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Work Package 7

Research Topic

Dr Maciek Godycki-CwirkoDeveloping interventions for patient safety in nascent organisations

Lead: Medical University of Lodz,
Poland

Contact: Dr Maciek Godycki-Cwirko

Description of work

Introduction

In countries like Poland initiatives related to patient safety are in a nascent stage. Developing and implementing interventions appropriate to the level of engagement with patient safety initiatives has been a challenge because the engagement with patient safety at both professional and government levels is low.

Why what we do in Poland is important

There is some activity in relation to patient safety in Poland. We do collect data on events, injuries, drugs side effects, adverse events, adverse reactions, hazards, errors and harms but this is often done in an ad-hoc manner and varies by locality. There is no systematic monitoring of sentinel events, circumstances, near misses, preventable events. There is also an absence of detailed data, detailing of incidents, and root cause analysis of incidents.

The purpose of the work that we are doing in Poland is to raise awareness about patient safety in primary care, using the support of partners in the LINNEAUS collaboration to develop interventions and actions and use our experience to help extend the network into Central and Eastern Europe. We hope that the experience we develop in Poland will serve as a test bed for initiative that we will develop in Central and Eastern Europe.

What have we done

Through consultations and cooperation with our LINNEAUS Euro PC partners and experts, we have modified and developed patient safety tools so that they can be used in the Polish health care environment. Through this process we have developed an internet based anonymous patient safety incidents register, a taxonomy of patient safety incidents; safety culture assessment tools for primary care (MaPSaFT, AHRQ Medical Office Survey on Patient Safety). These tool kits have been translated into Polish and were presented nationally with conferences posters, presentations and workshops for primary care practitioners. We have also published several papers in peer-reviewed journals for general practitioners. We have engaged our national media and have distributed information on patient safety in our professional medical journal which has a distribution of over 120 000 copies. We have also developed an advisory group with the National Consultant in Family Medicine. We are also working on developing primary care accreditation standards relevant to patient safety.

We hope that the work that we have carried out will allow us to benchmark patient safety activity in Poland and enable us to share our experience with the regional Central-Eastern European network of health professionals which we have developed following workshops that were held in Manchester (October 2010) and Warsaw (September 2011). We are organizing a follow up conference for participants from Central and eastern Europe in May 2012.

Tools and Guidance notes

  • MaPSaF - MaPSaF is a tool for measuring the organisational culture with regard to patient safety in primary care settings, such as GPs' surgeries/practices. The tool helps users in primary care settings assess the current level of maturity of their approach to patient safety, and use the output as a basis for discussions on how to improve factors contributing to patient safety.
  • MaPSaF Guidance Notes
    Guidance notes for users of the MaPSaF tool
  • AHRQ Medical Office Survey on Patient Safety

Journal papers

Conference proceedings

1. National Congress of Family Medicine, Bialystok, 4-7 June 2009:

  • M. Godycki-Ćwirko, M. Koziarska-Rościszewska, Błędy, skargi i przewinienia, Family Medicine Topics, VOL.X, No 2 (27) 2009 PL, 2009, page 37 - poster www.lekarzrodzinny.org/pmr/4ko09.pdf page 37 (SPl.2).M. Godycki-Ćwirko, M. Koziarska-Rościszewska, K. Kosiek, A. Kowalczyk, Kultura bezpieczeństwa opieki medycznej,Medicine Topics, VOL. X, No 2 (27) 2009 PL, 2009, page 39 - poster www.lekarzrodzinny.org/pmr/4ko09.pdf page 39 (SPl.4).

 

2. National Congress of Family Medicine, Lodz, 10-13 June 2010:

  • M. Godycki-Ćwirko, M. Koziarska-Rościszewska, K. Kosiek, I. Banas, Błędy medyczne, Medicine Topics,VOL. XII, Supl. 1 2010 Pl, 2010, page 19 (WR.8) – workshop
  • M. Godycki-Ćwirko, K. Kosiek, M. Koziarska-Rościszewska, Przykład klasyfikacji błędów medycznych w opiece podstawowej, Medicine Topics,VOL. XII, Supl. 1 2010 Pl, 2010, page 23 (PU.5) – oral presentation
  • M. Godycki-Ćwirko, K. Kosiek, A. Kowalczyk, M. Koziarska-Rościszewska, poufny internetowy rejestr błędów medycznych popełnianych w opiece podstawowej, Medicine Topics,VOL. XII, Supl. 1 2010 Pl, 2010, page 48 (SPl.15) – poster

 

3. Family teachers meeting, Lodz, 6 November 2010 – MaPSaF and AHRQ tols

4. National Congress of Family Medicine, Mikolajki, 2-5 June 2011:

  • M. Godycki-Ćwirko, A. Mierzecki, E. Tomiak, B. Wrzeciono, K. Kosiek, Profilaktyka błędów medycznych, Medicine Topics,VOL. XIII, Supl. 1 2011 Pl, 2011, page 14 (WR.1) – workshop
  • M. Koziarska-Rościszewska, M. Godycki-Ćwirko, K. Kosiek, A. Kowalczyk, Bezpieczna opieka podstawowa – system internetowego zgłaszania incydentów dotyczących bezpieczeństwa pacjenta w opiece podstawowej, Medicine Topics,VOL. XIII, Supl. 1 2011 Pl, 2011, page 32 (PU.28) – oral presentation.

 

5. LINNEAUS Warsaw workshop for Central and Eastern Europe, Warsaw 7 - 8 September 2011

6. Annual Autumn School on Prevention for GPs in Poland on prevention of patient safety incidents, Lodz, 21-22 October 2011

Websites with links to the Polish incidence reporting system:

www.lekarzrodzinny.org/1/zmr1.html

www.porozumienielodzkie.pl

www.klrwp.pl

www.lekarzrodzinny.org/1/zmr/BOPdREryk.pdf- dr Eryk is software used by more than 1 500 GP practices in Poland with direct link to the Polish incidence reporting system.

We also prepared a bookmarks with link to the Polish incidence reporting system which were distributed to GPs with journal “Lekarz Rodzinny” in July 2011. Information about Polish incidence reporting system with appropriate link is in “Lekarz Rodzinny” each month from September 2011 till January 2012.

LINNEAUS deliverable(s)

 

Other LINNEAUS reports

 

links

www.klrwp.pl