• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement

    Thumbnail
    View/Open
    de WetPUB993.pdf (509.1Kb)
    Author(s)
    de Wet, Carl
    Black, Chris
    Luty, Sarah
    Mckay, John
    O'Donnell, Catherine A
    Bowie, Paul
    Griffith University Author(s)
    de Wet, Carl
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Objectives: To report the implementation of a trigger review method (TRM) in primary care, with a particular focus on its impact on patient safety-related findings. Design: Cross-sectional structured review of random samples (n=25) of electronic records of ‘high-risk’ patient groups conducted twice per year (each for a retrospective review period of 3 months). Setting: 274 general practices in two regions of Scotland. Intervention: Contractual incentivisation of TRM implementation. Main outcome measures: Practice participation rate; characteristics of patient safety incidents (PSIs), for example, their prevalence, ...
    View more >
    Objectives: To report the implementation of a trigger review method (TRM) in primary care, with a particular focus on its impact on patient safety-related findings. Design: Cross-sectional structured review of random samples (n=25) of electronic records of ‘high-risk’ patient groups conducted twice per year (each for a retrospective review period of 3 months). Setting: 274 general practices in two regions of Scotland. Intervention: Contractual incentivisation of TRM implementation. Main outcome measures: Practice participation rate; characteristics of patient safety incidents (PSIs), for example, their prevalence, type, perceived severity and preventability; and actions or intended actions undertaken during and after trigger reviews. Results: 274 of 318 eligible practices (86.2%) returned 536 TRM Summary Reports, which outlined findings from reviews of 13 351 electronic patient records. 1887 (14.1%) PSIs were recorded, with a mean of 3.5 (536/1887) per Summary Report (SD±1.6). Of these, 830 (44.0%) were judged to have caused mild to moderate harm, with 262 (13.9%) cases resulting in more severe harm. A total of 852 PSIs (46.2%) were rated as preventable or potentially preventable. In 459 Summary Reports (85.6%), reviewers indicated implementing one or more improvement actions during the actual TRM process; and 2177 actions after completion of the TRM process (mean 4.1 (SD±3.3) actions per review). Conclusions: The great majority of clinician reviewers ‘successfully’ applied the TRM, uncovering important but previously undetected PSIs, which prompted care teams to take action during and after the trigger reviews. The method and data generated have the potential to drive improvements in related care processes at the practice, regional and national health system level. TRM arguably increased ‘ownership’ of the safety challenge and clinician engagement in implementing their solutions to specific problems identified. Our results suggest that the TRM has potential as a feasible, pragmatic approach to improving primary care safety and quality.
    View less >
    Journal Title
    BMJ Quality & Safety
    Volume
    26
    Issue
    4
    DOI
    https://doi.org/10.1136/bmjqs-2015-004093
    Copyright Statement
    © The Author(s) 2017. This is the author-manuscript version of this paper. It is posted here with permission of the copyright owner(s) for your personal use only. No further distribution permitted. For information about this journal please refer to the publisher’s website or contact the author(s).
    Subject
    Medical and Health Sciences not elsewhere classified
    Clinical Sciences
    Public Health and Health Services
    Curriculum and Pedagogy
    Publication URI
    http://hdl.handle.net/10072/341601
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander