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Avoidable care associated incidents are relatively frequent in primary care. In France for example, avoidable incidents rate is estimated to 22/1000 medical acts from general practitioners. Patient safety is now a growing issue in primary care. One tool to increase patient safety is incident reporting and analysis. It could reduce some important consequences for patients and could allow implementing substantial corrective actions.
The aim of the PRisM study is to assess and compare the efficiency of a multifaceted risk management program implemented in the french pluridisciplinary offices in primary care in association with a centralized incident reporting system, versus a centralized incident reporting system only.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multiprofessional primary care offices with PRisM | 25 multiprofessional primary care offices. Each professional of care of the offices (about 10 FTE / office) have to declare each adverse event that occurs in their office during 18 months. |
| |
| Multiprofessional primary care offices without PRisM | 25 multiprofessional primary care offices. Each professional of care of the offices (about 10 FTE / office) have to declare each adverse event that occurs in their office during 18 months. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRisM | Other | A risk management program for each professional of care in multiprofessional primary care offices in France. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Annual incident declaration rate by full-time equivalent in both groups. | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Declaration rate of incident associated with patient injury in both groups | 18 months | |
| Repartition of patient injury in different classes in both groups. | 18 months | |
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Inclusion Criteria:
Exclusion Criteria:
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Multiprofessional primary care offices in France (MSP, SS, PS)
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| Name | Affiliation | Role |
|---|---|---|
| Marc CHANELIERE, MD | Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pôle IMER - Hospices Civils de Lyon | Lyon | 69424 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38971743 | Derived | Chaneliere M, Buchet-Poyau K, Keriel-Gascou M, Rabilloud M, Colin C, Langlois-Jacques C, Touzet S. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. BMC Prim Care. 2024 Jul 6;25(1):244. doi: 10.1186/s12875-024-02476-4. |
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| Repartition of incidents causes in different classes in both groups. |
| 18 months |
| Repartition of preventive actions in different classes in both groups. | 18 months |
| Repartition of correctives actions in different classes in both groups. | 18 months |
| A mean score of french version of Medical Office Survey on Patient Safety (MOSPS) in both groups, including a mean score for each dimension of the survey. | 1 &18 months |
| Identification of brakes and levers (qualitative assessment) of program implementation in intervention group. | after 18 months |
| Psychometric analysis of Medical Office Survey on Patient Safety (french translation) for dimensional structuration of the survey. | 1 month |