Evidence map›Paper›PMID 24567655›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014

Developing a preliminary 'never event' list for general practice using consensus-building methods.

Carl de Wet, Catherine O'Donnell, Paul Bowie

Abstract readValidation Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Patient safety research in primary care: where are we now?The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  12. Harms from discharge to primary care: mixed methods analysis of incident reports.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Review
  13. Article
  14. Article
  15. Patient safety and general practice: traversing the tightrope.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
  16. Risky business.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Carl de WetGeneral Practice & Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Science, University of Glasgow, Glasgow.
Catherine O'Donnell
Paul Bowie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 'never event' concept has been implemented in many acute hospital settings to help prevent serious patient safety incidents. Benefits include increasing awareness of highly important patient safety risks among the healthcare workforce, promoting proactive implementation of preventive measures, and facilitating incident reporting.

aimTo develop a preliminary list of never events for general practice. DESIGN AND

settingApplication of a range of consensus-building methods in Scottish and UK general practices.

methodA total of 345 general practice team members suggested potential never events. Next, 'informed' staff (n =15) developed criteria for defining never events and applied the criteria to create a list of candidate never events. Finally, UK primary care patient safety 'experts' (n = 17) reviewed, refined, and validated a preliminary list via a modified Delphi group and by completing a content validity index exercise.

resultsThere were 721 written suggestions received as potential never events. Thematic categorisation reduced this to 38. Five criteria specific to general practice were developed and applied to produce 11 candidate never events. The expert group endorsed a preliminary list of 10 items with a content validity index (CVI) score of >80%.

conclusionA preliminary list of never events was developed for general practice through practitioner experience and consensus-building methods. This is an important first step to determine the potential value of the never event concept in this setting. It is now intended to undertake further testing of this preliminary list to assess its acceptability, feasibility, and potential usefulness as a safety improvement intervention.

Indexed as

General PracticeHealth PersonnelPatient SafetyBenchmarkingConsensusDecision Support TechniquesEvidence-Based MedicineHumansPrimary Health CareQuality of Health CareRisk ManagementSafety ManagementTotal Quality Managementgeneral practicenever eventspatient safetyprimary care

Identifiers

PMID24567655
PMCPMC3933834

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.