ArticleImplementation science : IS2011
Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study.
Article in Implementation science : IS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessing Patient Safety Culture in Hospital Settings.International journal of environmental research and public health · 2021Pooled it
- Potential value of patient record review to assess and improve patient safety in general practice: A systematic review.The European journal of general practice · 2018Pooled it
- Patient safety incidents are common in primary care: A national prospective active incident reporting survey.PloS one · 2017Trial
- Medication incidents in primary care medicine: protocol of a study by the Swiss Federal Sentinel Reporting System.BMJ open · 2015Trial
- Original scoring system of safety reports for ensuring medical security-trajectory for 18 years at a single center.Journal of rural medicine : JRM · 2024Article
- Treatment Harms in Paediatric Primary Care.International journal of environmental research and public health · 2023Article
- Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety culture™ (SOPS®) hospital survey 2.0.BMC nursing · 2022Article
- Generic analysis method to learn from serious adverse events in Dutch hospitals: a human factors perspective.BMJ open quality · 2022Article
- Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.BMJ quality & safety · 2021Article
- Effectiveness of New Tools to Define an Up-to-Date Patient Safety Risk Map: A Primary Care Study Protocol.International journal of environmental research and public health · 2021Article
- Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.BMJ open · 2021Article
- Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England.BMJ open · 2021Article
- Article
- Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey.BMJ open · 2020Article
- Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.BMJ quality & safety · 2019Article
- Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey.BMC family practice · 2019Article
- Safety analysis over time: seven major changes to adverse event investigation.Implementation science : IS · 2017Article
- Epidemiology of Patient Harms in New Zealand: Protocol of a General Practice Records Review Study.JMIR research protocols · 2017Article
- The safety climate in primary care (SAP-C) study: study protocol for a randomised controlled feasibility study.Pilot and feasibility studies · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety can be at stake in both hospital and general practice settings. While severe patient safety incidents have been described, quantitative studies in large samples of patients in general practice are rare. This study aimed to assess patient safety in general practice, and to show areas where potential improvements could be implemented.
methodsWe conducted a retrospective review of patient records in Dutch general practice. A random sample of 1,000 patients from 20 general practices was obtained. The number of patient safety incidents that occurred in a one-year period, their perceived underlying causes, and impact on patients' health were recorded.
resultsWe identified 211 patient safety incidents across a period of one year (95% CI: 185 until 241). A variety of types of incidents, perceived causes and consequences were found. A total of 58 patient safety incidents affected patients; seven were associated with hospital admission; none resulted in permanent disability or death.
conclusionsAlthough this large audit of medical records in general practices identified many patient safety incidents, only a few had a major impact on patients' health. Improving patient safety in this low-risk environment poses specific challenges, given the high numbers of patients and contacts in general practice.
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