ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021
Factors affecting the documentation of spoken safety-netting advice in routine GP consultations: a cross-sectional study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- 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
- Diagnosing Sepsis in Primary Care: Navigating Clinical Uncertainty Across Vulnerable Patient Groups.Cureus · 2026Review
- 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
- Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis.BMJ quality & safety · 2024Article
- Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations.BJGP open · 2023Article
- What is important to the GP in recognizing acute appendicitis in children: a delphi study.BMC primary care · 2023Review
- Patients' and clinicians' views on the appropriate use of safety-netting advice in consultations-an interview study from Sweden.BMJ open · 2023Article
- Using an electronic safety netting tool designed to improve safety with respect to cancer referral in primary care: a qualitative service evaluation using rapid appraisal methods.BMJ open quality · 2023Article
- Article
- 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
- Research Paper of the Year 2021: relevant to training and beyond.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Optimising GPs' communication of advice to facilitate patients' self-care and prompt follow-up when the diagnosis is uncertain: a realist review of 'safety-netting' in primary care.BMJ quality & safety · 2022Review
- The person-based development and realist evaluation of a summary report for GP consultations [version 1; peer review: 2 approved].NIHR open research · 2022Article
- Safety netting in the COVID-19 Clinical Assessment Service.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies have reported how often safety-netting is documented in medical records, but it is not known how this compares with what is verbalised and what factors might influence the consistency of documentation.
aimTo compare spoken and documented safety-netting advice and to explore factors associated with documentation. DESIGN AND
settingA cross-sectional study, using an existing GP consultations archive.
methodObservational coding involving classifying and quantifying medical record entries and comparison with spoken safety-netting advice in 295 video-/audio-recorded consultations. Associations were tested using logistic regression.
resultsTwo-thirds of consultations (192/295) contained spoken safety-netting advice that applied to less than half of the problems assessed (242/516). Only one-third of consultations (94/295) had documented safety-netting advice, which covered 20.3% of problems (105/516). The practice of GPs varied widely, from those that did not document their safety-netting advice to those that nearly always did so (86.7%). GPs were more likely to document their safety-netting advice for new problems (
conclusionGPs frequently do not document the safety-netting advice they have given to patients, which may have medicolegal implications in the event of an untoward incident. GPs should consider how safely they can assess and document more than one problem in a single consultation and this risk should be shared with patients to help manage expectations.
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