Table 3 A new taxonomy of patient safety in general practice
Safety structure & systems (Structure) | Patient-centred safety (Process) | Consequences of ‘safety’ (Outcome) | |
|---|---|---|---|
Accessibility | Availability (Includes; systems of access, appointment availability standards, triage, physical access) | Availability | User Evaluation (Includes; patient satisfaction questionnaires) |
Safety | Background Systems (Includes; informatics, EHR, risk registers, information flow – results systems) | Safety of clinical care (includes; diagnosis, investigations, prescribing, treatment, follow-up: including diarised activity, referrals, discharges, interface and pathways) | Adverse Events/Errors (includes; mortality, incident reports, significant event (audits)) |
Management (Includes; governance) | Safety of Interpersonal care (includes; communication monitoring and health literacy) | User Evaluation (Includes; PROMs/PREMs) | |
Premises (Includes; equipment, devices, car parking if on site, health and safety) | |||
Learning Organisation (Includes; knowing the needs of the practice population/community, safety culture/climate and attitudes to patient safety) | Harm Improvement (Includes; complaints handling, SEA outcomes, responding to error) | ||
Workforce/Team (Includes; skills, training, qualifications, communication, and responsibilities) | |||
Interface (Involves; data handling, information exchange with secondary care, working with pharmacies and OOH providers) | |||
Patient Care/Involvement (includes; patient education and participation) |