Evidence map›Paper›PMID 38596515›Full record

ArticleFrontiers in public health2024

Evaluation of SINERGIAPS, an intervention to improve patient safety in primary healthcare centers in Spain based on patients' perceptions and experiences: a protocol for a hybrid type I randomized clinical trial.

Maria A Fiol-deRoque, Georgina Vidal Mansilla, José A Maderuelo-Fernández, Olaya Tamayo-Morales, Francisco Martín-Luján, Pilar Astier-Peña, Macarena Chacón-Docampo, Carola Orrego, Montserrat Gens-Barberà, Pilar Andreu-Rodrigo and 2 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Patient and family engagement interventions in primary care patient safety: systematic review and meta-analysis of randomised controlled trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maria A Fiol-deRoque *Health Research Institute of the Balearic Islands (IdISBa), Hospital Universitari Son Espases, Palma, Spain.
Georgina Vidal Mansilla *Unitat de Qualitat i Seguretat dels Pacients, Gerència Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain.
José A Maderuelo-FernándezNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Olaya Tamayo-MoralesNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Francisco Martín-LujánUnitat de Suport a la Recerca de Tarragona, Institut de d'investigació en l'Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Tarragona, Spain.
Pilar Astier-PeñaUnitat de Qualitat i Seguretat dels Pacients, Gerència Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain.
Macarena Chacón-DocampoNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Carola OrregoNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain.
Montserrat Gens-BarberàUnitat de Qualitat i Seguretat dels Pacients, Gerència Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain.
Pilar Andreu-RodrigoHealth Research Institute of the Balearic Islands (IdISBa), Hospital Universitari Son Espases, Palma, Spain.
Ignacio Ricci-CabelloHealth Research Institute of the Balearic Islands (IdISBa), Hospital Universitari Son Espases, Palma, Spain.
SinergiAPS team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adverse events in the primary care setting result in a direct cost equivalent to at least 2.5% of total healthcare spending. Across OECD countries, they lead to more than seven million avoidable hospital admissions annually. In this manuscript, we describe the protocol of a trial aimed at evaluating the effectiveness of SinergiAPS (a patient-centered audit and feedback intervention) in reducing avoidable hospital admission and explore the factors that may affect its implementation. Methods: We will conduct a 24-month, parallel, open-label, multicenter, pragmatic, hybrid type 1 randomized clinical trial. 118 primary healthcare centers with wide geographical distribution in Spain will be randomly assigned (ratio 1:1) to two groups. The intervention group will receive two audits (baseline and intermediate at 12 months) based on information collected through the administration of the PREOS-PC questionnaire (a measure of patient-reported patient safety) to a convenience sample of 100 patients per center. The intervention group will receive reports on the results of both audits, along with educational resources aimed at facilitating the design and implementation of safety improvement plans. The control group will receive care as usual. The primary outcome will be the rate of avoidable hospitalizations (administrative data). Secondary outcomes: patient-reported patient safety experiences and outcomes (PREOS-PC questionnaire); patient safety culture as perceived by professionals (MOSPSC questionnaire); adverse events reported by healthcare professionals ( Discussion: This study will expand the scarce body of evidence existing regarding the effects and implementation of interventions aimed at promoting patient and family engagement in primary healthcare, specifically for enhancing patient safety. The study has the potential to produce an impact on clinical practice, healthcare systems, and population health.

Indexed as

PatientsPatient SafetyFeedbackHumansMulticenter Studies as TopicPragmatic Clinical Trials as TopicPrimary Health CareRandomized Controlled Trials as TopicSpainavoidable hospital admissionspatient-reported outcome measurespatient safetyprimary healthcarerandomized controlled trial

Identifiers

PMID38596515
PMCPMC11003190

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.