A patient safety toolkit for family practices
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 Medicin...
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| Format: | Article |
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Wolters Kluwer
2018
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| Online Access: | https://eprints.nottingham.ac.uk/49765/ |
| _version_ | 1848798073313034240 |
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| author | Campbell, Stephen M. Bell, Brian G. Marsden, Katherine Spencer, Rachel Kadam, Umesh Perryman, Katherine Rodgers, Sarah Litchfield, Ian Reeves, David Chuter, Antony Doos, Lucy Ricci-Cabello, Ignacio Gill, Paramjit Esmail, Aneez Greenfield, Sheila Slight, Sarah Middleton, Karen Barnett, Jane Moore, Michael Valderas, Jose M. Sheikh, Aziz Avery, Anthony J. |
| author_facet | Campbell, Stephen M. Bell, Brian G. Marsden, Katherine Spencer, Rachel Kadam, Umesh Perryman, Katherine Rodgers, Sarah Litchfield, Ian Reeves, David Chuter, Antony Doos, Lucy Ricci-Cabello, Ignacio Gill, Paramjit Esmail, Aneez Greenfield, Sheila Slight, Sarah Middleton, Karen Barnett, Jane Moore, Michael Valderas, Jose M. Sheikh, Aziz Avery, Anthony J. |
| author_sort | Campbell, Stephen M. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T20:13:58Z |
| format | Article |
| id | nottingham-49765 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:13:58Z |
| publishDate | 2018 |
| publisher | Wolters Kluwer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-497652020-05-04T19:32:22Z https://eprints.nottingham.ac.uk/49765/ 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, Antony Doos, Lucy Ricci-Cabello, Ignacio Gill, Paramjit Esmail, Aneez Greenfield, Sheila Slight, Sarah Middleton, Karen Barnett, Jane Moore, Michael Valderas, Jose M. Sheikh, Aziz Avery, Anthony J. 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. Wolters Kluwer 2018-02-15 Article PeerReviewed Campbell, Stephen M., Bell, Brian G., Marsden, Katherine, Spencer, Rachel, Kadam, Umesh, Perryman, Katherine, Rodgers, Sarah, Litchfield, Ian, Reeves, David, Chuter, Antony, Doos, Lucy, Ricci-Cabello, Ignacio, Gill, Paramjit, Esmail, Aneez, Greenfield, Sheila, Slight, Sarah, Middleton, Karen, Barnett, Jane, Moore, Michael, Valderas, Jose M., Sheikh, Aziz and Avery, Anthony J. (2018) A patient safety toolkit for family practices. Journal of Patient Safety . ISSN 1549-8425 Patient Safety; Primary Care; Toolkit https://insights.ovid.com/crossref?an=01209203-900000000-99384 doi:10.1097/pts.0000000000000471 doi:10.1097/pts.0000000000000471 |
| spellingShingle | Patient Safety; Primary Care; Toolkit Campbell, Stephen M. Bell, Brian G. Marsden, Katherine Spencer, Rachel Kadam, Umesh Perryman, Katherine Rodgers, Sarah Litchfield, Ian Reeves, David Chuter, Antony Doos, Lucy Ricci-Cabello, Ignacio Gill, Paramjit Esmail, Aneez Greenfield, Sheila Slight, Sarah Middleton, Karen Barnett, Jane Moore, Michael Valderas, Jose M. Sheikh, Aziz Avery, Anthony J. A patient safety toolkit for family practices |
| title | A patient safety toolkit for family practices |
| title_full | A patient safety toolkit for family practices |
| title_fullStr | A patient safety toolkit for family practices |
| title_full_unstemmed | A patient safety toolkit for family practices |
| title_short | A patient safety toolkit for family practices |
| title_sort | patient safety toolkit for family practices |
| topic | Patient Safety; Primary Care; Toolkit |
| url | https://eprints.nottingham.ac.uk/49765/ https://eprints.nottingham.ac.uk/49765/ https://eprints.nottingham.ac.uk/49765/ |