A Patient Safety Toolkit for Family Practices

Research output: Contribution to journalArticlepeer-review

Standard

A Patient Safety Toolkit for Family Practices. / Campbell, Stephen M ; Bell, Brian G ; Marsden, Katherine ; Spencer, Rachel ; Kadam, Umesh; Perryman, Katherine ; Rodgers, Sarah ; Litchfield, Ian; Reeves, David; Chuter, Anthony ; Doos, Lucy; Ricci-Cabello, Ignacio ; Gill, Paramjit; Esmail, Aneez ; Greenfield, Sheila; Slight, Sarah; Middleton , Karen ; Barnet, Jane ; Moore, Michael ; Valderas, Jose M ; Sheikh, Aziz; Avery, Anthony J .

In: Journal of Patient Safety, 15.02.2018.

Research output: Contribution to journalArticlepeer-review

Harvard

Campbell, SM, Bell, BG, Marsden, K, Spencer, R, Kadam, U, Perryman, K, Rodgers, S, Litchfield, I, Reeves, D, Chuter, A, Doos, L, Ricci-Cabello, I, Gill, P, Esmail, A, Greenfield, S, Slight, S, Middleton , K, Barnet, J, Moore, M, Valderas, JM, Sheikh, A & Avery, AJ 2018, 'A Patient Safety Toolkit for Family Practices', Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000471

APA

Campbell, S. M., Bell, B. G., Marsden, K., Spencer, R., Kadam, U., Perryman, K., Rodgers, S., Litchfield, I., Reeves, D., Chuter, A., Doos, L., Ricci-Cabello, I., Gill, P., Esmail, A., Greenfield, S., Slight, S., Middleton , K., Barnet, J., Moore, M., ... Avery, A. J. (2018). A Patient Safety Toolkit for Family Practices. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000471

Vancouver

Campbell SM, Bell BG, Marsden K, Spencer R, Kadam U, Perryman K et al. A Patient Safety Toolkit for Family Practices. Journal of Patient Safety. 2018 Feb 15. https://doi.org/10.1097/PTS.0000000000000471

Author

Campbell, Stephen M ; Bell, Brian G ; Marsden, Katherine ; Spencer, Rachel ; Kadam, Umesh ; Perryman, Katherine ; Rodgers, Sarah ; Litchfield, Ian ; Reeves, David ; Chuter, Anthony ; Doos, Lucy ; Ricci-Cabello, Ignacio ; Gill, Paramjit ; Esmail, Aneez ; Greenfield, Sheila ; Slight, Sarah ; Middleton , Karen ; Barnet, Jane ; Moore, Michael ; Valderas, Jose M ; Sheikh, Aziz ; Avery, Anthony J . / A Patient Safety Toolkit for Family Practices. In: Journal of Patient Safety. 2018.

Bibtex

@article{53b00a5f9d6f4b56ab718c5bbe3945cc,
title = "A Patient Safety Toolkit for Family Practices",
abstract = "Objectives: 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: NHS Education for Scotland Trigger Tool, NHS Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, PREOS-PC, and Concise Safe Systems Checklist. Results: PC-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 >70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1,435 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 their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of non-collection 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.",
author = "Campbell, {Stephen M} and Bell, {Brian G} and Katherine Marsden and Rachel Spencer and Umesh Kadam and Katherine Perryman and Sarah Rodgers and Ian Litchfield and David Reeves and Anthony Chuter and Lucy Doos and Ignacio Ricci-Cabello and Paramjit Gill and Aneez Esmail and Sheila Greenfield and Sarah Slight and Karen Middleton and Jane Barnet and Michael Moore and Valderas, {Jose M} and Aziz Sheikh and Avery, {Anthony J}",
year = "2018",
month = feb,
day = "15",
doi = "10.1097/PTS.0000000000000471",
language = "English",
journal = "Journal of Patient Safety",
issn = "1549-8417",
publisher = "Lippincott Williams and Wilkins",

}

RIS

TY - JOUR

T1 - A Patient Safety Toolkit for Family Practices

AU - Campbell, Stephen M

AU - Bell, Brian G

AU - Marsden, Katherine

AU - Spencer, Rachel

AU - Kadam, Umesh

AU - Perryman, Katherine

AU - Rodgers, Sarah

AU - Litchfield, Ian

AU - Reeves, David

AU - Chuter, Anthony

AU - Doos, Lucy

AU - Ricci-Cabello, Ignacio

AU - Gill, Paramjit

AU - Esmail, Aneez

AU - Greenfield, Sheila

AU - Slight, Sarah

AU - Middleton , Karen

AU - Barnet, Jane

AU - Moore, Michael

AU - Valderas, Jose M

AU - Sheikh, Aziz

AU - Avery, Anthony J

PY - 2018/2/15

Y1 - 2018/2/15

N2 - Objectives: 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: NHS Education for Scotland Trigger Tool, NHS Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, PREOS-PC, and Concise Safe Systems Checklist. Results: PC-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 >70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1,435 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 their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of non-collection 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.

AB - Objectives: 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: NHS Education for Scotland Trigger Tool, NHS Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, PREOS-PC, and Concise Safe Systems Checklist. Results: PC-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 >70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1,435 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 their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of non-collection 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.

U2 - 10.1097/PTS.0000000000000471

DO - 10.1097/PTS.0000000000000471

M3 - Article

JO - Journal of Patient Safety

JF - Journal of Patient Safety

SN - 1549-8417

ER -