一项横断面混合方法研究方案，旨在从全科医疗报告的患者安全事件中汲取经验教训。
A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice.
作者信息
Carson-Stevens Andrew, Hibbert Peter, Avery Anthony, Butlin Amy, Carter Ben, Cooper Alison, Evans Huw Prosser, Gibson Russell, Luff Donna, Makeham Meredith, McEnhill Paul, Panesar Sukhmeet S, Parry Gareth, Rees Philippa, Shiels Emma, Sheikh Aziz, Ward Hope Olivia, Williams Huw, Wood Fiona, Donaldson Liam, Edwards Adrian
机构信息
Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK.
Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Australian Patient Safety Foundation, Adelaide, Australia.
出版信息
BMJ Open. 2015 Dec 1;5(12):e009079. doi: 10.1136/bmjopen-2015-009079.
INTRODUCTION
Incident reports contain descriptions of errors and harms that occurred during clinical care delivery. Few observational studies have characterised incidents from general practice, and none of these have been from the England and Wales National Reporting and Learning System. This study aims to describe incidents reported from a general practice care setting.
METHODS AND ANALYSIS
A general practice patient safety incident classification will be developed to characterise patient safety incidents. A weighted-random sample of 12,500 incidents describing no harm, low harm and moderate harm of patients, and all incidents describing severe harm and death of patients will be classified. Insights from exploratory descriptive statistics and thematic analysis will be combined to identify priority areas for future interventions.
ETHICS AND DISSEMINATION
The need for ethical approval was waivered by the Aneurin Bevan University Health Board research risk review committee given the anonymised nature of data (ABHB R&D Ref number: SA/410/13). The authors will submit the results of the study to relevant journals and undertake national and international oral presentations to researchers, clinicians and policymakers.
引言
事件报告包含临床护理过程中发生的错误和伤害的描述。很少有观察性研究对全科医疗中的事件进行特征描述，且这些研究均未来自英格兰和威尔士国家报告与学习系统。本研究旨在描述全科医疗环境中报告的事件。
方法与分析
将开发一种全科医疗患者安全事件分类方法，以对患者安全事件进行特征描述。将对12500起描述患者无伤害、低伤害和中度伤害的事件以及所有描述患者严重伤害和死亡的事件进行加权随机抽样分类。探索性描述性统计和主题分析的见解将相结合，以确定未来干预的优先领域。
伦理与传播
鉴于数据的匿名性质，阿neurin Bevan大学健康委员会研究风险审查委员会豁免了伦理批准的必要性（ABHB研发参考编号：SA/410/13）。作者将把研究结果提交给相关期刊，并向研究人员、临床医生和政策制定者进行国内和国际口头报告。
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