ArticleJournal of evaluation in clinical practice2016
Safety climate in English general practices: workload pressures may compromise safety.
Article in Journal of evaluation in clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge.BMJ quality & safety · 2018Pooled it
- Safety in primary care (SAP-C): a randomised, controlled feasibility study in two different healthcare systems.BMC family practice · 2019Trial
- Nurses' perceptions about the patient safety climate in Primary Health Care.Revista latino-americana de enfermagem · 2024Article
- Improving the culture of safety among healthcare workers: Integration of different instruments to gain major insights and drive effective changes.The International journal of health planning and management · 2022Article
- Relationship between patient safety culture and patient experience in hospital settings: a scoping review protocol.BMJ open · 2021Article
- The importance of teamwork climate for preventing burnout in UK general practices.European journal of public health · 2020Article
- Development of the prototype concise safe systems checklist tool for general practice.BMC health services research · 2020Article
- Using safety culture results to guide the merger of four general practices in the UK.BMJ open quality · 2020Article
- Safety climate, safety climate strength, and length of stay in the NICU.BMC health services research · 2019Observational
- Article
- Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.BMC family practice · 2018Article
- Perceived safety climate in Irish primary care settings-a comparison with Scotland and England.The European journal of general practice · 2018Article
- GPs' perceptions of resilience training: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Influences on GP coping and resilience: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Safety climate in English general practices: workload pressures may compromise safety.Journal of evaluation in clinical practice · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough most health care interactions in the developed world occur in general practice, most of the literature on patient safety has focused on secondary care services. To address this issue, we have constructed a patient safety toolkit for English general practices. We report how practice and respondent characteristics affect scores on our safety climate measure, the PC-Safequest, and address recent concerns with high levels of workload in English general practices.
methodsWe administered the PC-Safequest, a 30-item tool that was designed to measure safety climate in primary care practices, to 335 primary care staff members in 31 practices in England. Practice characteristics, such as list size and deprivation in the area the practice served, and respondent characteristics, such as whether the respondent was a manager, were also collected and used in a multilevel analysis to predict PC-Safequest scores.
resultsManagers gave their practices significantly higher safety climate scores than did non-managers. Respondents with more years of experience had a more negative perception of the level of workload in their practice. Practices with more registered patients and in areas of higher deprivation provided lower safety climate scores.
conclusionsManagers rated their practices more positively on our safety climate measure, so the differences between the perceptions of managers and other staff may need to be reduced in order to build a strong safety culture. Excessive workload for more experienced staff and lower safety climate scores for larger practices may reflect 'burnout'. Concerns that pressures in primary care could affect patient safety are discussed.
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