2026-04-29T07:24:14Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/229342024-11-29T03:40:53Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Campbell, Stephen M author Bell, Brian G author Marsden, Kate author Spencer, Rachel author Kadam, Umesh author Perryman, Katherine author Rodgers, Sarah author Litchfield, Ian author Reeves, David author Chuter, Antony author Doos, Lucy author Ricci-Cabello, Ignacio author Gill, Paramjit author Esmail, Aneez author Greenfield, Sheila author Slight, Sarah author Middleton, Karen author Barnett, Jane author Moore, Michael author Valderas, Jose M author Sheikh, Aziz author Avery, Anthony J author 2020-09 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. Campbell Stephen M., Bell Brian G., Marsden Kate, Spencer Rachel, Kadam Umesh, Perryman Katherine, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020 Sep;16(3):E182-E186. 1549-8417 http://hdl.handle.net/20.500.13003/9620 https://hdl.handle.net/20.500.12105/22934 29461334 10.1097/PTS.0000000000000471 1549-8425 Journal of Patient Safety 2-s2.0-85078104874 568895200016 L632652261 Primary care Patient safety Safety climate A Patient Safety Toolkit for Family Practices