ArticleBMJ open2021
Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Digital patient safety interventions in primary care: a systematic review and meta-analysis.BMC medicine · 2026Pooled it
- 'Development and psychometric evaluation of the safety feeling scale in adult patients at hospital: Exploratory sequential mixed method'.Nursing open · 2023Pooled it
- Patient Safety in Family Medicine through the Eyes of People with Chronic Conditions in Slovenia.Zdravstveno varstvo · 2026Article
- Article
- Coproducing data-driven organizational safety with patients: development and cognitive testing of a multisetting patient-reported safety concern tool.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- What Factors Influence Patient Measures of Safety Among Adults?Risk management and healthcare policy · 2025Article
- [Degree of implementation of patient safety in primary health care in three Brazilian capitals].Cadernos de saude publica · 2025Article
- The benefits and opportunities: Engaging patients in identifying and reporting patient safety incidents.Healthcare management forum · 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
- 'Safety is about partnership': Safety through the lens of patients and caregivers.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Article
- Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study.BMC medical research methodology · 2023Article
- Patients' Perceptions of Safety in Primary Healthcare Settings: A Cross-Sectional Study in the Qassim Region of Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- [The Global Patient Safety Action Plan 2021-2030: Identifying actions for safer primary health care].Atencion primaria · 2021Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient engagement in safety has shown positive effects in preventing or reducing adverse events and potential safety risks. Capturing and utilising patient-reported safety incident data can be used for service learning and improvement.
objectiveThe aim of this study was to characterise the nature of patient-reported safety incidents in primary care.
designSecondary analysis of two cross sectional studies.
participantsAdult patients from Australian and English primary care settings. MEASURES: Patients' self-reported experiences of safety incidents were captured using the validated Primary Care Patient Measure of Safety questionnaire. Qualitative responses to survey items were analysed and categorised using the Primary Care Patient Safety Classification System. The frequency and type of safety incidents, contributory factors, and patient and system level outcomes are presented.
resultsA total of 1329 patients (n=490, England; n=839, Australia) completed the questionnaire. Overall, 5.3% (n=69) of patients reported a safety incident over the preceding 12 months. The most common incident types were administration incidents (n=27, 31%) (mainly delays in accessing a physician) and incidents involving diagnosis and assessment (n=16, 18.4%). Organisation of care accounted for 27.6% (n=29) of the contributory factors identified in the safety incidents. Staff factors (n=13, 12.4%) was the second most commonly reported contributory factor. Where an outcome could be determined, patient inconvenience (n=24, 28.6%) and clinical harm (n=21, 25%) (psychological distress and unpleasant experience) were the most frequent.
conclusionsThe nature and outcomes of patient-reported incidents differ markedly from those identified in studies of staff-reported incidents. The findings from this study emphasise the importance of capturing patient-reported safety incidents in the primary care setting. The patient perspective can complement existing sources of safety intelligence with the potential for service improvement.
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