Developing a patient safety incident classification system for primary care. A literature review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care

Klemp, Kerstin; Dovey, Susan; Valderas, José M; Rohe, Julia; Godycki-Cwirko, Maciek; Elliott, Phillip; Beyer, Martin; Gerlach, F.M.; Hoffmann, Barbara

doi:10.3109/13814788.2015.1043723

Cited by 18 publications

(24 citation statements)

References 3 publications

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“…As primary care differs from hospital care in several important ways, e.g. in patient characteristics, organizational structure, relationships between health-care professionals and patients and types and outcomes of patient-safety incidents, the risks associated with hospital-based care should not be assumed to be the same as those associated with primary care 10 – 12 …”

Section: Introductionmentioning

confidence: 99%

Classification of patient-safety incidents in primary care

Cooper

Williams

Hibbert

et al. 2018

Bull. World Health Organ.

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Primary care lags behind secondary care in the reporting of, and learning from, incidents that put patient safety at risk. In primary care, there is no universally agreed approach to classifying the severity of harm arising from such patient-safety incidents. This lack of an agreed approach limits learning that could lead to the prevention of injury to patients. In a review of research on patient safety in primary care, we identified 21 existing approaches to the classification of harm severity. Using the World Health Organization’s (WHO’s) International Classification for Patient Safety as a reference, we undertook a framework analysis of these approaches. We then developed a new system for the classification of harm severity. To assess and classify harm, most existing approaches use measures of symptom duration (11/21), symptom severity (11/21) and/or the level of intervention required to manage the harm (14/21). However, few of these approaches account for the deleterious effects of hospitalization or the psychological stress that may be experienced by patients and/or their relatives. The new classification system we developed builds on WHO’s International Classification for Patient Safety and takes account not only of hospitalization and psychological stress but also of so-called near misses and uncertain outcomes. The constructs we have outlined have the potential to be applied internationally, across primary-care settings, to improve both the detection and prevention of incidents that cause the most severe harm to patients.

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Section: Introductionmentioning

confidence: 99%

Classification of patient-safety incidents in primary care

Cooper

Williams

Hibbert

et al. 2018

Bull. World Health Organ.

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“…We then asked the participating clinicians to agree on the use of a set of clinical indictors which had already been developed ( 5 ) and were broadly related to patient safety and to apply these to their daily practice ( 6 , 7 ). To enable recording of the information, we developed a web-based platform based on the LINNEAUS reporting tool to facilitate data entry and monitoring ( 8 ).…”

Section: Methodsmentioning

confidence: 99%

First experiences with patient safety initiatives in Greek rural primary care. Action research by the LINNEAUS collaboration on patient safety in primary care

Skalkidis

Manoli

Evagelos³

et al. 2015

European Journal of General Practice

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Background: Accreditation of primary care organizations within Greece is still in its infancy. Our task in Greece was to attempt to introduce a patient safety initiative in a local area, focusing on developing minimum standards for accreditation, assess whether a pragmatic approach would engage physicians, and provide evidence of improvement. Objective: To use monitoring of clinical performance as the basis for the launch of an accreditation system for primary care in Greece and to report on the process and lessons learnt. Methods: An established set of clinical indicators for patient safety was introduced in five Greek primary health centres. A web-based platform, for reporting practitioners’ scores on the selected indicators, was used to record the activity of the practitioners. Results: There was considerable variation in the use of clinical indicators by individual GPs. Following the intervention, the reporting on the indicators had increased while the scores on indicators only increased slightly. However, GPs engaged with the process and recognized its relevance to improving patient safety. Conclusion: We successfully piloted a means of engaging with GPs to improve patient safety using established indicators even where there was limited infrastructure to support such initiatives.

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“…A patient safety incident in primary care is any unintended event or hazardous condition resulting from the process of care, rather than due to the patient's underlying disease, that led or could have led to unintended health consequences for the patient ( 1 ). Incident reporting systems (IRS) in patient safety are tools to communicate safety-relevant information and allow clinicians to learn about and from patient safety incidents ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

A safety incident reporting system for primary care. A systematic literature review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care

Klemp

Zwart

Hansen³

et al. 2015

European Journal of General Practice

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Background: Incident reporting is widely used in both patient safety improvement programmes, and in research on patient safety. Objective: To identify the key requirements for incident reporting systems in primary care; to develop an Internet-based incident reporting and learning system for primary care. Methods: A literature review looking at the purpose, design and requirements of an incident reporting system (IRS) was used to update an existing incident reporting system, widely used in Germany. Then, an international expert panel with knowledge on IRS developed the criteria for the design of a new web-based incident reporting system for European primary care. A small demonstration project was used to create a web-based reporting system, to be made freely available for practitioners and researchers. The expert group compiled recommendations regarding the desirable features of an incident reporting system for European primary care. These features covered the purpose of reporting, who should be involved in reporting, the mode of reporting, design considerations, feedback mechanisms and preconditions necessary for the implementation of an IRS. Results: A freely available web-based reporting form was developed, based on these criteria. It can be modified for local contexts. Practitioners and researchers can use this system as a means of recording patient safety incidents in their locality and use it as a basis for learning from errors. Conclusion: The LINNEAUS collaboration has provided a freely available incident reporting system that can be modified for a local context and used throughout Europe.

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Developing a patient safety incident classification system for primary care. A literature review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care

Cited by 18 publications

References 3 publications

Classification of patient-safety incidents in primary care

Classification of patient-safety incidents in primary care

First experiences with patient safety initiatives in Greek rural primary care. Action research by the LINNEAUS collaboration on patient safety in primary care

A safety incident reporting system for primary care. A systematic literature review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care

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