Feasibility of the SINERGIAPS (“Sinergias entre profesionales y pacientes para una Atención Primaria Segura”) intervention for improving patient safety in primary care

Author:

Serrano-Ripoll Maria J123ORCID,Fiol-deRoque Maria A12ORCID,Valderas José M4ORCID,Zamanillo-Campos Rocío12ORCID,Llobera Joan125ORCID,de Labry Lima Antonio Olry67ORCID,Pastor-Moreno Guadalupe67ORCID,Ricci-Cabello Ignacio126ORCID

Affiliation:

1. Primary Care Research Unit of Mallorca, Balearic Islands Health Services , Palma, Illes Balears , Spain

2. Research Group in Primary Care and Promotion - Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa) , Palma, Illes Balears , Spain

3. University of the Balearic Islands, Psychology Department , Palma, Illes Balears , Spain

4. Yong Loo Lin School of Medicine, National University of Singapore and Department of Family Medicine, National University Health System , Singapore

5. Research Group in Primary Care and Promotion - Balearic Islands Community (GRAPP-caIB), Primary Care Preventive and Health Promotion Research Network (redIAPP) , Barcelona , Spain

6. Biomedical Research Center in Epidemiology and Public Health (CIBERESP), Health Institute Carlos III (ISCIII) , Madrid , Spain

7. Research Group in Health and Gender, Andalusian School of Public Health , Granada, Andalucía , Spain

Abstract

Abstract Aim The primary aim was to examine the feasibility of intervention delivery and of trial procedures. Secondary aims were to study the intervention uptake; its acceptability and perceived utility; and its potential to improve safety culture and avoidable hospital admissions. Methods We conducted a 3-month, single-arm feasibility study in 10 primary care (PC) centres in Spain. Centres received information regarding patients’ experiences of safety (through the Patient Reported Experiences and Outcomes of Safety in Primary Care [PREOS-PC] questionnaire), and were instructed to plan safety improvements based on that feedback. We used a bespoke online tool to recruit PC professionals, collect patient feedback, and deliver it to the centres, and to collect outcome data (patient safety culture [Medical Office Survey on Patient Safety Culture, MOSPSC questionnaire]). We measured recruitment and follow-up rates and intervention uptake (based on the number of safety improvement plans registered). We conducted semistructured interviews with 9 professionals to explore the intervention acceptability and perceived utility. Results Of 256 professionals invited, 120 (47%) agreed to participate, and 97 completed baseline and postintervention measures. Of 780 patients invited, 585 (75%) completed the PREOS-PC questionnaire. Five of 10 centres (50%) designed an improvement plan, providing 27 plans in total (range per centre, 1–14). The intervention was perceived as a novel strategy for improving safety, although the healthcare professionals identified several factors limiting its acceptability and utility: lack of feedback at the individual professional level; potentially unrepresentative sample of patients providing feedback; and number of educational materials deemed overwhelming. Discussion It is feasible to deliver the proposed intervention so long as the identified limitations are addressed.

Funder

Instituto de Salud Carlos III

Fondo Europeo de Desarrollo Regional

Instituto de Investigación Sanitaria de las Islas Baleares

Publisher

Oxford University Press (OUP)

Subject

Family Practice

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