Morris Rebecca L, Gallacher Kay, Hann Mark, Rolfe Carly, Small Nicola, Giles Sally J, Sanders Caroline, Campbell Stephen M
NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester, UK
Manchester, UK.
BMJ Open. 2021 Jan 20;11(1):e039752. doi: 10.1136/bmjopen-2020-039752.
Patients and carers should be active partners in patient safety with healthcare professionals and be empowered to use personalised approaches to identify safety concerns and work together to prevent them. This protocol paper details a study to examine the feasibility of a multicomponent intervention to involve patients and/or carers in patient safety in primary care in the UK.
This is a two-phase, non-randomised feasibility mixed methods pragmatic study of a patient safety guide for primary care (PSG-PC). 8 general practices will recruit 120 patient and/or carer participants. All patient and/or carer participants will receive the PSG-PC. It will examine the feasibility and acceptability of the PSG-PC in primary care settings in patients aged 18 years or older who attend appointments at general practice with health professionals four or more times per year as either patients or carers. It will identify secondary outcomes for improving patient safety, health status and patient empowerment, and reducing health service utilisation over 6 months between baseline and 6-month follow-ups. The findings will inform whether a main effectiveness trial is feasible and, if so, how it should be designed, and how many patients and practices will be needed. The study will be undertaken between January 2020 and September 2021.
Ethical approval was obtained from the National Health Service London-West London and Gene Therapy Advisory Committee Research Ethics Committee (reference: 19/LO/1289). Research findings will be disseminated with participating general practices and shared in a range of different ways to engage different audiences, including presenting at international and national conferences, publishing in open-access, peer-reviewed journals and facilitating dissemination workshops within local communities with patients, carers and healthcare professionals.
ISRCTN90222092.
患者及其护理人员应与医疗保健专业人员积极合作,共同参与患者安全工作,并被赋予权力采用个性化方法识别安全问题并共同努力预防这些问题。本方案文件详细介绍了一项研究,旨在检验一项多成分干预措施在英国初级保健中让患者和/或护理人员参与患者安全的可行性。
这是一项针对初级保健患者安全指南(PSG-PC)的两阶段、非随机可行性混合方法实用研究。8家全科诊所将招募120名患者和/或护理人员参与者。所有患者和/或护理人员参与者都将收到PSG-PC。该研究将检验PSG-PC在18岁及以上患者的初级保健环境中的可行性和可接受性,这些患者每年作为患者或护理人员到全科诊所与医疗专业人员预约就诊四次或更多次。它将确定在基线和6个月随访之间的6个月内改善患者安全、健康状况和患者赋权以及减少卫生服务利用的次要结果。研究结果将为主要有效性试验是否可行提供信息,如果可行,应如何设计,以及需要多少患者和诊所。该研究将于2020年1月至2021年9月进行。
已获得英国国家医疗服务体系伦敦-西伦敦和基因治疗咨询委员会研究伦理委员会的伦理批准(参考编号:19/LO/1289)。研究结果将与参与的全科诊所分享,并以一系列不同方式传播,以吸引不同受众,包括在国际和全国会议上发表演讲、在开放获取的同行评审期刊上发表文章,以及在当地社区与患者、护理人员和医疗保健专业人员共同举办传播研讨会。
ISRCTN90222092。