How to monitor patient safety in primary care? Healthcare professionals’ views

Samra, Rajvinder; Car, Josip; Majeed, Azeem; Vincent, Charles and Aylin, Paul (2016). How to monitor patient safety in primary care? Healthcare professionals’ views. JRSM Open, 7(8) pp. 1–8.



Objective: To identify patient safety monitoring strategies in primary care.
Design: Open-ended questionnaire survey.
Participants/Setting: 113 healthcare professionals based in North-West London returned the survey from a group of 500 who were invited to participate achieving a response rate of 22.6 per cent.
Method: A paper-based and equivalent online survey was developed and subjected to multiple stages of piloting. Respondents were asked to suggest strategies for monitoring patient safety in primary care. These monitoring suggestions were then subjected to a content frequency analysis which was conducted by two researchers. Outcome measures: Respondent-derived monitoring strategies.
Results: In total, respondents offered 188 suggestions for monitoring patient safety in primary care. The content analysis revealed that these could be condensed into twenty-four different future monitoring strategies with varying levels of support. Most commonly, respondents supported the suggestion that patient safety can only be monitored effectively in primary care with greater levels of staffing or with additional resources.
Discussion: This study identified twenty-four possible ways in which monitoring patient safety in North-West London primary care could be achieved. Future work should explore the feasibility of these monitoring strategies as well as the patients’ perspectives on how the safety of their care should be monitored.

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