Approaches to reducing the most important patient errors in primary health care: Patient and professional perspectives

Show simple item record Buetow, Stephen en Kiata, L en Liew, T en Kenealy, Timothy en Dovey, S en Elwyn, G en 2014-09-10T04:30:40Z en 2010 en
dc.identifier.citation Health and Social Care in the Community, 2010, 18 (3), pp. 296 - 303 (8) en
dc.identifier.issn 0966-0410 en
dc.identifier.uri en
dc.description.abstract We have previously reported a preliminary taxonomy of patient error. However, approaches to managing patients' contribution to error have received little attention in the literature. This paper aims to assess how patients and primary care professionals perceive the relative importance of different patient errors as a threat to patient safety. It also attempts to suggest what these groups believe may be done to reduce the errors, and how. It addresses these aims through original research that extends the nominal group analysis used to generate the error taxonomy. Interviews were conducted with 11 purposively selected groups of patients and primary care professionals in Auckland, New Zealand, during late 2007. The total number of participants was 83, including 64 patients. Each group ranked the importance of possible patient errors identified through the nominal group exercise. Approaches to managing the most important errors were then discussed. There was considerable variation among the groups in the importance rankings of the errors. Our general inductive analysis of participants' suggestions revealed the content of four inter-related actions to manage patient error: Grow relationships; Enable patients and professionals to recognise and manage patient error; be Responsive to their shared capacity for change; and Motivate them to act together for patient safety. Cultivation of this GERM of safe care was suggested to benefit from 'individualised community care'. In this approach, primary care professionals individualise, in community spaces, population health messages about patient safety events. This approach may help to reduce patient error and the tension between personal and population health-care. en
dc.relation.ispartofseries Health and Social Care in the Community en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Approaches to reducing the most important patient errors in primary health care: Patient and professional perspectives en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1365-2524.2009.00904.x en
pubs.issue 3 en
pubs.begin-page 296 en
pubs.volume 18 en
dc.identifier.pmid 20141539 en
pubs.end-page 303 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 95847 en Medical and Health Sciences en Population Health en Gen.Practice& Primary Hlthcare en School of Medicine en Medicine Department en
dc.identifier.eissn 1365-2524 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20141539 en

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