[Boost for patient safety with the centre agreement program].

Area of Science:

• Healthcare Quality Improvement
• Patient Safety
• Primary Care Management

Background:

• The Centre Agreement Program (CAP) in the Community of Madrid aimed to improve healthcare quality and patient safety.
• Implementing standardized safety objectives was crucial for better follow-up and care.

Purpose of the Study:

• To identify and define a minimum set of safety objectives within the CAP.
• To establish a standard for safety objectives to improve primary care quality and patient safety.

Main Methods:

• The study utilized the EFQM model as a reference for the CAP.
• Methodology followed the Plan-Do-Check-Act (PDCA) cycle, incorporating standardized safety objectives.
• The e-SOAP application was used for monitoring safety indicators.

Main Results:

• Identified 12 safety goals and 21 indicators across all EFQM model criteria.
• Reported significant improvements in medication management (59.22% program cover), facility safety (93% bio-alcohol use), and equipment maintenance (89%).
• Documented 1096 medication errors, 239 adverse reactions, and 1945 safety incidents; highlighted improvements in INR control (66.22%) and reduction of inappropriate elderly medication use (11.9%).

Conclusions:

• Systematic implementation and monitoring of safety indicators within the CAP, using the EFQM model, have been achieved.
• Best practices for patient safety have been disseminated across Health Centres in Madrid.
• The study initiated the evaluation of healthcare impact in primary care through measurable safety indicators.