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Patient safety in Public Primary Care Clinics in Malaysia

Not Applicable
Completed
Conditions
Patient Safety
Public Health - Health service research
Registration Number
ACTRN12614000068662
Lead Sponsor
Ministry of Health Malaysia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
1920
Inclusion Criteria

Primary care centres were selected based on the stratification criteria (geographical location: Peninsular Malaysia and Sabah/Sarawak; highest category of personnel manning the clinic: Family Medicine Specialists, Medical Officers and Assistant Medical Officers [Medical Assistants]).

Exclusion Criteria

Did not consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Diagnostic errors:Errors deemed to have occurred when the history or physical examination did not match the problem or diagnosis stated in the medical records.<br><br>Random samples of outpatient records were selected and reviewed by trained family physicians (expert panel review).[3 months post implementation of intervention package];Management errors:Errors deemed to have occurred if there was an error in investigation, medication or in the decision making process.<br><br>Random samples of outpatient records were selected and reviewed by trained family physicians (expert panel review).[3 months post implementation of intervention]
Secondary Outcome Measures
NameTimeMethod
Preventability of error:Assessed on a 6-point scale from ‘virtually no evidence for preventability’ to ‘virtually certain of evidence for preventability’.<br>Random samples of outpatient records were selected and reviewed by trained family physicians (expert panel review).<br>[3 months post implementation of intervention];Likelihood of errors to cause serious morbidity/mortality for both short and long term complications, as assessed for each record by a team of two expert panel reviewers.<br><br>Random samples of outpatient records were selected and reviewed by trained family physicians (expert panel review).[3 months post implementation of intervention]
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