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A Patient Safety Toolkit for Family Practices

Campbell, Stephen M.; Bell, Brian G.; Marsden, Kate; Spencer, Rachel; Kadam, Umesh; Perryman, Katherine; Rodgers, Sarah; Litchfield, Ian; Reeves, David; Chuter, Antony; Doos, Lucy; Ricci-Cabello, Ignacio; Gill, Paramjit; Esmail, Aneez; Greenfield, Sheila; Slight, Sarah; Middleton, Karen; Barnett, Jane; Moore, Michael; Valderas, Jose M.; Sheikh, Aziz; Avery, Anthony J.


Stephen M. Campbell

Kate Marsden

Rachel Spencer

Umesh Kadam

Katherine Perryman

Sarah Rodgers

Ian Litchfield

David Reeves

Antony Chuter

Lucy Doos

Ignacio Ricci-Cabello

Paramjit Gill

Aneez Esmail

Sheila Greenfield

Sarah Slight

Karen Middleton

Jane Barnett

Michael Moore

Jose M. Valderas

Aziz Sheikh


Objectives: Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.

Methods: Six tools were used in 46 practices. These tools were: NHS Education for Scotland Trigger Tool, NHS Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, PREOS-PC, and Concise Safe Systems Checklist.

Results: PC-Safequest showed that most practices had a well-developed safety climate. However, the Trigger Tool revealed that a quarter of events identified were associated with moderate or substantial harm, with a third originating in primary care and avoidable. Although medicines reconciliation was undertaken within 2 days in >70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1,435 instances of potentially hazardous prescribing or lack of recommended monitoring (from 92,649 patients). The Concise Safe Systems Checklist found that 25% of staff thought their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of non-collection of prescriptions. Most patients had a positive perception of the safety of their practice although 45% identified at least one safety problem in the past year.

Conclusions: Patient safety is complex and multidimensional. The Patient Safety Toolkit is easy to use and hosted on a single platform with a collection of tools generating practical and actionable information. It enables family practices to identify safety deficits that they can review and change procedures to improve their patient safety across a key sets of patient safety issues.


Campbell, S. M., Bell, B. G., Marsden, K., Spencer, R., Kadam, U., Perryman, K., …Avery, A. J. (2018). A Patient Safety Toolkit for Family Practices. Journal of Patient Safety, 16(3), e182-e186.

Journal Article Type Article
Acceptance Date Jan 10, 2018
Online Publication Date Feb 15, 2018
Publication Date 2018-02
Deposit Date Feb 13, 2018
Publicly Available Date Feb 15, 2018
Journal Journal of Patient Safety
Print ISSN 1549-8417
Electronic ISSN 1549-8425
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 16
Issue 3
Pages e182-e186
Keywords Patient Safety; Primary Care; Toolkit
Public URL
Publisher URL


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