ABSTRACT To gain insight into the frequency, severity, causes and consequences of potentially pre... more ABSTRACT To gain insight into the frequency, severity, causes and consequences of potentially preventable patient-safety incidents in Dutch primary care. Retrospective medical record review study. We screened a sample of 1000 medical records in 20 general practices and 1145 medical records with four out-of-hours general practitioner (GP) cooperatives. Potential incidents were evaluated by experienced GPs. A total of 9546 contacts with GPs were screened: 8401 contacts during office hours and 1145 in out-of-hours care. During the first phase of the medical record review, 260 and 56 potential incidents were found. After evaluation by experts,211 and 27 cases were deemed to be patient-safety incidents. This is an incidence rate of 2.5% (general practices) and 2.4% (out-of-hours GP cooperatives). Most of the incidents did not have any consequences for the patients concerned. We did not find any incidents that had resulted in permanent harm or death. Patient safety incidents do occur in primary care, but most do not have severe health outcomes for the patient. This has to be taken into account when assessing and improving patient safety in primary care.
Donaldsons' Essential Public Health is the Third Edition of the widely acclaimed and best-sel... more Donaldsons' Essential Public Health is the Third Edition of the widely acclaimed and best-selling Essential Public Health. It is the standard text in a great number of institutions and is widely read by students and practitioners across a range of disciplines. This greatly expanded and updated text brings together, in one volume, the principles and applications of epidemiology, the main health problems experienced by populations and by the main groups within them, the strategies for intervention to promote health and prevent disease, the main themes underlying health policy formulation and a description of the provision of health services. It includes entirely new chapters and topics considering current concerns, changes in policy, recent developments and trends and major NHS reforms, including outbreaks of new and emerging diseases, pandemics, the increasing elderly population, disability, and the promotion of health in young people. The practical, easy to comprehend approach encompasses the entire scope of modern public health whilst describing and discussing the range of services required in providing a comprehensive system of care. The book is essential reading for all students of public health, as well as students of medicine, nursing, health visiting, policy and social science. Those involved in courses of postgraduate study, particularly those in public health, will find it of great value. It is a source of knowledge and information for those from a variety of different disciplines who are embarking on a career in public health and is an extremely useful resource for established practitioners - public health doctors, senior nurses, general practitioners and health visitors. It is also highly recommended for healthcare policy makers and shapers, healthcare service managers, and members of NHS boards and Primary Care Trusts.
ABSTRACT To gain insight into the frequency, severity, causes and consequences of potentially pre... more ABSTRACT To gain insight into the frequency, severity, causes and consequences of potentially preventable patient-safety incidents in Dutch primary care. Retrospective medical record review study. We screened a sample of 1000 medical records in 20 general practices and 1145 medical records with four out-of-hours general practitioner (GP) cooperatives. Potential incidents were evaluated by experienced GPs. A total of 9546 contacts with GPs were screened: 8401 contacts during office hours and 1145 in out-of-hours care. During the first phase of the medical record review, 260 and 56 potential incidents were found. After evaluation by experts,211 and 27 cases were deemed to be patient-safety incidents. This is an incidence rate of 2.5% (general practices) and 2.4% (out-of-hours GP cooperatives). Most of the incidents did not have any consequences for the patients concerned. We did not find any incidents that had resulted in permanent harm or death. Patient safety incidents do occur in primary care, but most do not have severe health outcomes for the patient. This has to be taken into account when assessing and improving patient safety in primary care.
Donaldsons' Essential Public Health is the Third Edition of the widely acclaimed and best-sel... more Donaldsons' Essential Public Health is the Third Edition of the widely acclaimed and best-selling Essential Public Health. It is the standard text in a great number of institutions and is widely read by students and practitioners across a range of disciplines. This greatly expanded and updated text brings together, in one volume, the principles and applications of epidemiology, the main health problems experienced by populations and by the main groups within them, the strategies for intervention to promote health and prevent disease, the main themes underlying health policy formulation and a description of the provision of health services. It includes entirely new chapters and topics considering current concerns, changes in policy, recent developments and trends and major NHS reforms, including outbreaks of new and emerging diseases, pandemics, the increasing elderly population, disability, and the promotion of health in young people. The practical, easy to comprehend approach encompasses the entire scope of modern public health whilst describing and discussing the range of services required in providing a comprehensive system of care. The book is essential reading for all students of public health, as well as students of medicine, nursing, health visiting, policy and social science. Those involved in courses of postgraduate study, particularly those in public health, will find it of great value. It is a source of knowledge and information for those from a variety of different disciplines who are embarking on a career in public health and is an extremely useful resource for established practitioners - public health doctors, senior nurses, general practitioners and health visitors. It is also highly recommended for healthcare policy makers and shapers, healthcare service managers, and members of NHS boards and Primary Care Trusts.
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