Evidence map›Paper›PMID 26339837›Full record

ArticleThe European journal of general practice2015

Patient safety improvement programmes for primary care. Review of a Delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care.

Wim Verstappen, Sander Gaal, Aneez Esmail, Michel Wensing

Abstract readConsensus Statement
In one paragraph

Article in The European journal of general practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Characterising patient complaints in out-of-hours general practice: a retrospective cohort study in Ireland.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Researching patient safety in primary care: Now and in the future.The European journal of general practice · 2015
    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

4 authors.

Wim Verstappena Radboud University Nijmegen Medical Centre, Scientific Institute for Quality in Healthcare , Nijmegen , The Netherlands.
Sander Gaal
Aneez Esmail
Michel Wensing

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo improve patient safety it is necessary to identify the causes of patient safety incidents, devise solutions and measure the (cost-) effectiveness of improvement efforts.

objectiveThis paper provides a broad overview with practical guidance on how to improve patient safety.

methodsWe used modified online Delphi procedures to reach consensus on methods to improve patient safety and to identify important features of patient safety management in primary care. Two pilot studies were carried out to assess the value of prospective risk analysis (PRA), as a means of identifying the causes of a patient safety incident.

resultsA range of different methods can be used to improve patient safety but they have to be contextually specific. Practice organization, culture, diagnostic errors and medication safety were found to be important domains for further improvement. Improvement strategies for patient safety could benefit from insights gained from research on implementation of evidence-based practice. Patient involvement and prospective risk analysis are two promising and innovative strategies for improving patient safety in primary care.

conclusionA range of methods is available to improve patient safety, but there is no 'magic bullet.' Besides better use of the available methods, it is important to use new and potentially more effective strategies, such as prospective risk analysis.

Indexed as

Patient SafetyPrimary Health CareDelphi TechniqueHumansMedical ErrorsPilot ProjectsQuality ImprovementimprovementLINNEAUS collaborationPatient safetyprospective risk analysis

Identifiers

PMID26339837
PMCPMC4828596

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.