2q英国全科医生中支持患者安全文化的两种工具的比较评估2021.pdfVIP

Litchfeld et al. BMC Fam Pract /10.1186/s12875-021-01438-4 RESEARCH Open Access A comparative assessment of two tools designed to support patient safety culture in UK general practice 1* 2 3 4 2 1 Ian Litchfeld , Kate Marsden , Lucy Doos , Katherine Perryman , Anthony Avery and Sheila Greenfeld Abstract Background: The NHS has recognised the importance of a high quality patient safety culture in the delivery of pri- mary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work oferss a timely exploration of the tools to inform practice staf as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staf on their design, outputs and the feasibility of their sustained use. Methods: We have used a content analysis to provide the context for the qualitative study of staf experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results: A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staf completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staf completed the MapSaf tool all of whom contributed to th