Primary care patients with heart failure in the last year of their life.

Background: Quantitative information about the management of patients with advanced heart failure (HF) is scarce.

Objective: To assess the management of primary care patients with HF in their last year of life.

Methods: A retrospective observational study performed in 23 general practices in the Netherlands.

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.

Background: There is an inherent tension between allowing trainees in general practice (GP) to feel comfortable to report and learn from errors in a blame-free environment while still assuring high-quality and safe patient care. Unfortunately, little is known about the types and potential severity of incidents that may confront GP trainees. Furthermore, incident reporting by resident trainees is hindered by their concern that such transparency might result in more negative performance evaluations.