Surveyors' perceptions of the impact of accreditation on patient safety in general practice

Elnour, Amr Abou, Hernan, Andrea L., Ford, Dale, Clark, Stephen, Fuller, Jeffrey, Johnson, Julie K. and Dunbar, James A. (2014) Surveyors' perceptions of the impact of accreditation on patient safety in general practice. Medical Journal of Australia, 201 3: S56-S59. doi:10.5694/mja14.00198

Author Elnour, Amr Abou
Hernan, Andrea L.
Ford, Dale
Clark, Stephen
Fuller, Jeffrey
Johnson, Julie K.
Dunbar, James A.
Title Surveyors' perceptions of the impact of accreditation on patient safety in general practice
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2014-08-04
Year available 2014
Sub-type Article (original research)
DOI 10.5694/mja14.00198
Open Access Status
Volume 201
Issue 3
Start page S56
End page S59
Total pages 4
Place of publication Strawberry Hills, NSW Australia
Publisher Australasian Medical Publishing
Collection year 2015
Language eng
Formatted abstract
Objectives: To explore Australian General Practice Accreditation Limited (AGPAL) surveyors’ perceptions of the impact of accreditation on patient safety and to elicit suggestions for improving patient safety in Australian general practices.

Design, setting and participants: We conducted semistructured telephone interviews with a purposive national sample of 10 AGPAL surveyors from 2 July to 14 December 2012. All interviews were audio recorded, transcribed and summarised.

Results: All participants agreed that accreditation has improved general practices’ performance in quality and safety.
Participants noted specifi c areas that need further attention, including suffi cient evidence for clinical risk management, which half the participants estimated occurs in about 5%–10% of Australian general practices. Tangible evidence of patient safety activities included having a signifi cant incidents register, providing documentation of near misses, slips, lapses or mistakes, and engaging in regular clinical meetings to discuss incidents and how to avoid them in the future. Participants agreed that the accreditation process could be improved through the inclusion of tighter clinical safety indicators and the
requirement of verifi able evidence of a working clinical risk management system.

Conclusions: Accreditation has had a positive role in improving quality and safety in general practice. The inclusion of tighter indicators that require verifi able evidence will be a step forward. The Australian Primary Care Collaboratives (APCC) Program has an opportunity to build on its previous success in general practice quality improvement to further enhance patient safety in general practice.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
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