Evidence map›Paper›PMID 28452916›Full record

ArticleJournal of patient safety2019

Never Events in UK General Practice: A Survey of the Views of General Practitioners on Their Frequency and Acceptability as a Safety Improvement Approach.

Susan J Stocks, Rahul Alam, Paul Bowie, Stephen Campbell, Carl de Wet, Aneez Esmail, Sudeh Cheraghi-Sohi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

7 authors.

Susan J StocksFrom the NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester.
Rahul AlamFrom the NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester.
Paul BowieNHS Education for Scotland, Glasgow.
Stephen CampbellFrom the NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester.
Carl de WetSchool of Medicine, Gold Coast Campus, Griffith University, Nathan, Queensland, Australia.
Aneez EsmailFrom the NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester.
Sudeh Cheraghi-SohiFrom the NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester.

Funding

Department of Health GMPSTRC-2012-1
6 · The paper itself

Abstract

backgroundNever events (NEs) are serious preventable patient safety incidents and are a component of formal quality and safety improvement (Q&SI) policies in the United Kingdom and elsewhere. A preliminary list of NEs for UK general practice has been developed, but the frequency of these events, or their acceptability to general practitioner (GPs) as a Q&SI approach, is currently unknown. The study aims to estimate (1) the frequency of 10 NEs occurring within GPs' own practices and (2) the extent to which the NE approach is perceived as acceptable for use.

methodsGeneral practitioners were surveyed, and mixed-effects logistic regression models examined the relationship between GP opinions of NE, estimates of NE frequency, and the characteristics of the GPs and their practices.

resultsResponses from 556 GPs in 412 practices were analyzed. Most participants (70%-88%, depending on the NE) agreed that the described incident should be designated as a NE. Three NEs were estimated to have occurred in less than 4% of practices in the last year; however, two NEs were estimated to have occurred in 45% to 61% of the practices. General practitioners reporting that a NE had occurred in their practice in the last year were significantly less likely to agree with the designation as a NE compared with GPs not reporting a NE (odds ratio, 0.42; 95% CI = 0.36-0.49).

conclusionsThe NE approach may have Q&SI potential for general practice, but further work to adapt the concept and content is required.

Indexed as

Attitude of Health PersonnelFemaleGeneral PractitionersHumansMaleMedical ErrorsMiddle AgedPatient SafetyQuality ImprovementSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID28452916
PMCPMC5542029

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.