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Table 1 The 16 standards of the accreditation programme

From: The survey visit as a key evaluative event in accreditation–a qualitative study of survey visit experiences among surveyors and general practice professionals

Standard

Standard content

1. The professional quality

Use of diagnosis coding

Collection, analysis and use of clinical data for quality improvement

2. Use of good clinical practice

Detection, course of treatment and division of labour between GP and staff for patients with diabetes or COPD and for vulnerable patients

3. Adverse events

Reporting, follow-up and process for learning in case of adverse events

4. Patient evaluations

Completion of a patient evaluation via DAK-E 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

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

Participation in cardiopulmonary resuscitation course

9. The patient health record, data safety and confidentiality

Content of patient health record conforms to current legislation

Journal audit performed and follow-up upon if needed

Safe storage, handling and destruction of sensitive personal data

Discretion and confidentiality in patient contacts

10. Availability

Accessibility in accordance with 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 internal patient trajectories and externally 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 expiration 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 operational activities

Ensure clear leadership, resource optimisation and development by having a plan containing plans for quality improvement, division of responsibilities and tasks, quality monitoring of e.g. patient records, equipment and medicine, and development of the clinic and development goals

16. Hiring, introduction and competency development

Ensure correct competences when hiring

Introduction of new GPs, GPs in training and staff

Supervision and competency development