Patients’ evaluations of patient safety in English general practices: a cross-sectional study
Background: The frequency and nature of safety problems and harm in general practices has previously relied on information supplied by health professionals, and scarce attention has been paid to experiences of patients. Aim: To examine patient-reported experiences and outcomes of patient safety in...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Published: |
Royal College of General Practitioners
2017
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/42869/ |
| _version_ | 1848796589291732992 |
|---|---|
| author | Ricci-Cabello, Ignacio Marsden, Kate S Avery, Anthony J. Bell, Brian Kadam, Umesh Reeves, David Slight, Sarah P. Perryman, Katherine Barnett, Jane Litchfield, Ian Thomas, Sally Campbell, Stephen M. Doos, Lucy Esmail, Aneez Valderas, Jose M. |
| author_facet | Ricci-Cabello, Ignacio Marsden, Kate S Avery, Anthony J. Bell, Brian Kadam, Umesh Reeves, David Slight, Sarah P. Perryman, Katherine Barnett, Jane Litchfield, Ian Thomas, Sally Campbell, Stephen M. Doos, Lucy Esmail, Aneez Valderas, Jose M. |
| author_sort | Ricci-Cabello, Ignacio |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: The frequency and nature of safety problems and harm in general practices has previously relied on information supplied by health professionals, and scarce attention has been paid to experiences of patients.
Aim: To examine patient-reported experiences and outcomes of patient safety in Primary Care in England.
Design and Setting: Cross-sectional study in 45 general practices.
Method: A postal version of the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire was sent to a random sample of 6,736 patients. Main outcome measures included “practice activation” (what does the practice do to create a safe environment); “patient activation” (how pro-active are patients in ensuring safe healthcare delivery); “experiences of safety events” (safety errors); “outcomes of safety” (harm); and “overall perception of safety” (how safe do patients rate their practice).
Results: 1,244 patients (18.4%) returned completed questionnaires. Scores were high for “practice activation” (mean (standard error) = 80.4 out of 100 (2.0)) and low for “patient activation” (26.3 out of 100 (2.6)). A substantial proportion of patients (45%) reported having experienced at least one safety problem in the previous 12 months, mostly related to appointments (33%), diagnosis (17%), patient-provider communication (15%), and coordination between providers (14%). 221 patients (23%) reported some degree of harm in the previous 12 months. The overall assessment of the level of safety of their practices was generally high (86.0 out of 100 (16.8)).
Conclusion: Priority areas for patient safety improvement in general practices in England include appointments, diagnosis, communication, coordination and patient activation. |
| first_indexed | 2025-11-14T19:50:23Z |
| format | Article |
| id | nottingham-42869 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:50:23Z |
| publishDate | 2017 |
| publisher | Royal College of General Practitioners |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-428692020-05-04T18:48:55Z https://eprints.nottingham.ac.uk/42869/ Patients’ evaluations of patient safety in English general practices: a cross-sectional study Ricci-Cabello, Ignacio Marsden, Kate S Avery, Anthony J. Bell, Brian Kadam, Umesh Reeves, David Slight, Sarah P. Perryman, Katherine Barnett, Jane Litchfield, Ian Thomas, Sally Campbell, Stephen M. Doos, Lucy Esmail, Aneez Valderas, Jose M. Background: The frequency and nature of safety problems and harm in general practices has previously relied on information supplied by health professionals, and scarce attention has been paid to experiences of patients. Aim: To examine patient-reported experiences and outcomes of patient safety in Primary Care in England. Design and Setting: Cross-sectional study in 45 general practices. Method: A postal version of the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire was sent to a random sample of 6,736 patients. Main outcome measures included “practice activation” (what does the practice do to create a safe environment); “patient activation” (how pro-active are patients in ensuring safe healthcare delivery); “experiences of safety events” (safety errors); “outcomes of safety” (harm); and “overall perception of safety” (how safe do patients rate their practice). Results: 1,244 patients (18.4%) returned completed questionnaires. Scores were high for “practice activation” (mean (standard error) = 80.4 out of 100 (2.0)) and low for “patient activation” (26.3 out of 100 (2.6)). A substantial proportion of patients (45%) reported having experienced at least one safety problem in the previous 12 months, mostly related to appointments (33%), diagnosis (17%), patient-provider communication (15%), and coordination between providers (14%). 221 patients (23%) reported some degree of harm in the previous 12 months. The overall assessment of the level of safety of their practices was generally high (86.0 out of 100 (16.8)). Conclusion: Priority areas for patient safety improvement in general practices in England include appointments, diagnosis, communication, coordination and patient activation. Royal College of General Practitioners 2017-06-05 Article PeerReviewed Ricci-Cabello, Ignacio, Marsden, Kate S, Avery, Anthony J., Bell, Brian, Kadam, Umesh, Reeves, David, Slight, Sarah P., Perryman, Katherine, Barnett, Jane, Litchfield, Ian, Thomas, Sally, Campbell, Stephen M., Doos, Lucy, Esmail, Aneez and Valderas, Jose M. (2017) Patients’ evaluations of patient safety in English general practices: a cross-sectional study. British Journal of General Practice, 67 (660). e474-e482. ISSN 1478-5242 Patient Safety; Primary Care; Patient-Cantered Care; Health Care Evaluation Mechanisms; Health Care Surveys http://bjgp.org/content/67/660/e474 doi:10.3399/bjgp17X691085 doi:10.3399/bjgp17X691085 |
| spellingShingle | Patient Safety; Primary Care; Patient-Cantered Care; Health Care Evaluation Mechanisms; Health Care Surveys Ricci-Cabello, Ignacio Marsden, Kate S Avery, Anthony J. Bell, Brian Kadam, Umesh Reeves, David Slight, Sarah P. Perryman, Katherine Barnett, Jane Litchfield, Ian Thomas, Sally Campbell, Stephen M. Doos, Lucy Esmail, Aneez Valderas, Jose M. Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title | Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title_full | Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title_fullStr | Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title_full_unstemmed | Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title_short | Patients’ evaluations of patient safety in English general practices: a cross-sectional study |
| title_sort | patients’ evaluations of patient safety in english general practices: a cross-sectional study |
| topic | Patient Safety; Primary Care; Patient-Cantered Care; Health Care Evaluation Mechanisms; Health Care Surveys |
| url | https://eprints.nottingham.ac.uk/42869/ https://eprints.nottingham.ac.uk/42869/ https://eprints.nottingham.ac.uk/42869/ |