Trial reportPloS one2017
Patient safety incidents are common in primary care: A national prospective active incident reporting survey.
Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Digital patient safety interventions in primary care: a systematic review and meta-analysis.BMC medicine · 2026Pooled it
- Patient and family engagement interventions in primary care patient safety: systematic review and meta-analysis of randomised controlled trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Pooled it
- A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial.BMC primary care · 2024Trial
- The extent of interruptions to primary care medical officers' consultations in the Western Cape.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Patient safety incidents in Irish general practice during the COVID-19 pandemic: an exploratory practice level analysis.BMC primary care · 2024Article
- Patient Safety Incidents in Primary Care: Comparing APEAS-2007 (Spanish Patient Safety Adverse Events Study in Primary Care) with Data from a Health Area in Catalonia (Spain) in 2019.Healthcare (Basel, Switzerland) · 2024Article
- The impact of nursing practice environments on patient safety culture in primary health care: a scoping review.BJGP open · 2024Article
- Safety Culture and the Positive Association of Being a Primary Care Training Practice during COVID-19: The Results of the Multi-Country European PRICOV-19 Study.International journal of environmental research and public health · 2022Article
- [The Global Patient Safety Action Plan 2021-2030: Identifying actions for safer primary health care].Atencion primaria · 2021Article
- [Patient safety incidents reported before and after the start of the COVID-19 pandemic in Primary Care in Tarragona].Atencion primaria · 2021Article
- Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.BMJ quality & safety · 2021Article
- Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application.International journal of environmental research and public health · 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
- Reliability of assessment of medical students' non-technical skills using a behavioural marker system: does clinical experience matter?BMJ simulation & technology enhanced learning · 2021Article
- Implementation of Computerized Physician Order Entry in Primary Care: A Scoping Review.Journal of multidisciplinary healthcare · 2021Article
- Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey.BMJ open · 2020Article
- Patient safety in marginalised groups: a narrative scoping review.International journal for equity in health · 2020Article
- Patient safety in primary and outpatient health care.Journal of family medicine and primary care · 2020Article
- Factors contributing to patient safety incidents in primary care: a descriptive analysis of patient safety incidents in a French study using CADYA (categorization of errors in primary care).BMC family practice · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study objectives were to describe the incidence and the nature of patient safety incidents (PSIs) in primary care general practice settings, and to explore the association between these incidents and practice or organizational characteristics.
methodsGPs, randomly selected from a national influenza surveillance network (n = 800) across France, prospectively reported any incidents observed each day over a one-week period between May and July 2013. An incident was an event or circumstance that could have resulted, or did result, in harm to a patient, which the GP would not wish to recur. Primary outcome was the incidence of PSIs which was determined by counting reports per total number of patient encounters. Reports were categorized using existing taxonomies. The association with practice and organizational characteristics was calculated using a negative binomial regression model.
results127 GPs (participation rate 79%) reported 317 incidents of which 270 were deemed to be a posteriori judged preventable, among 12,348 encounters. 77% had no consequences for the patient. The incidence of reported PSIs was 26 per 1000 patient encounters per week (95% CI [23‰ -28‰]). Incidents were three times more frequently related to the organization of healthcare than to knowledge and skills of health professionals, and especially to the workflow in the GPs' offices and to the communication between providers and with patients. Among GP characteristics, three were related with an increased incidence in the final multivariable model: length of consultation higher than 15 minutes, method of receiving radiological results (by fax compared to paper or email), and being in a multidisciplinary clinic compared with sole practitioners.
conclusionsPatient safety incidents (PSIs) occurred in mean once every two days in the sampled GPs and 2% of them were associated with a definite possibility for harm. Studying the association between organizational features of general practices and PSIs remains a major challenge and one of the most important issues for safety in primary care.
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