Patients’ evaluations of patient safety in English general practices: a cross-sectional study
<h4>Background</h4> <p>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.</p> <h4>Aim</h4> <p>To exa...
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| Formatua: | Journal article |
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Royal College of General Practitioners
2017
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| _version_ | 1826301602152054784 |
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| author | Ricci Cabello, I Marsden, K Avery, A Bell, B Kadam, U Reeves, D Slight, S Perryman, K Barnett, J Litchfield, I Thomas, S Campbell, S Doos, L Esmail, A Valderas, J |
| author_facet | Ricci Cabello, I Marsden, K Avery, A Bell, B Kadam, U Reeves, D Slight, S Perryman, K Barnett, J Litchfield, I Thomas, S Campbell, S Doos, L Esmail, A Valderas, J |
| author_sort | Ricci Cabello, I |
| collection | OXFORD |
| description | <h4>Background</h4> <p>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.</p> <h4>Aim</h4> <p>To examine patient-reported experiences and outcomes of patient safety in Primary Care in England.</p> <h4>Design and Setting</h4> <p>Cross-sectional study in 45 general practices</p> <h4>Method</h4> <p>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).</p> <h4>Results</h4> <p>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)).</p> <h4>Conclusion</h4> <p>Priority areas for patient safety improvement in general practices in England include appointments, diagnosis, communication, coordination and patient activation.</p> |
| first_indexed | 2024-03-07T05:34:52Z |
| format | Journal article |
| id | oxford-uuid:e38d30f4-b8e7-4e68-97f7-e3e78205e889 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T05:34:52Z |
| publishDate | 2017 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:e38d30f4-b8e7-4e68-97f7-e3e78205e8892022-03-27T10:09:53ZPatients’ evaluations of patient safety in English general practices: a cross-sectional studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e38d30f4-b8e7-4e68-97f7-e3e78205e889Symplectic Elements at OxfordRoyal College of General Practitioners2017Ricci Cabello, IMarsden, KAvery, ABell, BKadam, UReeves, DSlight, SPerryman, KBarnett, JLitchfield, IThomas, SCampbell, SDoos, LEsmail, AValderas, J <h4>Background</h4> <p>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.</p> <h4>Aim</h4> <p>To examine patient-reported experiences and outcomes of patient safety in Primary Care in England.</p> <h4>Design and Setting</h4> <p>Cross-sectional study in 45 general practices</p> <h4>Method</h4> <p>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).</p> <h4>Results</h4> <p>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)).</p> <h4>Conclusion</h4> <p>Priority areas for patient safety improvement in general practices in England include appointments, diagnosis, communication, coordination and patient activation.</p> |
| spellingShingle | Ricci Cabello, I Marsden, K Avery, A Bell, B Kadam, U Reeves, D Slight, S Perryman, K Barnett, J Litchfield, I Thomas, S Campbell, S Doos, L Esmail, A Valderas, J 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 |
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