Improving quality and safety of shared care between hospitals and general practitioner
- Conditions
- transitional safety, patient safety, patient safety culture, behavior, health care workers, hospital, general practice, integral care, continuity of care, quality of care, transitional care, discharge, referral, outpatient care
- Registration Number
- NL-OMON29629
- Lead Sponsor
- Julius Center, UMC Utrecht
- Brief Summary
/A
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 1600
Inclusion Criteria
Adult patients treated by a GP AND
Exclusion Criteria
- Patients outside our research departments
- Patients not treated by a GP within our study population
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1)A composite endpoint of: serious adverse events (death, possibility of death or major permanent loss of function), acute visits to the Emergency Room (ER), re-admission within 30 days, and non-appropriate referrals. <br /><br>2)Number, nature and harm of incidents recorded through a combination of methods: professional- and patient-reported incidents and incidents found in a medical record review.<br>
- Secondary Outcome Measures
Name Time Method 1)Patient perception of transitional patient safety, as measured by the Transitional Risk and Incident Questionnaire (TRIQ) (see § Data collection; Patient perceptions on transitional patient safety and incidents). <br /><br>2)Transitional patient safety culture according to the health care workers, as measured by the TRAnsitional patient safety Culture Evaluation (TRACE) (see § Data collection; Transitional patient safety culture). <br /><br>3)The costs of (avoided) visits to the ER, readmissions, non-appropriate referrals and incidents compared to the direct costs of TIPP.<br /><br>4)Components of TIPP that were actually implemented and used in the health care chain (process evaluation)<br /><br>5)Experiences of all stakeholders (health care workers, managers and patients) (user evaluation)<br>