Enhancing public safety in primary care

Wilson, Tim

doi:10.1136/bmj.324.7337.584

Cited by 77 publications

(44 citation statements)

References 11 publications

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“…Derzeit gibt es Hinweise darauf, dass QMS-Aktivitäten Prozesse verbessern [1,8]. Studien belegten die qualitätsverbes-sernde Wirkung einzelner Qualitätsins-trumente wie Leitlinienanwendung [4], Audit und Rückmeldungen [6] oder Medikationspläne [12].…”

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Qualitätsmanagement in kinder- und jugendärztlichen Praxen

Cruppé

Nguyen

Weissenrieder

et al. 2010

Monatsschr Kinderheilkd

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Qualitätsmanagement in kinder- und jugendärztlichen Praxen

Cruppé

Nguyen

Weissenrieder

et al. 2010

Monatsschr Kinderheilkd

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“…Une restitution de ces résultats a été réalisée auprès des SFL impliquées dans ce dispositif, en novembre 2006, pour les sensibiliser, et un courrier a été envoyé en juin 2007 pour préciser l'importance de ce retour pour des raisons de traçabilité d'activité et de suivi épidémiologique. Cette difficulté de suivi médical ou de retour de dossier lors de trajectoire des patients est une zone de faiblesse dans le processus de soin, quelle que soit la spécialité [12].…”

Section: Taux De Retour Des Dossiers De Suiviunclassified

Early post-partum discharge with home follow-up: feasibility and safety

et al. 2009

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“…18 In 2002, Wilson and Sheikh considered public safety in primary care and identified prescribing as one of four key safety issues. 19 They proposed that '3-5% of all prescriptions in primary care might cause problems and one third of these can be classified as serious'. In the PRACtICe (prevalence and causes of prescribing errors in general practice) study, which looked at errors in general practice, a wide range of underlying causes of error were identified relating to the prescriber, the patient, the team, the working environment, the task, the computer system and the primary/secondary care interface.…”

Section: Key Pointsmentioning

confidence: 99%

The need for a prescribing competency framework to address the burden of complex polypharmacy among multiple long-term conditions

Picton

Loughrey²,

Webb

2016

Clinical Medicine

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The original requirement for a competency framework for prescribers was to identify the essential skills for nonmedical prescribers. However, core prescribing competencies are relevant to any prescriber. The new, revised version is especially relevant for doctors/physicians. Doctors are the most frequent prescribers -prescribing is the most common therapeutic intervention. The quantity and complexity of medicine use is increasing through multiple treatment strategies/pathways for multiple comorbidities, resulting in polypharmacy -especially with long-term conditions. This is against a background of the ongoing introduction of new drugs with novel mechanisms of action with increased risks of adverse effects, compounded by drug-drug and diseasedrug interactions. This has increased the need for monitoring and follow-up, including identification and management of poor adherence. It is challenging for doctors to maintain safe and effective prescribing and train other doctors and non-medical prescribers within the multidisciplinary team.The prescribing competency framework provides a systematic approach to support doctors to prescribe safely and effectively. It can be used by medical schools to teach prescribing, including preparation for the prescribing safety assessment; by F1/F2 doctors to support prescribing in early years; as part of prescribing quality improvement initiatives and as a continuing professional development framework in general practice or acute care settings.

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Enhancing public safety in primary care

Cited by 77 publications

References 11 publications

Qualitätsmanagement in kinder- und jugendärztlichen Praxen

Qualitätsmanagement in kinder- und jugendärztlichen Praxen

Early post-partum discharge with home follow-up: feasibility and safety

The need for a prescribing competency framework to address the burden of complex polypharmacy among multiple long-term conditions

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