Title: From error in general practice to risk management in primary care teams
Date / Location : November 14, 2023 from 2pm to 4pm Campus Lyon Santé Est, Domaine RockeFeller - Salle des thèses Laennec
Jury :
M. COLIN Cyrille, Professeur des Universités Praticien Hospitalier, Université Lyon 1 ;
Mme DUPOUY Julie, Professeure des Universités, Université Toulouse III Paul Sabatier ;
M. GOCKO Xavier, Maître de Conférences HDR, Université Jean Monnet SaintÉtienne ;
Mme LAPORTE Catherine, Professeure des Universités, Université Clermont Auvergne ;
M. LETRILLIART Laurent, Professeur des Universités, Université Lyon 1 ;
M. MICHEL Philippe, Professeur des Universités Praticien Hospitalier, Université Lyon 1.
Abstract :
For the past 15 years, my research has focused on patient safety, more specifically in primary care. The literature underscores the vital role played by patient safety in improving the health of populations, in terms of reducing morbidity and mortality.
Three main areas of research can be identified.
The first concerns research into the terminology and epidemiology of patient safety in the city. Indeed, outpatient healthcare professionals expressed difficulties with the terminologies and definitions used in healthcare establishments - which they found ill-suited to the identification of undesirable events in their practice. Secondly, I was able to estimate the frequency of occurrence of adverse events associated with outpatient care (data from an international literature review and two French cross-sectional studies).
The second line of research focuses on the evaluation of the safety culture of professionals in ambulatory care. More specifically, I have explored possible ways of assessing the safety culture of healthcare professionals in outpatient settings, as well as medical students (3rd cycle).
The third line of research explores the learning organization in patient safety in the city. This involves considering the implementation of elements conducive to improving risk management in the city, in different practice contexts, in both informal and formal teams (multi-professional health centers, health centers). I took part in the implementation of morbidity and mortality reviews in ambulatory care, the development of the CADYA analysis grid and the development of an incident reporting system for the city.
My research is currently focused on identifying the obstacles and levers to the implementation of risk management elements by professional teams in primary care, with two projects recently funded as part of PREPS 2022 (ESPACE) and ReSP-IR 2022 (eGERISSEP).
