Danish Society for Patient Safety are working together with the Ministry of Health and Local Government Denmark (the interest group and member authority of Danish municipalities) on the Danish Safer Primary Care Programme named In Safe Hands, which runs from 2013 to 2016. The aim of the programme is to improve patient safety in the primary care in the Danish municipalities and reduce pressure ulcer, medication errors, falls, and infections.
Systematical education of key persons in improvement methods (Model for Improvement), great leadership involvement, data development, and feedback are some of the important issues of the programme. The content of the Danish Safer Primary Care Programme correspond with recognized and accepted best practices.
The Danish municipalities are running about 90 % of the home care and nursing homes in Denmark. Five out of the 98 Danish municipalities participate in the Danish Safer Primary Programme - one in each of the five regions in Denmark. The exemplar sites are Frederiksberg, Lolland, Sønderborg, Thisted, and Viborg municipalities.
The programme encompasses primarily home care, community nursing/care, and nursing homes for the elderly people, but also homes for mentally and physically handicapped persons. Each of the five exemplar sites have chosen a leadership team and five teams from the different primary care settings consisting of a local leader and three or four health professionals. About 20 persons in each municipalities are involved in the programme.
Beside the work in the exemplar sites the programme consists of learning sessions and site visits.
Bundles and workstreams
The Danish Safer Primary Care Programme does not intend to teach new clinical knowledge, but rather to promote agreed upon knowledge in quality improvement. In doing so the Danish Safer Primary Programme uses the care bundle principle and will implement four clinical bundles, also called 'packages'.
The first bundle deals with pressure ulcer and will be launched fall 2013. In spring 2014 the 'package' about medication errors will be introduced and in fall 2014 the bundle of falls is launched. The last 'package' deals with infections, and it will be introduced spring 2015.
Two workstreams (leadership workstream and patient-carers workstream) support the implementation of the four bundles.
The Danish Safer Primary Care Programme introduces a systematic and sequenced approach for health professionals to incorporate measurements and data to track whether safe, quality care is provided. Real time data will be used to identify opportunities for improvement and motivate the health professionals to make rapid changes in order to track these improvements.
The positive results are shared and spread between the five exemplar sites.