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BMJ Open. 2015 Dec 1;5(12):e009079. doi: 10.1136/bmjopen-2015-009079.

A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice.

Author information

1
Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK.
2
Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Australian Patient Safety Foundation, Adelaide, Australia.
3
Division of General Practice, College of Community Health Sciences, University of Nottingham, Nottingham, UK.
4
Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
5
Department of Anesthesia, Boston Children's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
6
Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
7
Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK.
8
Harvard Medical School, Boston, Massachusetts, USA Institute for Healthcare Improvement, Cambridge, Massachusetts, USA.
9
Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK Harvard Medical School, Boston, Massachusetts, USA Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
10
Department of Surgery and Cancer, Imperial College London, London, UK.

Abstract

INTRODUCTION:

Incident reports contain descriptions of errors and harms that occurred during clinical care delivery. Few observational studies have characterised incidents from general practice, and none of these have been from the England and Wales National Reporting and Learning System. This study aims to describe incidents reported from a general practice care setting.

METHODS AND ANALYSIS:

A general practice patient safety incident classification will be developed to characterise patient safety incidents. A weighted-random sample of 12,500 incidents describing no harm, low harm and moderate harm of patients, and all incidents describing severe harm and death of patients will be classified. Insights from exploratory descriptive statistics and thematic analysis will be combined to identify priority areas for future interventions.

ETHICS AND DISSEMINATION:

The need for ethical approval was waivered by the Aneurin Bevan University Health Board research risk review committee given the anonymised nature of data (ABHB R&D Ref number: SA/410/13). The authors will submit the results of the study to relevant journals and undertake national and international oral presentations to researchers, clinicians and policymakers.

PMID:
26628526
PMCID:
PMC4680001
DOI:
10.1136/bmjopen-2015-009079
[Indexed for MEDLINE]
Free PMC Article

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