Evidence map›Paper›PMID 25918337›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.

Natasha J Verbakel, Maaike Langelaan, Theo J M Verheij, Cordula Wagner, Dorien L M Zwart

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Trial
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  3. Improving patient safety culture in general practice: an interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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  16. Staying Safe.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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  17. Patient safety: the general practice agenda.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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  18. 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

5 authors.

Natasha J VerbakelDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Maaike LangelaanNivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Theo J M VerheijDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Cordula WagnerEMGO+ Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, The Netherlands.
Dorien L M ZwartDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA constructive safety culture is essential for the successful implementation of patient safety improvements.

aimTo assess the effect of two patient safety culture interventions on incident reporting as a proxy of safety culture. DESIGN AND

settingA three-arm cluster randomised trial was conducted in a mixed method study, studying the effect of administering a patient safety culture questionnaire (intervention I), the questionnaire complemented with a practice-based workshop (intervention II) and no intervention (control) in 30 general practices in the Netherlands.

methodThe primary outcome, the number of reported incidents, was measured with a questionnaire at baseline and a year after. Analysis was performed using a negative binomial model. Secondary outcomes were quality and safety indicators and safety culture. Mixed effects linear regression was used to analyse the culture questionnaires.

resultsThe number of incidents increased in both intervention groups, to 82 and 224 in intervention I and II respectively. Adjusted for baseline number of incidents, practice size and accreditation status, the study showed that practices that additionally participated in the workshop reported 42 (95% confidence interval [CI] = 9.81 to 177.50) times more incidents compared to the control group. Practices that only completed the questionnaire reported 5 (95% CI = 1.17 to 25.49) times more incidents. There were no statistically significant differences in staff perception of patient safety culture at follow-up between the three study groups.

conclusionEducating staff and facilitating discussion about patient safety culture in their own practice leads to increased reporting of incidents. It is beneficial to invest in a team-wise effort to improve patient safety.

Indexed as

Patient SafetySurveys and QuestionnairesAdultCultureFemaleGeneral PracticeHumansMaleMedical ErrorsNetherlandsRisk Managementgeneral practiceimprovement, intervention studiespatient safetyprimary health caresafety culture

Identifiers

PMID25918337
PMCPMC4408525

What OpenQuestion holds

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Registered trials

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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.