TY - JOUR
T1 - Patients' perceptions and experiences of patient safety in primary care in England
AU - Ricci-Cabello, Ignacio
AU - Pons-Vigués, Mariona
AU - Berenguera, Anna
AU - Pujol-Ribera, Enriqueta
AU - Slight, Sarah Patricia
AU - Valderas, Jose Maria
PY - 2016/10/1
Y1 - 2016/10/1
N2 - © The Author 2016. Published by Oxford University Press. All rights reserved. Background.: One of the most remarkable features of patient safety research in primary care is the sparse attention paid to patients' own experiences. Objective.: To explore patient's perceptions and experiences of patient safety in primary care in England. Methods.: We conducted a qualitative study in the South of England with an opportunistic sample of 27 primary care users. Information was obtained from four patient focus groups. A thematic content analysis was conducted by three analysts and consensus reached within the research team on the key themes that emerged. Results.: Participants' conceptualizations of patient safety referred to high standards of health care delivery within a relationship of trust. Participants identified four main factors that they believed could potentially affect patient safety. These included factors related to (i) the patient (attitudes, behaviours and health literacy); (ii) the health professional (attitudes, behaviours and accuracy of diagnoses); (iii) the relationship between patients and health professionals (communication and trust); and (iv) the health care system (workload, resources, care coordination, accessibility, interdisciplinary teamwork and accuracy of health care records). Confidentiality, continuity of care and treatment-related safety emerged as cross-cutting major threats to patient safety. Conclusions.: The exploration of participants' perceptions and experiences allowed the identification of a wide variety of themes that were perceived to impact on patient safety in primary care. The findings of this study could be used to enrich current frameworks that are exclusively based on professional or health care system perspectives.
AB - © The Author 2016. Published by Oxford University Press. All rights reserved. Background.: One of the most remarkable features of patient safety research in primary care is the sparse attention paid to patients' own experiences. Objective.: To explore patient's perceptions and experiences of patient safety in primary care in England. Methods.: We conducted a qualitative study in the South of England with an opportunistic sample of 27 primary care users. Information was obtained from four patient focus groups. A thematic content analysis was conducted by three analysts and consensus reached within the research team on the key themes that emerged. Results.: Participants' conceptualizations of patient safety referred to high standards of health care delivery within a relationship of trust. Participants identified four main factors that they believed could potentially affect patient safety. These included factors related to (i) the patient (attitudes, behaviours and health literacy); (ii) the health professional (attitudes, behaviours and accuracy of diagnoses); (iii) the relationship between patients and health professionals (communication and trust); and (iv) the health care system (workload, resources, care coordination, accessibility, interdisciplinary teamwork and accuracy of health care records). Confidentiality, continuity of care and treatment-related safety emerged as cross-cutting major threats to patient safety. Conclusions.: The exploration of participants' perceptions and experiences allowed the identification of a wide variety of themes that were perceived to impact on patient safety in primary care. The findings of this study could be used to enrich current frameworks that are exclusively based on professional or health care system perspectives.
KW - Focus groups
KW - Health services research
KW - Patient safety
KW - Primary health care
KW - Qualitative research
U2 - 10.1093/fampra/cmw046
DO - 10.1093/fampra/cmw046
M3 - Article
VL - 33
SP - 535
EP - 542
JO - Family Practice
JF - Family Practice
SN - 0263-2136
IS - 5
M1 - cmw046
ER -