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Sustainability can be defined by several dimensions: the pursuit of program elements, the maintenance of its effectiveness, its integration into work processes, the adaptation of the program to the local context, its integration into the organizational culture, the dissemination of the program to other centres. Studies show that the continuation of the entire intervention is rare once the research stops.
The PRisM study (Pluriprofessionality and Risk Management through a Multifaceted Program in Primary Care) was a primary care risk management (RM) research project. Its purpose was to develop a safety culture within the participating multi-professional primary care structures. From 2015 to 2017, multi-professional primary care offices participated in the study, half of which implemented a RM program consisting of: 1) Training on RM in the context of primary care; 2) The appointment of a RM referent; 3) The conduct of six meetings of systematic analysis of incidents.
The PRisM study represents a favorable ground for the development of a methodology for evaluating the sustainability of a RM program in primary care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRisM program | Pluriprofessional primary care offices with the PRiSM RM program:
|
| |
| Control | Pluriprofessional primary care offices without the PRiSM RM program:
|
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sustainability of a research program in risk management | Other | No intervention will be implemented in the present study. The investigators will evaluate of the sustainability of a research program in risk management in pluriprofessional primary care offices:
|
| Measure | Description | Time Frame |
|---|---|---|
| patient safety culture | - Qualitatively assessed through the model developed for health by Reiman, which apprehends the safety culture through organizational dimensions, social processes and psychological dimensions | 24 months from the end of the PRiSM study in 2017 (2019) |
| patient safety culture | - Quantitatively assessed through 13 safetyclimate dimensions measured by the Medical Office Survey on Patient Safety Culture (MOSPS) Questionnaire | 24 months from the end of the PRiSM study in 2017 (2019) |
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Inclusion Criteria:
Exclusion Criteria:
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Pluriprofessional primary care offices in France (called "centre, pôle et maison de santé pluridisciplinaire")
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pauline OCCELLI, MD | Contact | 04 78 86 19 73 | +33 | pauline.occelli@chu-lyon.fr |
| Karine POYAU, PhD | Contact | 04 72 11 53 81 | +33 | karine.poyau@chu-lyon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Pauline OCCELLI, MD | Hospices Civils de Lyon | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pôle de Santé publique des HCL | Recruiting | Lyon | France |
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| ID | Term |
|---|---|
| D012308 | Risk Management |
| ID | Term |
|---|---|
| D005376 | Financial Management |
| D004467 | Economics |
| D004472 | Health Care Economics and Organizations |
| D009934 | Organization and Administration |
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| D006298 | Health Services Administration |