, for introducing new doctors and staff, for supervising staff and doctors in training and for ensuring on-going competency development.