ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Development of a tool for coding safety-netting behaviours in primary care: a mixed-methods study using existing UK consultation recordings.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of observational coding systems to assess patient-healthcare professional interactions.Patient education and counseling · 2025Pooled it
- To what extent should doctors communicate diagnostic uncertainty with their patients? An empirical ethics vignette study.Journal of medical ethics · 2025Trial
- Safety-netting communication during telephone consultations: an observational study using recorded consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Observational
- Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study.BMJ quality & safety · 2024Article
- How is diagnostic uncertainty communicated and managed in real world primary care settings?BMC primary care · 2024Article
- Safety-netting strategies for primary and emergency care: a codesign study with patients, carers and clinicians in Sweden.BMJ open · 2024Article
- Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations.BJGP open · 2023Article
- Safety netting advice for respiratory tract infections in out-of-hours primary care: A qualitative analysis of consultation videos.The European journal of general practice · 2022Article
- Factors affecting the documentation of spoken safety-netting advice in routine GP consultations: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- The content and conduct of GP consultations for dermatology problems: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Safety netting in routine primary care consultations: an observational study using video-recorded UK consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Observational
- Quality improvements of safety-netting guidelines for cancer in UK primary care: insights from a qualitative interview study of GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSafety netting is recommended in a variety of clinical settings, yet there are no tools to record clinician safety-netting communication behaviours.
aimTo develop and assess the inter-rater reliability (IRR) of a coding tool designed to assess safety-netting communication behaviours in primary care consultations. DESIGN AND
settingA mixed-methods study using an existing dataset of video-and audio-recorded UK primary care consultations.
methodKey components that should be assessed in a coding tool were identified using the published literature and relevant guidelines. An iterative approach was utilised to continuously refine and generate new codes based on the application to real-life consultations. After the codebook had been generated, it was applied to 35 problems in 24 consultations independently by two coders. IRR scores were then calculated.
resultsThe tool allows for the identification and quantification of the key elements of safety-netting advice including: who initiates the advice and at which stage of the consultation; the number of symptoms or conditions the patient is advised to look out for; what action patients should take and how urgently; as well as capturing how patients respond to such advice plus important contextual codes such as the communication of diagnostic uncertainty, the expected time course of an illness, and any follow-up plans. The final tool had substantial levels of IRR with the mean average agreement for the final tool being 88% (
conclusionThe authors have developed a novel tool that can reliably code the extent of clinician safety-netting communication behaviours.
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