BackgroundCompelling evidence has been accumulated to support the effectiveness of intensive lifestyle intervention in delaying progression to Type 2 diabetes even in people identified as being at high risk determined by the Finnish diabetes risk score. The DE-PLAN-CAT project (diabetes in Europe-prevention using lifestyle, physical activity and nutritional intervention–Catalonia) evidenced that intensive lifestyle intervention was feasible and cost-effective on a short scale in real-life primary care settings, at least over 4 years. However, transferring such lifestyle interventions to society remains the major challenge of research in the field of diabetes prevention.Methods/designThe derived DP-TRANSFERS (diabetes prevention-transferring findings from European research to society) is a large scale national programme aimed at translating a tailored lifestyle intervention to the maximum of primary care centres where feasible through a core proposal agreed with all the partners. The method is built upon a 3-step (screening, intervention and follow-up) real-life, community-wide structure on the basis of a dual intensity lifestyle intervention (basic and continuity modules) and supported by a 4-channel transfer strategy (institutional relationships, facilitators’ workshops, collaborative groupware and programme WEB page). Participation will initially cover nine health departments (7 million inhabitants) through nine coordinating centres located in metropolitan (3.2 million), semi-urban (2.9 million) and rural (0.9 million) areas from which it is expected accessing 25 % of all primary care settings, equivalent to 90 associated centres (1.6–1.8 million people) with an estimate of 0.32 million participants aged 45–75 years at high risk of future development of diabetes. To ascertain sustainability, effect, satisfaction and quality of the translation programme statistical analyses will be performed from both the entire population (facilitators and participants) and a stratified representative sample obtained by collecting data from at least 920 participants.DiscussionThe DP-TRANSFERS will use a strategy of approach to society consistent with the impact of the disease and the fast accessibility provided by primary care settings in Catalonia. Both the widespread effect of the lifestyle intervention and the translational process itself could be assessed.

The degree of prophylaxis is adequate in surgical patients, but there was a significant percentage of medical patients with a high to moderate risk who did not receive suitable prophylaxis (underuse), despite recommendations with scientific and professional backing.

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BackgroundSpontaneous reporting is an important tool for the surveillance of problems related to drugs (PRDs). However, under reporting is a major limitation of any pharmacovigilance system.In 2014 a new electronic tool (TPSCCloud) was established to notify patient events related to hospital assistance and those related to drugs. The pharmacy department is usually involved in providing information, recording PRDs and promoting a culture of safety and security. On this occasion, the pharmacy department supported diffusion of this programme in cooperation with the preventive service.PurposeTo measure the effectiveness of an educational programme implemented in 2014 to increase the reporting of medication events. Also, notifications were evaluated for a period of 1 year in terms of: number of notifications, characteristics, and nature and severity of the reports, and compared with the last period (2013).Material and methodsSpontaneous reporting of PRDs by healthcare professionals is a longstanding limitation.The development of educational programmes for healthcare professionals has the potential to enhance participation in pharmacovigilance. The pharmacy department established sessions focused on explaining the pharmacovigilance programme in the hospital and practical instructions to access and report the events in the electronic system. We focused our efforts on doctors who usually provide fewer voluntary reports of events and medication errors.Results22 pharmacovigilance sessions were done in 2014. Notifications of PRD increased by 140%, from 64 in 2013 to 154 in 2014. Notifications of drug errors increased by 85%, from 48 to 89. 3 drug classes were frequently involved: antibiotics, cytostatics and analgesics, in both periods. The events that directly affected patients were similar (84% in 2013 and 88.5% in 2013).The PRD reported differed in severity: ‘no harm’ from 25% in 2013 to 40% in 2014, ‘monitoring was required’ from 11% to 15%, ‘intervention required or temporal harm’ from 18% to 12% and ‘high severity’ (prolonged hospitalisation or permanent lesion) from 31.25% to 19% in 2014. Doctor/pharmacist notifications increased from 53% to 67%.ConclusionCommunication and educational programmes should be implemented to promote detection, identification, reporting and evaluation of PRMs.No conflict of interest.