A patient safety toolkit for family practices

Campbell, Stephen M. and Bell, Brian G. and Marsden, Katherine and Spencer, Rachel and Kadam, Umesh and Perryman, Katherine and Rodgers, Sarah and Litchfield, Ian and Reeves, David and Chuter, Antony and Doos, Lucy and Ricci-Cabello, Ignacio and Gill, Paramjit and Esmail, Aneez and Greenfield, Sheila and Slight, Sarah and Middleton, Karen and Barnett, Jane and Moore, Michael and Valderas, Jose M. and Sheikh, Aziz and Avery, Anthony J. (2018) A patient safety toolkit for family practices. Journal of Patient Safety . ISSN 1549-8425

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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.

Item Type: Article
Keywords: Patient Safety; Primary Care; Toolkit
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
Identification Number: 10.1097/pts.0000000000000471
Related URLs:
Depositing User: McCambridge, Mrs April
Date Deposited: 13 Feb 2018 14:33
Last Modified: 26 Feb 2018 17:58
URI: http://eprints.nottingham.ac.uk/id/eprint/49765

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