Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda …

A Carson-Stevens, P Hibbert, H Williams… - Health Services and …, 2016 - research.ed.ac.uk
Background: There is an emerging interest in the inadvertent harm caused to patients by the
provision of primary health-care services. To date (up to 2015), there has been limited …

[PDF][PDF] Threats to safe transitions from hospital to home: a consensus study in North West London primary care

O Markiewicz, M Lavelle, F Lorencatto, G Judah… - British Journal of …, 2019 - bjgp.org
Background Transitions between healthcare settings are vulnerable points for patients. Aim
To identify key threats to safe patient transitions from hospital to primary care settings …

[HTML][HTML] The incidence of diagnostic error in medicine

ML Graber - BMJ quality & safety, 2013 - qualitysafety.bmj.com
A wide variety of research studies suggest that breakdowns in the diagnostic process result
in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews …

[PDF][PDF] Diagnostic errors

World Health Organization - 2016 - apps.who.int
Health services throughout the world strive to provide care to people when they are unwell
and assist them to stay well. Primary care services are increasingly at the heart of integrated …

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting

JE Anderson, N Kodate, R Walters… - International journal for …, 2013 - academic.oup.com
Objectives Recent critiques of incident reporting suggest that its role in managing safety has
been over emphasized. The objective of this study was to examine the perceived …

Can surgical teams ever learn? The role of coordination, complexity, and transitivity in action team learning

DR Vashdi, PA Bamberger, M Erez - Academy of Management …, 2013 - journals.aom.org
Recognizing that current theories of team learning do not apply to short-term action teams,
we conceptualize how action teams may learn and test hypotheses regarding the …

A study of the prevalence of adverse events in primary healthcare in Spain

JM Aranaz-Andrés, C Aibar, R Limon… - … European Journal of …, 2012 - academic.oup.com
Background: Healthcare practices involve risks for patients, but there has been little
research to date on the occurrence of adverse events (AE) in primary care (PC). The …

Human error, not communication and systems, underlies surgical complications

PJ Fabri, JL Zayas-Castro - Surgery, 2008 - Elsevier
OBJECTIVE: This study prospectively assesses the underlying errors contributing to surgical
complications over a 12-month period in a complex academic department of surgery using a …

Segurança do paciente na atenção primária à saúde: revisão sistemática

SG Marchon, WV Mendes Junior - Cadernos de Saúde Pública, 2014 - SciELO Brasil
O objetivo deste artigo foi identificar metodologias utilizadas para avaliação de incidentes
na atenção primária à saúde, os tipos, seus fatores contribuintes e as soluções para tornar a …

Patient safety in primary health care: a systematic review

SG Marchon… - Cadernos de saúde …, 2014 - SciELO Public Health
The aim of this study was to identify methodologies to evaluate incidents in primary health
care, types of incidents, contributing factors, and solutions to make primary care safer. A …