From: Understanding accreditation standards in general practice – a qualitative study
Standard | Areas of uncertainties |
---|---|
Hygiene | • Correct sterilisation procedure for certain instruments. • Discrepancy in hygiene and work environmental guidelines regarding the use of chlorine-containing product. • Frequency of testing of autoclave. • Frequency and type of cleaning of the clinic. Daily cleaning was required, but uncertainties about what that entailed. • Frequency and type of cleaning of certain instruments like blood pressure monitor and ear thermometers and warming cabinet. • When documentation in a logbook is required. |
Acquisition, storage, and disposal of clinical utensils and medicine/vaccines | • For measurement of refrigerator temperature uncertainty about which thermometer to use, the frequency of measurement, and the required documentation. • Required systematisation, frequency and documentation for control of expiration date of medicine. |
Paraclinical tests | • The scope of GP’s responsibility for following up on paraclinical tests in relation to: a) ensuring that patients are informed about test results b) checking that paraclinical examinations referred to external providers have actually been carried out, and contacting the patient if he/she has not attended the examination. |
Prevention of confusion of identities | • Whether patients always have to be identified by social security number or if/when facial recognition is sufficient. • If cultivations labelled with patient’s full social security number are in contradiction with requirements about patient discretion (no visible social security numbers in the practice). |
The patient health record | • How informed consent must be ensured - whether the GP has to ask directly and how it is to be noted in the patient record. |