Central or local incident reporting? A comparative study in Dutch GP out-of-hours services

British Journal of General Practice

Volumn 61, Issue 584, 2011, Pages 183-187

  Zwart, Dorien L M ^a   Van Rensen, Elizabeth L J ^a   Kalkman, Cor J ^a   Verheij, Theo J M ^a  

^a UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

Author keywords

After hours care; General practice; Medical error; Primary care; Risk management

Indexed keywords

ADVISORY COMMITTEE; ARTICLE; CENTRALISED INCIDENT REPORTING; COMPARATIVE STUDY; FOLLOW UP; GENERAL PRACTICE; INCIDENT REPORT; INTERVENTION STUDY; LOCAL INCIDENT REPORTING; NETHERLANDS; OUTCOME ASSESSMENT; PATIENT SAFETY; QUASI EXPERIMENTAL STUDY; WORKING TIME; CLINICAL TRIAL; HEALTH CARE DELIVERY; HUMAN; MEDICAL ERROR; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; RISK MANAGEMENT; STATISTICS;

AFTER-HOURS CARE; FAMILY PRACTICE; HUMANS; MEDICAL ERRORS; NETHERLANDS; RISK MANAGEMENT;

EID: 79955807989     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp11X561168     Document Type: Article

References (36)

1. Wilson T, Pringle M, Sheikh A. Promoting patient safety in primary care. BMJ 2001; 323(7313): 583-584. (Pubitemid 32846118)
2. Dodds A, Fulop N. The challenge of improving patient safety in primary care. Br J Gen Pract 2009; 59(568): 805-806.
3. Leape LL. A systems analysis approach tomedical error. J Eval Clin Pract 1997; 3(3): 213-222. (Pubitemid 127499689)
4. Vincent C. Incident reporting and patient safety. BMJ 2007; 334(7584): 51. (Pubitemid 46122221)
5. Hoffmann B, Beyer M, Rohe J, et al. 'Every error counts': a web-based incident reporting and learning system for general practice. Qual Saf Health Care 2008; 17(4): 307-312.
6. Sandars J, Esmail A. The frequency and nature of medical error in primary care: understanding the diversity across studies. Fam Pract 2003; 20(3): 231-236. (Pubitemid 36722457)
7. Wetzels R, Wolters R, van WC, Wensing M. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam Pract 2008; 9: 35.
8. NHS National Patient Safety Agency. National reporting and learning service. http://www.nrls.npsa.nhs.uk/home/ (accessed 9 Aug 2010).
9. Conradi M. Fouten van huisarsten. Amsterdam: Uitgeverij Boom, 1995.
10. Van Uden CJ, Giesen PH, Metsemakers JF, Grol RP. Development of out-of-hours primary care by general practitioners (GPs) in The Netherlands: from small-call rotations to large-scale GP cooperatives. Fam Med 2006; 38(8): 565-569. (Pubitemid 44395322)
11. Ruffles S. Promoting patient safety in primary care. Practices should set up their own critical incident reporting. BMJ 2002; 324(7329): 109.
12. Sheikh A, Hurwitz B. Setting up a database of medical error in general practice: conceptual and methodological considerations. Br J Gen Pract 2001; 51(462): 57-60. (Pubitemid 32015762)
13. Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Arch Dis Child Fetal Neonatal Ed 2008; 94(3): F210-215.
14. Zwart D, Steerneman AHM, Van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary health care: the SPIEGEL-study. BMJ Qual Saf 2011; 20: 121-127: doi:10.1136/bmjqs.2009.033472 .
15. Cook TD, Campbell DT. Quasi-experimentation: design and analysis issues for field settings. Chicago, IL: Rand McNally, 1979.
16. Deming WE. Out of the crisis. Cambridge, MA: MIT Center for Advanced Engineering Study, 1986.
17. Habraken M, Schaaf TWvd, Beusekom BR, Huygelen C. Beter analyseren van incidenten [Better analysis of incidents]. Medisch Contact 2005; 60(22): 940-943.
18. Leistikow IP, Ridder den K. Patiëntveiligheid. Systematische incident reconstructie en evaluatie [Patient. Systematic incident reconstruction and evaluation]. Maarssen: Elsevier Gezondheidszorg, 2005.
19. Dovey SM, Meyers DS, Phillips RL Jr, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care 2002; 11(3): 233-238. (Pubitemid 35265252)
20. Rubin G, George A, Chinn DJ, Richardson C. Errors in general practice: development of an error classification and pilot study of a method for detecting errors. Qual Saf Health Care 2003; 12(6): 443-447. (Pubitemid 37542024)
21. Metz JCM, van der Vleuten CPM, Scherpbier AJJA (red.). Medisch onderwijs in de praktijk. [Medical Education in Daily Practice]. Chapter 7: Toetsing van medische competentie. [Testing of medical competencies]. Assen: Van Gorcum, 1995.
22. Wester F. Analyse van kwalitatief onderzoeksmateriaal. [Analysis of qualitative research data] Huisarts en Wetenschap 2004; 47(12): 565-570. (Pubitemid 39545777)
23. Habraken MM, van der Schaaf TW, Leistikow IP, Reijnders-Thijssen PM. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Ergonomics 2009; 52(7): 809-819.
24. Beyer M, Gerlach FM. Fehler in der Algemeinpraxis - ergebnisse derinternationalen PCISME-studie in Deutschland. [Errors in general practice- experience from the international PCISME-study in Germany.] Zeitschrift fur Allgemeinmedizin 2003; 79(7): 336-338. (Pubitemid 36885695)
25. Bhasale AL, Miller GC, Reid SE, Britt HC. Analysing potential harmin Australian general practice: an incident-monitoring study. Med J Aust 1998; 169(2): 73-76. (Pubitemid 28369446)
26. Dovey SM, Phillips RL, Green LA, Fryer GE. Types of medical errors commonly reported by family physicians. Am Fam Physician 2003; 67(4): 697.
27. Elder NC, Vonder MM, Cassedy A. The identification of medical errors by family physicians during outpatient visits. Ann Fam Med 2004; 2(2): 125-129. (Pubitemid 39329079)
28. Fernald DH, Pace WD, Harris DM, et al. Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative. Ann Fam Med 2004; 2(4): 327-332. (Pubitemid 39107889)
29. Fischer G, Fetters MD, Munro AP, Goldman EB. Adverse events in primary care identified froma risk-management database. J Fam Pract 1997; 45(1): 40-46.
30. Wilf-Miron R, Lewenhoff I, Benyamini Z, Aviram A. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Health Care 2003; 12(1): 35-39. (Pubitemid 36241254)
31. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet 2003; 362(9391): 1225-1230. (Pubitemid 37255352)
32. Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care 2009; 18(1): 11-21.
33. Barach P, Small SD. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ 2000; 320(7237): 759-763. (Pubitemid 30179427)
34. Evans SM, Smith BJ, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care 2007; 16(3): 169-175. (Pubitemid 46972858)
35. Kaplan HS, Fastman BR. Organization of event reporting data for sense making and system improvement. Qual Saf Health Care 2003; 12(suppl 2): ii68-ii72.
36. Vincent CA. Analysis of clinical incidents: a window on the system not a search for root causes. Qual Saf Health Care 2004; 13(4): 242-243. (Pubitemid 39070886)