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dc.contributor.authorRicci-Cabello, I
dc.contributor.authorSaletti-Cuesta, L
dc.contributor.authorSlight, SP
dc.contributor.authorValderas, JM
dc.date.accessioned2017-03-14T09:18:12Z
dc.date.issued2017-02-28
dc.description.abstractBACKGROUND: There is a growing interest in identifying strategies to achieve safer primary health-care provision. However, most of the research conducted so far in this area relies on information supplied by health-care providers, and limited attention has been paid to patients' perspectives. OBJECTIVE: To explore patients' experiences and perceptions of patient safety in English general practices with the aim of eliciting patient-centred recommendations for improving patient safety. METHODS: The Patient Reported Experiences and Outcomes of Safety in Primary Care questionnaire was sent to a random sample of 6736 primary care users registered in 45 English practices. We conducted a qualitative content analysis of responses to seven open-ended items addressing patients' experiences of safety problems, lessons learnt as a result of such experiences and recommendations for safer health care. RESULTS: A total of 1244 (18.4%) participants returned completed questionnaires. Of those, 678 (54.5%) responded to at least one open-ended question. Two main themes emerged as follows: (i) experiences of safety problems and (ii) good practices and recommendations to improve patient safety in primary care. Most frequent experiences of safety problems were related to appointments, coordination between providers, tests, medication and diagnosis. Patients' responses to these problems included increased patient activation (eg speaking up about concerns with their health care) and avoidance of unnecessary health care. Recommendations for safer health care included improvements in patient-centred communication, continuity of care, timely appointments, technical quality of care, active monitoring, teamwork, health records and practice environment. CONCLUSION: This study identified a number of patient-centred recommendations for improving patient safety in English general practices.en_GB
dc.description.sponsorshipThis research is part-funded by the National Institute for Health Research School for Primary Care Research (NIHR SPCR). The views expressed are those of the authors and not necessarily those of the NIHR, the NHS or the Department of Health.en_GB
dc.identifier.citationVersion of Record online: 28 FEB 2017en_GB
dc.identifier.doi10.1111/hex.12537
dc.identifier.urihttp://hdl.handle.net/10871/26537
dc.language.isoenen_GB
dc.publisherWiley Open Accessen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/28244631en_GB
dc.rights© 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_GB
dc.subjecthealth services researchen_GB
dc.subjectpatient safetyen_GB
dc.subjectprimary health careen_GB
dc.subjectqualitative researchen_GB
dc.titleIdentifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire.en_GB
dc.typeArticleen_GB
dc.date.available2017-03-14T09:18:12Z
dc.identifier.issn1369-6513
exeter.place-of-publicationEnglanden_GB
dc.descriptionPublished onlineen_GB
dc.descriptionJournal Articleen_GB
dc.descriptionThis is the final version of the article. Available from Wiley via the DOI in this record.en_GB
dc.identifier.eissn1369-7625
dc.identifier.journalHealth Expectationsen_GB


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