Bowie P, McKay J, Norrie J, Lough M
Department of Postgraduate Medical Education, University of Glasgow, Glasgow, UK.
Qual Saf Health Care. 2004 Apr;13(2):102-7. doi: 10.1136/qshc.2003.006734.
To determine the extent to which general practitioners (GPs) were aware of a recent significant event and whether a structured analysis of this event was undertaken to minimise the perceived risk of recurrence.
Cross sectional survey using a postal questionnaire.
Greater Glasgow primary care trust.
466 principals in general practice from 188 surgeries.
GPs' self-reported personal and practice characteristics, awareness of a recent significant event, participation in the structured analysis of the identified significant event, perceived chance of recurrence, forums for discussing and analysing significant events, and levels of primary care team involvement.
Four hundred and sixty six GPs (76%) responded to the survey. GPs from single handed practices were less likely to respond than those in multi-partner training and non-training practices. 401 (86%) reported being aware of a recent significant event; lack of awareness was clearly associated with GPs from non-training practices. 219 (55%) had performed all the necessary stages of a structured analysis (as determined by the authors) of the significant event. GPs from training practices were more likely to report participation in the structured analysis of the recent event, to perceive the chance of this event recurring as "nil" or "very low", and to report significant event discussions taking place.
Most GPs were aware of a recent significant event and participated in the structured analysis of this event. The wider primary care team participated in the analysis process where GPs considered this involvement relevant. There is variation in the depth of and approach to significant event analysis within general practice, which may have implications for the application of the technique as part of the NHS quality agenda.
确定全科医生（GP）对近期重大事件的知晓程度，以及是否对该事件进行了结构化分析以尽量降低复发风险。
采用邮寄问卷进行横断面调查。
大格拉斯哥初级医疗信托基金。
来自188家诊所的466名全科医生负责人。
全科医生自我报告的个人及诊所特征、对近期重大事件的知晓情况、参与对已识别重大事件的结构化分析、感知到的复发可能性、讨论和分析重大事件的论坛以及初级医疗团队的参与程度。
466名全科医生（76%）回复了调查。单干诊所的全科医生比多伙伴培训及非培训诊所的全科医生回复率低。401名（86%）报告知晓近期重大事件；不知晓与非培训诊所的全科医生明显相关。219名（55%）对重大事件进行了作者所确定的结构化分析的所有必要阶段。培训诊所的全科医生更有可能报告参与了对近期事件的结构化分析，认为该事件复发的可能性为“零”或“非常低”，并报告有重大事件讨论。
大多数全科医生知晓近期重大事件并参与了该事件的结构化分析。在全科医生认为相关的情况下，更广泛的初级医疗团队参与了分析过程。全科医疗中重大事件分析的深度和方法存在差异，这可能对作为国民健康服务体系质量议程一部分的该技术的应用产生影响。
