ArticleBMC health services research2010
Patient safety in primary care: a survey of general practitioners in The Netherlands.
Article in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient safety and safety culture in primary health care: a systematic review.BMC family practice · 2018Pooled it
- Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial.Journal of general internal medicine · 2012Trial
- Adverse events analysis as an educational tool to improve patient safety culture in primary care: a randomized trial.BMC family practice · 2011Trial
- How is diagnostic uncertainty communicated and managed in real world primary care settings?BMC primary care · 2024Article
- The Chinese version of patient-doctor-relationship questionnaire (PDRQ-9): Factor structure, validation, and IRT psychometric analysis.Frontiers in psychiatry · 2023Article
- Article
- The Perception of Patient Safety Strategies by Primary Health Professionals.International journal of environmental research and public health · 2021Article
- Cooperation networks of ambulatory health care providers: exploration of mechanisms that influence coordination and uptake of recommended cardiovascular care (ExKoCare): a mixed-methods study protocol.BMC family practice · 2020Article
- Safety and Pregnancy Massage: a Qualitative Thematic Analysis.International journal of therapeutic massage & bodywork · 2020Article
- Implementing coordinated ambulatory cardiology care in southern Germany: a mixed-methods study.BMC health services research · 2019Observational
- The professional culture among physicians in Sweden: potential implications for patient safety.BMC health services research · 2018Article
- 'The big buzz': a qualitative study of how safe care is perceived, understood and improved in general practice.BMC family practice · 2018Article
- Proportion of medication error reporting and associated factors among nurses: a cross sectional study.BMC nursing · 2018Article
- Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen.BMC family practice · 2015Article
- Organisational targets of patient safety improvement programs in primary care; an international web-based survey.BMC family practice · 2013Article
- Measuring safety culture in Dutch primary care: psychometric characteristics of the SCOPE-PC questionnaire.BMC health services research · 2013Article
- What do primary care physicians and researchers consider the most important patient safety improvement strategies?BMC health services research · 2011Article
- Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study.Implementation science : IS · 2011Article
- Patient safety in Dutch primary care: a study protocol.Implementation science : IS · 2010Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care encompasses many different clinical domains and patient groups, which means that patient safety in primary care may be equally broad. Previous research on safety in primary care has focused on medication safety and incident reporting. In this study, the views of general practitioners (GPs) on patient safety were examined.
methodsA web-based survey of a sample of GPs was undertaken. The items were derived from aspects of patient safety issues identified in a prior interview study. The questionnaire used 10 clinical cases and 15 potential risk factors to explore GPs' views on patient safety.
resultsA total of 68 GPs responded (51.5% response rate). None of the clinical cases was uniformly judged as particularly safe or unsafe by the GPs. Cases judged to be unsafe by a majority of the GPs concerned either the maintenance of medical records or prescription and monitoring of medication. Cases which only a few GPs judged as unsafe concerned hygiene, the diagnostic process, prevention and communication. The risk factors most frequently judged to constitute a threat to patient safety were a poor doctor-patient relationship, insufficient continuing education on the part of the GP and a patient age over 75 years. Language barriers and polypharmacy also scored high. Deviation from evidence-based guidelines and patient privacy in the reception/waiting room were not perceived as risk factors by most of the GPs.
conclusionThe views of GPs on safety and risk in primary care did not completely match those presented in published papers and policy documents. The GPs in the present study judged a broader range of factors than in previously published research on patient safety in primary care, including a poor doctor-patient relationship, to pose a potential threat to patient safety. Other risk factors such as infection prevention, deviation from guidelines and incident reporting were judged to be less relevant than by policy makers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.