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Tools for primary care patient safety: a narrative review

published Sat, Oct 25 2014 19:00 GMT
Background: Patient safety in primary care is a developing field with an embryonic but evolving evidence base. This narrative review aims to identify tools that can be used by family practitioners as part of a patient safety toolkit to improve the safety of the care and services provided by their practices. Methods: Searches were performed in 6 healthcare databases in 2011 using 3 search stems; location (primary care), patient safety synonyms and outcome measure synonyms. Two reviewers analysed the results ... more

A qualitative exploration of the use of calendar landmarking instruments in cancer symptom research

published Fri, Oct 24 2014 19:00 GMT
Background: Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to presentation needs to be reliably and accurately measured. This qualitative study explored the use of calendar landmarking instruments in cancer symptom research. Methods: We performed a secondary analysis of transcripts of interviews ... more

`Just another incentive scheme¿: a qualitative interview study of a local pay-for-performance scheme for primary care

published Fri, Oct 24 2014 19:00 GMT
Background: A range of policy initiatives have addressed inequalities in healthcare and health outcomes. Local pay-for-performance schemes for primary care have been advocated as means of enhancing clinical ownership of the quality agenda and better targeting local need compared with national schemes such as the UK Quality and Outcomes Framework (QOF). We investigated whether professionals? experience of a local scheme in one English National Health Service (NHS) former primary care trust (PCT) differed from that of the national QOF in ... more

Anticoagulant treatment in German family practices ¿ screening results from a cluster randomized controlled trial

published Fri, Oct 24 2014 19:00 GMT
Background: Oral anticoagulation (OAC) with coumarins and new anticoagulants are highly effective in preventing thromboembolic complications. However, some studies indicate that over- and under-treatment with anticoagulants are fairly common. The aim of this paper is to assess the appropriateness of treatment in patients with a long-term indication for OAC, and to describe the corresponding characteristics of such patients on the basis of screening results from the cluster randomized PICANT trial. Methods: Randomly selected family practices in the federal state of ... more

Nurse-led home visitation programme to improve health-related quality of life and reduce disability among potentially frail community-dwelling older people in general practice: a theory-based process evaluation

published Fri, Oct 24 2014 19:00 GMT
Background: Population ageing fosters new models of care delivery for older people that are increasingly integrated into existing care systems. In the Netherlands, a primary-care based preventive home visitation programme has been developed for potentially frail community-dwelling older people (aged ?75?years), consisting of a comprehensive geriatric assessment during a home visit by a practice nurse followed by targeted interdisciplinary care and follow-up over time. A theory-based process evaluation was designed to examine (1) the extent to which the home visitation ... more