Skip to main content

Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Table 4 Validated safety checklist themes and related items mapped against 12 RCGP curriculum competencies

From: Maximising harm reduction in early specialty training for general practice: validation of a safety checklist

Checklist Theme and Item RCGP Curriculum Competency No. [Table2]
PRESCRIBING SAFELY  
1. Knowledge of high risk medications (e.g. NSAIDs & Warfarin, Methotrexate) [5, 6]
2. Controlled Drugs (e.g. knowledge of storage, dose adjustment, prescription format) [5, 12]
3. Awareness of Health Board/Formulary Prescribing Guidance [9]
4. Knowledge of practice repeat prescribing system [7]
5. Risks associated with signing repeat & special requests without consulting records [5, 6]
6. Monitoring drug side-effects (e.g. Myalgia with Statins) [5, 6]
DEALING WITH MEDICAL EMERGENCY  
7. Ensuring Adequate Emergency Treatment Knowledge/Confirmation of CPR Knowledge & Skills (in past 12 months) [5]
8. Surgery Emergency Bag/Tray & Equipment [5]
9. Contents of Doctors’ Emergency Bag/Case (where appropriate) [5]
10. Awareness of Emergency Contacts (e.g. Ambulance, Police, Social Work…) [5]
SPECIFIC CLINICAL MANAGEMENT  
11. Recognising & Acting on Red Flags for Serious Illness (e.g. patient needs immediate admission or urgent outpatient referral) [3]
DEALING EFFECTIVELY WITH RESULTS OF INVESTIGATION REQUESTS  
12. Need to follow-up & act on results and hospital letters [12]
13. Knowledge of practice system for results handling [7]
PATIENT REFERRALS  
14. Identifying the need for referral (i.e. recognition of condition requiring further investigation and/or treatment) [3]
15. Referral system (e.g. how and when to refer ‘urgently’ and ‘routinely’ [7, 9]
16. Clinical appropriateness of referral (e.g. ensure correct clinical priority and correct specialty) [9]
17. Quality of acute referral letter (e.g. past medical history, medication status, social circumstances) [7]
EFFECTIVE & SAFE COMMUNICATION  
18. Knowledge of internal communication processes within the practice (e.g. e-mail, message systems, practice meetings…) [7]
19. How to liaise with and understand the roles of team members: who, purpose, how, where, when? [8]
20. Safe communication with patients and relatives (e.g. consultations, phone calls and letters). [4]
CONSULTING SAFELY  
21. How to safety-net (face-to-face) [1]
22. How to safety-net (when providing telephone advice) [1]
23. Awareness of guidelines for use of Chaperones [11, 12]
ENSURING CONFIDENTIALITY  
24. Avoiding breaches of confidentiality [11]
25. Appropriate disclosure of medical and personal information [11]
AWARENESS OF THE IMPLICATIONS OF POOR RECORD KEEPING  
26. Failing to keep records [12]
27. Failing to keep accurate records [12]
28. Failing to confirm patient identify [12]
29. Failing to document all patient contacts [12]
30. Knowledge of related legal issues [12]
RAISING AWARENESS OF PERSONAL RESPONSIBILITY  
31. Awareness of professional accountability [12]
32. Recognising the limits of own clinical competence [12]
33. How and when to seek help [12]
34. Personal organisation and effectiveness [12]
DEALING WITH CHILD PROTECTION ISSUES  
35. Recognition of harm and the potential for harm in children [2]
36. How to liaise with other agencies [8]
37. Breaching confidentiality [11, 12]
ENHANCING PERSONAL SAFETY  
38. How to access emergency alarms/panic button for personal safety [12]
39. Dealing with aggressive & violent patients [12]
40. Ensuring personal safety and security on home visits [12]
EMPHASISNG THE IMPORTANCE OF THE LEARNING ENVIRONMENT  
41. Ensure rapid access to supervisory advice, feedback and support [10]
42. Raise awareness of practice team contribution and support [10]
43. Ensure reflective learning recorded in E-Portfolio [10]
44. Knowledge of clinical audit and significant event analysis [10]
SAFE USE OF PRACTICE COMPUTERISED SYSTEMS  
45. Ensure proficiency in using practice computer system [7]
46. How to prioritise computer system safety alerts (e.g. Yellow and Red Traffic lights) [7]
47. The need to avoid common pitfalls (e.g. leaving notes open and writing up the wrong patient) [7]