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Logo of qualsafetyQuality and Safety in Health CareCurrent TOCInstructions for authors
Qual Saf Health Care. Jun 2005; 14(3): 185–189.
PMCID: PMC1744028

A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment

Abstract

Objectives: To explore the influences and perceived benefits behind general practitioners' willingness to participate in significant event analysis (SEA) and educational peer assessment.

Design: Qualitative analysis of focus group transcripts.

Setting: Greater Glasgow Primary Care Trust.

Participants: Two focus group sessions involving 21 principals in general practice (GPs).

Main outcome measures: GPs' perceptions of the reasons for and benefits of participating in SEA and associated educational peer assessment.

Results: Pressure from accreditation bodies and regulatory authorities makes SEA compulsory for most participants who believe more in-depth event analyses are undertaken as a result. Some believed SEA was not an onerous activity while others argued that this depended on the complexity of the event. SEA that is linked to a complaint investigation may provide credible evidence to patients that their complaint is taken seriously. Writing up an event analysis is viewed as an educational process and may act as a form of personal catharsis for some. Event analyses are submitted for peer assessment for educational reward but are highly selective because of concerns about confidentiality, litigation, or professional embarrassment. Most participants disregard the opportunities to learn from "positive" significant events in favour of problem ones. Peer assessment is valued because there is a perception that it enhances knowledge of the SEA technique and the validity of event analyses, which participants find reassuring.

Conclusions: This small study reports mainly positive feedback from a select group of GPs on the merits of SEA and peer assessment.

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Selected References

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  • Norcini John J. Peer assessment of competence. Med Educ. 2003 Jun;37(6):539–543. [PubMed]
  • Ramsey PG, Wenrich MD, Carline JD, Inui TS, Larson EB, LoGerfo JP. Use of peer ratings to evaluate physician performance. JAMA. 1993 Apr 7;269(13):1655–1660. [PubMed]
  • Evans Richard, Elwyn Glyn, Edwards Adrian. Review of instruments for peer assessment of physicians. BMJ. 2004 May 22;328(7450):1240–1240. [PMC free article] [PubMed]
  • McIntyre N, Popper K. The critical attitude in medicine: the need for a new ethics. Br Med J (Clin Res Ed) 1983 Dec 24;287(6409):1919–1923. [PMC free article] [PubMed]
  • Walshe K. Opportunities for improving the practice of clinical audit. Qual Health Care. 1995 Dec;4(4):231–232. [PMC free article] [PubMed]
  • Lough JR. Goals and methods of audit should be reappraised. Regions should define audit strategy. BMJ. 1996 Aug 24;313(7055):497–497. [PMC free article] [PubMed]
  • Bradley CP. Turning anecdotes into data--the critical incident technique. Fam Pract. 1992 Mar;9(1):98–103. [PubMed]
  • Bowie P, McKay J, Norrie J, Lough M. Awareness and analysis of a significant event by general practitioners: a cross sectional survey. Qual Saf Health Care. 2004 Apr;13(2):102–107. [PMC free article] [PubMed]
  • Fraser SW, Greenhalgh T. Coping with complexity: educating for capability. BMJ. 2001 Oct 6;323(7316):799–803. [PMC free article] [PubMed]
  • Henderson Emma, Berlin Anita, Freeman George, Fuller Jon. Twelve tips for promoting significant event analysis to enhance reflection in undergraduate medical students. Med Teach. 2002 Mar;24(2):121–124. [PubMed]
  • Robinson LA, Stacy R, Spencer JA, Bhopal RS. Use facilitated case discussions for significant event auditing. BMJ. 1995 Jul 29;311(7000):315–318. [PMC free article] [PubMed]
  • FLANAGAN JC. The critical incident technique. Psychol Bull. 1954 Jul;51(4):327–358. [PubMed]
  • Westcott R, Sweeney G, Stead J. Significant event audit in practice: a preliminary study. Fam Pract. 2000 Apr;17(2):173–179. [PubMed]
  • Benett IJ, Danczak AF. Terminal care: improving teamwork in primary care using Significant Event Analysis. Eur J Cancer Care (Engl) 1994 Jun;3(2):54–57. [PubMed]
  • Lough JR, McKay J, Murray TS. Audit and summative assessment: a criterion-referenced marking schedule. Br J Gen Pract. 1995 Nov;45(400):607–609. [PMC free article] [PubMed]

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