Management of Cardiovascular Risk Factors in High Risk Patients: Correlates of Quality of Care

Slovenian Journal of Public Health

Deilkås

Hofoss

et al. 2017

IntroductionPatient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it.MethodsThis was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety.ResultsOut of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV.ConclusionThe safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.

Section: Introductionmentioning

confidence: 99%

Patient safety culture in Slovenian out-of-hours primary care clinics

Slovenian Journal of Public Health

Deilkås

Hofoss

et al. 2017

“…Family practice teams can play an important role but can also be exposed to a greater workload (Petek Ster et al . , Petek & Kersnik ). NPs have the opportunity and the ability to manage some of the patients at risk of cardiovascular diseases either themselves or in partnership with family physicians (FPs), therefore, reducing the burden of work faced by family physicians while still assuring an appropriate quality of care (Riley , Kilpatrick et al .…”

Section: Introductionmentioning

confidence: 96%

Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study

Journal of Clinical Nursing

Terbovc

Gomišček

et al. 2015

Self Cite

“…Family physicians (FPs) are more involved in unofficial and ad hoc forms of quality improvement than in formalised procedures. There are formal instruments for assessing quality, such as attestation of physicians, voluntary certification and accreditation, and mandatory licensing of physicians or nurses, but quality of primary health care has not yet been systematically assessed by quality indicators ( 10 ), despite the fact that a set of quality indicators was developed for cardiovascular prevention ( 11 , 12 ) and that there is ample scientific evidence in this field in the literature ( 1 , 5 - 7 , 13 - 17 )…”

Section: Introductionmentioning

confidence: 99%

Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia

Slovenian Journal of Public Health

Švab

Susič

2017

IntroductionA new form of family practices was introduced in 2011 through a pilot project introducing nurse practitioners as members of team and determining a set of quality indicators. The aim of this article was to assess the quality of diabetes and hypertension management.MethodsWe included all family medicine practices that were participating in the project in December 2015 (N=584). The following data were extracted from automatic electronic reports on quality indicators: gender and specialisation of the family physician, status (public servant/self-contracted), duration of participation in the project, region of Slovenia, the number of inhabitants covered by a family medicine practice, the name of IT provider, and levels of selected quality indicators.ResultsOut of 584 family medicine practices that were included in this project at the end of 2015, 568 (97.3%) had complete data and could be included in this analysis. The highest values were observed for structure quality indicator (list of diabetics) and the lowest for process and outcome quality indicators. The values of the selected quality indicators were independently associated with the duration of participation in the project, some regions of Slovenia where practices were located, and some IT providers of the practices.ConclusionFirst, the analysis of data on quality indicators for diabetes and hypertension in this primary care project pointed out the problems which are currently preventing higher quality of chronic patient management at the primary health care level.