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BMJ Open. 2018 Feb 28;8(2):e020870. doi: 10.1136/bmjopen-2017-020870.

Identifying primary care patient safety research priorities in the UK: a James Lind Alliance Priority Setting Partnership.

Author information

1
NIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK.
2
Trust Library Service, Manchester University NHS Foundation Trust, Manchester, UK.

Abstract

OBJECTIVES:

To identify the top 10 unanswered research questions for primary care patient safety research.

DESIGN:

A modified nominal group technique.

SETTING:

UK.

PARTICIPANTS:

Anyone with experience of primary care including: patients, carers and healthcare professionals. 341 patients and 86 healthcare professionals submitted questions.

MAIN OUTCOMES:

A top 10, and top 30, future research questions for primary care patient safety.

RESULTS:

443 research questions were submitted by 341 patients and 86 healthcare professionals, through a national survey. After checking for relevance and rephrasing, a total of 173 questions were collated into themes. The themes were largely focused on communication, team and system working, interfaces across primary and secondary care, medication, self-management support and technology. The questions were then prioritised through a national survey, the top 30 questions were taken forward to the final prioritisation workshop. The top 10 research questions focused on the most vulnerable in society, holistic whole-person care, safer communication and coordination between care providers, work intensity, continuity of care, suicide risk, complex care at home and confidentiality.

CONCLUSIONS:

This study was the first national prioritisation exercise to identify patient and healthcare professional priorities for primary care patient safety research. The research priorities identified a range of important gaps in the existing evidence to inform everyday practice to address primary care patient safety.

KEYWORDS:

James Lind Alliance; general practice; patient safety; pharmacy; primary care

PMID:
29490970
PMCID:
PMC5855454
DOI:
10.1136/bmjopen-2017-020870
[Indexed for MEDLINE]
Free PMC Article

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