scholarly journals Patient safety in dentistry: development of a candidate 'never event' list for primary care

BDJ ◽  
2017 ◽  
Vol 222 (10) ◽  
pp. 782-788 ◽  
Author(s):  
I. Black ◽  
P. Bowie
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Never Event

scholarly journals Assessing the Impact of Multi-Morbidity and Related Constructs on Patient Reported Safety in Primary Care: Generalized Structural Equation Modelling of Observational Data

2021 ◽  
Vol 10 (8) ◽  
pp. 1782
Author(s):  
Ignacio Ricci-Cabello ◽  
Aina María Yañez-Juan ◽  
Maria A. Fiol-deRoque ◽  
Alfonso Leiva ◽  
Joan Llobera Canaves ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Cross Sectional ◽  
Morbidity Burden ◽  
Patient Reported ◽  
Patient Complexity ◽  
Complex Relationships ◽  
The Impact

We aimed to examine the complex relationships between patient safety processes and outcomes and multimorbidity using a comprehensive set of constructs: multimorbidity, polypharmacy, discordant comorbidity (diseases not sharing either pathogenesis nor management), morbidity burden and patient complexity. We used cross-sectional data from 4782 patients in 69 primary care centres in Spain. We constructed generalized structural equation models to examine the associations between multimorbidity constructs and patient-reported patient safety (PREOS-PC questionnaire). These associations were modelled through direct and indirect (mediated by increased interactions with healthcare) pathways. For women, a consistent association between higher levels of the multimorbidity constructs and lower levels of patient safety was observed via either pathway. The findings for men replicated these observations for polypharmacy, morbidity burden and patient complexity via indirect pathways. However, direct pathways showed unexpected associations between higher levels of multimorbidity and better safety. The consistent association between multimorbidity constructs and worse patient safety among women makes it advisable to target this group for the development of interventions, with particular attention to the role of comorbidity discordance. Further research, particularly qualitative research, is needed for clarifying the complex associations among men.

scholarly journals Developing a research agenda for patient safety in primary care. Background, aims and output of the LINNEAUS collaboration on patient safety in primary care

2015 ◽  
Vol 21 (sup1) ◽  
pp. 3-7 ◽  
Author(s):  
Aneez Esmail ◽  
Jose M. Valderas ◽  
Wim Verstappen ◽  
Maciek Godycki-Cwirko ◽  
Michel Wensing
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Research Agenda

scholarly journals Patient safety incidents are common in primary care: A national prospective active incident reporting survey

PLoS ONE ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. e0165455 ◽  
Author(s):  
Philippe Michel ◽  
Jean Brami ◽  
Marc Chanelière ◽  
Marion Kret ◽  
Anne Mosnier ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Incident Reporting ◽  
Patient Safety Incidents

Development of 2 Short Patient-Report Questionnaires of Patient Safety in Primary Care

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Luke T.A. Mounce ◽  
Nde-Eshimuni Salema ◽  
Jaheeda Gangannagaripalli ◽  
Ignacio Ricci-Cabello ◽  
Anthony J. Avery ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Patient Report

scholarly journals The challenge of improving patient safety in primary care

2009 ◽  
Vol 59 (568) ◽  
pp. 805-806 ◽  
Author(s):  
Anneliese Dodds ◽  
Naomi Fulop
Keyword(s):  
Primary Care ◽  
Patient Safety

scholarly journals CULTURA DE SEGURANÇA DO PACIENTE NA ATENÇÃO PRIMÁRIA / CULTURE OF PATIENT SAFETY IN PRIMARY CARE

2020 ◽  
Vol 6 (11) ◽  
pp. 87973-87981
Author(s):  
Marcos Antonio Silva Batista ◽  
Rosane Cristina Mendes Gonçalves
Keyword(s):  
Primary Care ◽  
Patient Safety

scholarly journals Threats to patient safety in the primary care office: concerns of physicians and nurses

2012 ◽  
Author(s):  
D Schwappach ◽  
K Gehring ◽  
M Battaglia ◽  
R Buff ◽  
F Huber ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Primary Care Office

scholarly journals Are Regulations Safe? Reflections From Developing a Digital Cancer Decision-Support Tool

2021 ◽  
pp. 353-363
Author(s):  
Ciarán D. McInerney ◽  
Beverly C. Scott ◽  
Owen A. Johnson
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Patient Safety ◽  
Medical Device ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
Cancer Risk Assessment ◽  
The European Union ◽  
Standards And Regulations ◽  
Fit For Purpose

PURPOSE Informatics solutions to early diagnosis of cancer in primary care are increasingly prevalent, but it is not clear whether existing and planned standards and regulations sufficiently address patients' safety nor whether these standards are fit for purpose. We use a patient safety perspective to reflect on the development of a computerized cancer risk assessment tool embedded within a UK primary care electronic health record system. METHODS We developed a computerized version of the CAncer Prevention in ExetER studies risk assessment tool, in compliance with the European Union's Medical Device Regulations. The process of building this tool afforded an opportunity to reflect on clinical concerns and whether current regulations for medical devices are fit for purpose. We identified concerns for patient safety and developed nine practical recommendations to mitigate these concerns. RESULTS We noted that medical device regulations (1) were initially created for hardware devices rather than software, (2) offer one-shot approval rather than supporting iterative innovation and learning, (3) are biased toward loss-transfer approaches that attempt to manage the fallout of harm instead of mitigating hazards becoming harmful, and (4) are biased toward known hazards, despite unknown hazards being an expected consequence of health care as a complex adaptive system. Our nine recommendations focus on embedding less-reductionist and stronger system perspectives into regulations and standards. CONCLUSION Our intention is to share our experience to support research-led collaborative development of health informatics solutions in cancer. We argue that regulations in the European Union do not sufficiently address the complexity of healthcare information systems with consequences for patient safety. Future standards and regulations should continue to follow a system-based approach to risk, safety, and accident avoidance.

scholarly journals Using the electronic health record to build a culture of practice safety: evaluating the implementation of trigger tools in one general practice

2018 ◽  
Vol 68 (669) ◽  
pp. e279-e285 ◽  
Author(s):  
Tom Margham ◽  
Natalie Symes ◽  
Sally A Hull
Keyword(s):  
Primary Care ◽  
At Risk ◽  
General Practice ◽  
Patient Safety ◽  
Ease Of Use ◽  
High Yield ◽  
Case Review ◽  
Patients At Risk ◽  
Barriers To Implementation ◽  
Narrative Evaluation

BackgroundIdentifying patients at risk of harm in general practice is challenging for busy clinicians. In UK primary care, trigger tools and case note reviews are mainly used to identify rates of harm in sample populations.AimThis study explores how adaptions to existing trigger tool methodology can identify patient safety events and engage clinicians in ongoing reflective work around safety.Design and settingMixed-method quantitative and narrative evaluation using thematic analysis in a single East London training practice.MethodThe project team developed and tested five trigger searches, supported by Excel worksheets to guide the case review process. Project evaluation included summary statistics of completed worksheets and a qualitative review focused on ease of use, barriers to implementation, and perception of value to clinicians.ResultsTrigger searches identified 204 patients for GP review. Overall, 117 (57%) of cases were reviewed and 62 (53%) of these cases had patient safety events identified. These were usually incidents of omission, including failure to monitor or review. Key themes from interviews with practice members included the fact that GPs’ work is generally reactive and GPs welcomed an approach that identified patients who were ‘under the radar’ of safety. All GPs expressed concern that the tool might identify too many patients at risk of harm, placing further demands on their time.ConclusionElectronic trigger tools can identify patients for review in domains of clinical risk for primary care. The high yield of safety events engaged clinicians and provided validation of the need for routine safety checks.

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