alexa Quality Assurance In Health Service Contracts: Governance Of Patient Safety In General Practice
ISSN: 2167-065X

Clinical Pharmacology & Biopharmaceutics
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading
Loading Please wait..
 

2nd International Summit on Clinical Pharmacy
December 02-03, 2014 DoubleTree by Hilton Hotel San Francisco Airport, USA

David M Rea
Accepted Abstracts: Clinic Pharmacol Biopharm
DOI: 10.4172/2167-065X.S1.008
Abstract
Over the past twenty years, health care has adapted to the ?quality revolution? by moving away from direct provision and hierarchical control mechanisms. In their place, new structures based on contractual relationships are being developed coupled with attempts to create an organisational culture that shares learning and that scrutinizes existing practice so it can be improved. The issue here is that contractual arrangements require surveillance, monitoring, regulation and governance systems that can be perceived as antipathetic to the examination of practice and subsequent learning. Since the NHS was founded in the UK, general practitioners (GPs) have largely been independent of the NHS. Their contracts have been amended since 2004, with the introduction of the Quality and Outcomes Framework (QoF), a system of performance management and payments. Participation is voluntary and GPs still earn fees per patient, but the QoF can enhance income significantly. Historically, reporting levels from general practice have remained low; little information is shared and consequently lessons are not shared across the general practice community.Given large-scale under-engagement of GPs in incident reporting systems,significant event analysis is advocated to encourage sharing incidents to inform the patient safety agenda at a local and national level. Previous research has concentrated onthe secondary care environmentand little is known about the situation in primary care, where the majority of patient contacts with healthcare occur.To explore attitudes to incident reporting, the study adopted a qualitative approach to GPs working in a mixture of urban and rural practices reporting to a Welsh Local Health Board (LHB). Sampling for this qualitative study was purposivein order to gain a range of views, rather than use a representative sample, and sought to achieve variation in practice location and size. Semi-structured interviews were audio-recorded, transcribed verbatim and themes described. The study found that GPs used significant event analysis methodology to report incidents within their practice, but acknowledged under-reporting. They were less enthusiastic about reporting externally.A number of barriers exist to reporting, including insufficient time to report, lack of feedback, fear of blame, and damage to reputations and patient confidence in a competitive environment.If incident-reporting processes are perceived as supportive and formative, and where protected time is allocated to discuss incidents, then GPs are willing to participate. They also need to know how the information is used, and whether lessons are being learned from errors.
image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords