ArticleBMC family practice2018
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).
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient Safety Domains in Primary Healthcare: A Systematic Review.Ethiopian journal of health sciences · 2024Pooled 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
- Cross-cultural adaptation and psychometric evaluation of the individual workload perception scale-revised (IWPS-R) in Spanish nurses.International journal of nursing studies advances · 2026Article
- Characterization of Communication-Related Safety Events in a Pediatric Quaternary Care Hospital.Journal of patient safety · 2026Article
- Post-pandemic patient safety: have the characteristics of incidents with harm changed? Comparative observational study in primary care via review of medical records with a trigger tool.BMC primary care · 2024Observational
- 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
- Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study.Therapeutic advances in drug safety · 2023Article
- Assessing patient experience with patient safety in primary care: development and validation of the ASK-ME-questionnaire.BMJ open · 2022Article
- The status and the factors that influence patient safety in health care institutions in Africa: A systematic review.PLOS global public health · 2022Article
- [Patient safety incidents reported before and after the start of the COVID-19 pandemic in Primary Care in Tarragona].Atencion primaria · 2021Article
- Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.European journal of clinical pharmacology · 2021Observational
- Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application.International journal of environmental research and public health · 2021Article
- ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey.PloS one · 2021Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety incidents (PSIs) frequently occur in primary care and are often considered to be preventable. Better knowledge of factors contributing to PSIs is required to build safer care. The aim of this work was to describe the underlying factors, specifically the human factors, that are associated with PSIs in primary care using CADYA ("CAtégorisation des DYsfonctionnements en Ambulatoire" or "Categorization of Errors in Primary Care").
methodsWe followed a mixed method with content analysis and coding in CADYA of PSIs reported in the ESPRIT study, a French cross-sectional survey of primary care. For each incident, a main contributing factor (MD) and, if applicable, a secondary contributing factor (SD) were identified. Several descriptive keywords from an incremental glossary have been suggested to describe each identified human factor (attitudes or behaviours). A descriptive statistical analysis was then conducted.
resultsAmong the 482 PSIs reported in the ESPRIT study, from 13,438 acts reported by 127 participating general practitioners (GPs), we identified 590 contributing factors (482 MDs and 178 SDs). Overall, 35% were related to the care process, 30% to human factors, 22% to the healthcare environment and 13% to technical factors. The contributing factors, in decreasing order of frequency, were communication errors (13.7%), human factors related to healthcare providers (12.9%) and human factors related to patients (12.9%). The human factors were mainly related to 'lack of attention', 'stress', 'anger' and 'fatigue'.
conclusionsOur results tend to prove that human factors are often involved in PSIs in primary care, with GPs and patients being equally responsible. Beyond the identification of communication errors, often found in other international research, we have described the attitudes and behaviours contributing to unsafe care. Further research exploring the links between working conditions and human factors is required.
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