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Table 1 The 16 standards of the accreditation programme

From: The survey visit as a key evaluative event in accreditation–a qualitative study of survey visit experiences among surveyors and general practice professionals

Standard Standard content
1. The professional quality Use of diagnosis coding
Collection, analysis and use of clinical data for quality improvement
2. Use of good clinical practice Detection, course of treatment and division of labour between GP and staff for patients with diabetes or COPD and for vulnerable patients
3. Adverse events Reporting, follow-up and process for learning in case of adverse events
4. Patient evaluations Completion of a patient evaluation via DAK-E and follow-up on the results
5. Prevention of confusion of patient’s identity Identification of patients principally by social security number and labelling of diagnostic material
6. Prescription of medicine and renewal of prescriptions Rational and safe medicine ordination and renewal of prescriptions
Participation in regional initiatives for correct medicine management
Annual assessment of patients’ list of medicine
Reporting of side effects
7. Paraclinical tests Execution of tests and handling of test materials
Quality control of equipment
Requisition and follow-up of paraclinical tests
Procedures for test results in case of GP’s absence
Procedures for missing tests results
8. Emergency response and cardiac arrest Handling of acute disease and cardiac arrest in the clinic
Participation in cardiopulmonary resuscitation course
9. The patient health record, data safety and confidentiality Content of patient health record conforms to current legislation
Journal audit performed and follow-up upon if needed
Safe storage, handling and destruction of sensitive personal data
Discretion and confidentiality in patient contacts
10. Availability Accessibility in accordance with collective agreement (e.g. telephone hours, opening hours and waiting time)
Physical accessibility
Visitation of patients
Online practice declaration with relevant information
11. Referral Relevant and adequate content and handling of referrals
12. Coordination of patient care Coordination and continuity of internal patient trajectories and externally with other health care providers
13. Acquisition, storage and disposal of clinical utensils and medicine/vaccines Sufficient stuck of utensils, medicine and vaccines
Correct storage of medicine e.g. at the right temperature
Control of expiration dates
Correct disposal
14. Hygiene Cleaning of the clinic and inventory
Cleaning and storage of medical equipment
Correct hand hygiene
Management of infectious patients
15. Management and operational activities Ensure clear leadership, resource optimisation and development by having a plan containing plans for quality improvement, division of responsibilities and tasks, quality monitoring of e.g. patient records, equipment and medicine, and development of the clinic and development goals
16. Hiring, introduction and competency development Ensure correct competences when hiring
Introduction of new GPs, GPs in training and staff
Supervision and competency development