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  • Participatory design of a preliminary safety checklist for general practice

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    Version of Record (VoR)
    Author(s)
    Bowie, Paul
    Ferguson, Julie
    MacLeod, Marion
    Kennedy, Susan
    de Wet, Carl
    McNab, Duncan
    Kelly, Moya
    McKay, John
    Atkinson, Sarah
    Griffith University Author(s)
    de Wet, Carl
    Year published
    2015
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    Abstract
    Background: The use of checklists to minimise errors is well established in high reliability, safety-critical industries. In health care there is growing interest in checklists to standardise checking processes and ensure task completion, and so provide further systemic defences against error and patient harm. However, in UK general practice there is limited experience of safety checklist use. Aim: To identify workplace hazards that impact on safety, health and wellbeing, and performance, and codesign a standardised checklist process. Design and setting: Application of mixed methods to identify system hazards in Scottish ...
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    Background: The use of checklists to minimise errors is well established in high reliability, safety-critical industries. In health care there is growing interest in checklists to standardise checking processes and ensure task completion, and so provide further systemic defences against error and patient harm. However, in UK general practice there is limited experience of safety checklist use. Aim: To identify workplace hazards that impact on safety, health and wellbeing, and performance, and codesign a standardised checklist process. Design and setting: Application of mixed methods to identify system hazards in Scottish general practices and develop a safety checklist based on human factors design principles. Method: A multiprofessional ‘expert’ group (n = 7) and experienced front-line GPs, nurses, and practice managers (n = 18) identified system hazards and developed and validated a preliminary checklist using a combination of literature review, documentation review, consensus building workshops using a mini-Delphi process, and completion of content validity index exercise. Results: A prototype safety checklist was developed and validated consisting of six safety domains (for example, medicines management), 22 sub-categories (for example, emergency drug supplies) and 78 related items (for example, stock balancing, secure drug storage, and cold chain temperature recording). Conclusion: Hazards in the general practice work system were prioritised that can potentially impact on the safety, health and wellbeing of patients, GP team members, and practice performance, and a necessary safety checklist prototype was designed. However, checklist efficacy in improving safety processes and outcomes is dependent on user commitment, and support from leaders and promotional champions. Although further usability development and testing is necessary, the concept should be of interest in the UK and internationally.
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    Journal Title
    British Journal of General Practice
    Volume
    65
    Issue
    634
    DOI
    https://doi.org/10.3399/bjgp15X684865
    Copyright Statement
    © 2015 Royal College of General Practitioners. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
    Subject
    Medical and Health Sciences not elsewhere classified
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/134148
    Collection
    • Journal articles

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