Quality indicators for patient safety in primary care. A review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care.
BACKGROUND
Quality indicators are measured aspects of healthcare, reflecting the performance of a healthcare provider or healthcare system. They have a crucial role in programmes to assess and improve healthcare. Many performance measures for primary care have been developed. Only the Catalan model for patient safety in primary care identifies key domains of patient safety in primary care.


OBJECTIVE
To present an international framework for patient safety indicators in primary care.


METHODS
Literature review and online Delphi-survey, starting from the Catalan model.


RESULTS
A set of 30 topics is presented, identified by an international panel and organized according to the Catalan model for patient safety in primary care. Most topic areas referred to specific clinical processes; additional topics were leadership, people management, partnership and resources.


CONCLUSIONS
The framework can be used to organize indicator development and guide further work in the field.
a Ministry of Health of the Government of Catalonia, Subdirectorate-General for Health Services , Barcelona , Spain.
Eva
E
Frigola-Capell
Clara
C
Pareja-Rossell
Montse
M
Gens-Barber
Glòria
G
Oliva-Oliva
Fernando
F
Alava-Cano
Michel
M
Wensing
Josep
J
Davins-Miralles
D003697:Delphi Technique; D006801:Humans; D008962:Models, Theoretical; D061214:Patient Safety; D011320:Primary Health Care; D019984:Quality Indicators, Health Care
LINNEAUS collaboration; Patient safety; primary care; quality indicators