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A patient safety toolkit for family practices
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(2018) A patient safety toolkit for family practices. Journal of Patient Safety . doi:10.1097/PTS.0000000000000471 (In Press)
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WRAP-patient-safety-toolkit-family-practices-Litchfield-2018.pdf - Accepted Version - Requires a PDF viewer. Download (841Kb) | Preview |
Official URL: http://doi.org/10.1097/PTS.0000000000000471
Abstract
Objective
Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.
Methods
Six tools were used in 46 practices. These tools were as follows: National Health Service Education for Scotland Trigger Tool, National Health Service Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, Patient Reported Experiences and Outcomes of Safety in Primary Care, and Concise Safe Systems Checklist.
Results
Primary Care Safequest showed that most practices had a well-developed safety climate. However, the trigger tool revealed that a quarter of events identified were associated with moderate or substantial harm, with a third originating in primary care and avoidable. Although medicines reconciliation was undertaken within 2 days in more than 70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1435 instances of potentially hazardous prescribing or lack of recommended monitoring (from 92,649 patients). The Concise Safe Systems Checklist found that 25% of staff thought that their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of noncollection of prescriptions. Most patients had a positive perception of the safety of their practice although 45% identified at least one safety problem in the past year.
Conclusions
Patient safety is complex and multidimensional. The Patient Safety Toolkit is easy to use and hosted on a single platform with a collection of tools generating practical and actionable information. It enables family practices to identify safety deficits that they can review and change procedures to improve their patient safety across a key sets of patient safety issues.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RM Therapeutics. Pharmacology |
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| Divisions: | Faculty of Medicine > Warwick Medical School | ||||||
| Library of Congress Subject Headings (LCSH): | Medical errors—Prevention , Patients--Safety measures, Medical care--Standards, Medical care--Quality control., Medicine--Practice--Safety measures, Family medicine--Practice--Safety measures, Physicians (General practice)--Great Britain--Standards, Physicians (General practice)--Great Britain | ||||||
| Journal or Publication Title: | Journal of Patient Safety | ||||||
| Publisher: | Lippincott Williams & Wilkins | ||||||
| ISSN: | 1549-8417 | ||||||
| Official Date: | 15 February 2018 | ||||||
| Dates: |
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| Date of first compliant deposit: | 22 December 2017 | ||||||
| DOI: | 10.1097/PTS.0000000000000471 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | In Press | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Funder: | National Institute for Health Research (Great Britain). School for Primary Care Research (NIHR SPCR) | ||||||
| RIOXX Funder/Project Grant: |
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