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Table 7 Involvement of healthcare professionals in the learning and implementation of change from undertaking a SEA.

From: A review of significant events analysed in general practice: implications for the quality and safety of patient care

Learning Needs Identified
(182/191 = 95.3%)
Reporting GP Partners Practice Manager Practice Nurse Administration. Staff Health Visitor District Nurse Comm. Pharmacist Hospital
Patient Harm (n = 44) 44 (100%) 13
(29.6%)
2
(4.6%)
2
(4.6%)
4
(9.1%)
0
(0%)
0
(0%)
1
(2.3%)
0
(0%)
Non-Patient Harm (n = 138) 138
(100%)
57
(41.3%)
35
(25.4%)
29
(21.0%)
29
(21.0%)
2
(1.4%)
0
(0%)
6
(4.3%)
1
(0.7%)
Difference (95% Confidence Intervals) P-value NA 11.8 (4-27)
P = 0.14
21 (11-30)
P < 0.01
16 (7-26)
P < 0.01
12 (1-23)
P = 0.03
NA NA NA NA
Action Taken
(154/191 = 80.6%)
Reporting GP Partners Practice Nurse Admin. Staff Health Visitor District Nurse Comm. Pharmacist Hospital  
Patient Harm (n = 34) 34
(100%)
28
(82.4%)
7
(20.6%)
3
(8.8%)
2
(5.9%)
0
(0%)
0
(0%)
0
(0%)
1
(2.9%)
Non-Patient Harm (n = 120) 117
(97.5%)
87
(72.5%)
47
(39.2%)
33
(27.5%)
47
(39.2%)
2
(1.7%)
4
(3.3%)
0
(0%)
2
(1.7%)
Difference (95% Confidence Intervals) P-value NA 10 (5-25)
P = 0.20
18(2-35)
P = 0.02
19(6-31)
P = 0.003
33(21-45)
P < 0.01
NA NA NA NA
  1. • Because of small numbers no direct comparison was made between heath visitors, district nurses, community pharmacists and hospitals.