Patient Safety In Primary Care Research Articles

A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial

BackgroundWhile patient safety incident reporting is of key importance for patient safety in primary care, the reporting rate by healthcare professionals remains low. This study aimed to assess the effectiveness of a risk management program in increasing the reporting rate within multiprofessional primary care facilities.MethodsA nation-wide cluster-randomised controlled trial was performed in France, with each cluster defined as a primary care facility. The intervention included professional e-learning training, identification of a risk management advisor, and multidisciplinary meetings to address incident analysis. In the first observational period, a patient safety incident reporting system for professionals was implemented in all facilities. Then, facilities were randomised, and the program was implemented. Incidents were reported over the 15-month study period. Quasi-Poisson models were used to compare reporting rates.ResultsThirty-five facilities (intervention, n = 17; control, n = 18) were included, with 169 and 232 healthcare professionals, respectively, involved. Overall, 7 out of 17 facilities carried out the entire program (41.2%), while 6 did not hold meetings (35.3%); 48.5% of professionals logged on to the e-learning website. The relative rate of incidents reported was 2.7 (95% CI = [0.84–11.0]; p = 0.12). However, a statistically significant decrease in the incident rate between the pre-intervention and post-intervention periods was observed for the control arm (HR = 0.2; 95% CI = [0.05–0.54]; p = 0.02), but not for the intervention arm (HR = 0.54; 95% CI = [0.2–1.54]; p = 0.23).ConclusionThis program didn’t lead to a significant improvement in the patient safety incident reporting rate by professionals but seemed to sustain reporting over time. Considering that the program was fully implemented in only 41% of facilities, this highlights the difficulty of implementing such multidisciplinary programs in primary care despite its adaptation to the setting. A better understanding of how risk management is currently organized in these multiprofessional facilities is of key importance to improve patient safety in primary care.Trial registrationsThe study has been registered at clinicaltrials.gov (NCT02403388) on 30 March 2015.

"Good Care Is Slow Enough to Be Able to Pay Attention": Primary Care Time Scarcity and Patient Safety.

There is growing, widespread recognition that expectations of US primary care vastly exceed the time and resources allocated to it. Little research has directly examined how time scarcity contributes to harm or patient safety incidents not readily capturable by population-based quality metrics. To examine near-miss events identified by primary care physicians in which taking additional time improved patient care or prevented harm. Qualitative study based on semi-structured interviews. Twenty-five primary care physicians practicing in the USA. Participants completed a survey that included demographic questions, the Ballard Organizational Temporality Scale and the Mini-Z scale, followed by a one hour qualitative interview over video-conference (Zoom). Iterative thematic qualitative data analysis was conducted. Primary care physicians identified several types of near-miss events in which taking extra time during visits changed their clinical management. These were evident in five types of patient care episodes: high-risk social situations, high-risk medication regimens requiring patient education, high acuity conditions requiring immediate workup or treatment, interactions of physical and mental health, and investigating more subtle clinical suspicions. These near-miss events highlight the ways in which unreasonably large patient panels and packed schedules impede adequate responses to patient care episodes that are time sensitive and intensive or require flexibility. Primary care physicians identify and address patient safety issues and high-risk situations by spending more time than allotted for a given patient encounter. Current quality metrics do not account for this critical aspect of primary care work. Current healthcare policy and organization create time scarcity. Interventions to address time scarcity and to measure its prevalence and implications for care quality and safety are urgently needed.

Contributions of Health Literacy for Patient Safety in Primary Care: A Scoping Review

Introduction: This study provides unprecedented scientific evidence for the expansion of health literacy as a tool capable of increasing patient safety through effective communication between health care professionals and their patients, especially in primary health care. Objective: To map the evidence available regarding the impact of health literacy on care safety for adult patients in primary health care. Materials and methods: This is a scoping review in line with the Joanna Briggs Institute method, which covers care, techniques, protocols, or health literacy methods used to improve primary health care. The Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl, and Google Scholar databases were used for the gray literature search. Original studies available in full and published until January 2023, in all languages covering the topic, were included. Two reviewers screened them by title and abstract, and three reviewers read the full texts and extracted data from the selected articles presented in flowcharts, tables, and descriptive narratives. Results: A total of 3749 studies were found, of which 23 were selected. From these, the following categories emerged: ‘The impact of health literacy on the engagement and health outcomes of primary health care users;’ ‘Interventions that contribute to health literacy in primary health care;’ and ‘Evaluation of users’ and professionals’ perspectives on health literacy.’ Conclusions: Health literacy interventions focused on primary care should be encouraged within health care services to promote care, prevent illnesses, and inspire the population’s transformation process, with a direct impact on patient safety.

Safer Patients Empowered to Engage and Communicate about Health (SPEECH) in primary care: a feasibility study and process evaluation of an intervention for older people with multiple long-term conditions (multimorbidity)

BackgroundOlder people with multiple long-term conditions (multimorbidity) (MLTC-M) experience difficulties accessing and interacting with health and care services. Breakdowns in communication between patients and staff can threaten patient safety. To improve communication and reduce risks to patient safety in primary care, we developed an intervention: Safer Patients Empowered to Engage and Communicate about Health (SPEECH). SPEECH comprises a booklet for patients and an associated guide for staff. The booklet is designed to provide patients with information about staff and services, skills to prepare and explain, and confidence to speak up and ask.MethodsA single-arm mixed methods feasibility study with embedded process evaluation. General practices in the North West of England were recruited. Participating practices invited patients aged 65+ with MLTC-M who had an appointment scheduled during the study period. Patients were asked to complete questionnaires at baseline and follow-up (four to eight weeks after being sent the patient booklet), including the Consultation and Relational Empathy measure, Empowerment Scale, Multimorbidity Treatment Burden Questionnaire, and Primary Care Patient Measure of Safety. Staff completed questionnaires at the end of the study period. A sub-sample of patients and staff were interviewed about the study processes and intervention. Patients and the public were involved in all aspects of the study, from generation of the initial idea to interpretation of findings.ResultsOur target of four general practices were recruited within 50 days of the study information being sent out. A fifth practice was recruited later to boost patient recruitment. We received expressions of interest from 55 patients (approx. 12% of those invited). Our target of 40 patient participants completed baseline questionnaires and were sent the SPEECH booklet. Of these, 38 (95%) completed follow-up. Patients found the intervention and study processes acceptable, and staff found the intervention acceptable and feasible to deliver.ConclusionsOur findings suggest the intervention is acceptable, and it would be feasible to deliver a trial to assess effectiveness. Prior to further evaluation, study processes and the intervention will be updated to incorporate suggestions from participants.Trial registrationThe study was registered on the ISRCTN registry (ISRCTN13196605: https://doi.org/10.1186/ISRCTN13196605).

Improving prescribing and patient safety in primary care

Professor Tony Avery OBE is a GP, National Clinical Director for Prescribing and Professor of Primary Health Care at the University of Nottingham. Here, he speaks to Joy Ogden about how his clinical practice and research on improving prescribing safety in primary care complement his leadership role in the implementation of the National Overprescribing Review.

Patient safety in primary care: application validation Doris - patient safety

Objective: to validate a smartphone application that helps provide guidance on safe care processes when caring for patients in Primary Care. Method: exploratory descriptive study, carried out with eight Primary Care users, who handled the application and carried out its evaluation based on a questionnaire on functionality and usability characteristics. In analyzing the results, the Content Validity Index (CVI) was used. Results: females predominated (seven); age ranged from 21 to 52 years old, with a mean of 34 (SD 9.6 – standard deviation). The majority of people had completed high school education, with 5 being users. As for professional activity, seven carried it out. Most users, seven, were unaware of the subject of Patient Safety and the actions presented by the application. The evaluation of items related to functionality reached CVI 0.97 and items related to usability obtained CVI 1.0. The general assessment reached a satisfactory level with CVI 0.98. Conclusion: the application presented satisfactory results in the user validation process, demonstrating quality in all characteristics evaluated in a real environment.

Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement.

Promoting and maintaining patient safety in primary care requires different strategies and monitoring than utilized in large healthcare delivery systems. Maintenance of a culture of safety is key to providing patient safety but has been difficult to measure in primary care. This is particularly true in rural settings where practice size is a major barrier to measurement reliability. Primary care evaluates a wide range of patients, including those who are immunocompromised and others who have infectious diseases. Providing a safe environment with proper wearing of N95 masks, clean examination rooms, and adequate ventilation is important. Patients with infectious diseases should be separated from other patient populations. Primary care is often less bureaucratic than hospitals, but also has fewer resources to implement patient safety initiatives, along with detecting safety lapses and adverse events. However, monitoring the practice's safety practices and the culture of safety is of utmost importance and should be performed using both outcome and process measures. Because of the small size of many rural practices, effective monitoring of adverse events and maintenance of safety protocols should include patients. Patients are an important resource for reporting of adverse events and medical treatment outcomes. The aim of this manuscript is to underscore the importance of patient safety in primary care and to stimulate future research in developing a metric for the culture of safety in primary care, which also incorporates the patient perspective. Patients should be viewed not only as beneficiaries of patient safety but also as a critical component of its maintenance.

P023 National care of patients with Polymyalgia Rheumatica: Audit of steroid usage from UK GP data - a cause for concern?

Abstract Background/Aims Polymyalgia rheumatica (PMR) is the most common autoimmune musculoskeletal condition in the developed world. Current BSR guidelines recommend glucocorticoid treatment for one to two years and give suggested taper regimens. The project examines national primary care data to assess the level of adherence to current guidelines, and the proportion of patients at risk from the deleterious effects of prolonged steroid exposure. Methods The ECLIPSE databased covers over 25m patients across 2400 general practices in England and provides insights for enhanced clinical pathway management and to support patient safety in primary care. Routinely recorded diagnoses from primary care data are updated daily, along with administrative prescribing data. Using standardised nationally agreed disease coding frameworks, all diagnoses of PMR were retrieved from the live patient population of 25.4m individuals registered with general practices across England. Primary care diagnosis data for patients with a new diagnosis of PMR recorded in primary care on or after 01/01/2016 were linked with prescribing data from the same time period and followed to 10/10/2022. From the current BSR guidelines the following thresholds were taken to represent above recommended cumulative glucocorticoid exposure: 0-6 months >2100mg, 7 to 12 months >1400mg, 13 to 18 months >910mg and 19 to 24 months >910mg. Finally total numbers of those still prescribed glucocorticoids past 60 months was taken as to represent those who had become steroid-dependent. Results Over the observation period of 6.8 years there were 95,862 people diagnosed with PMR from the UK national data, of whom 22,677 were diagnosed in the East of England and 5,315 from the Norfolk and Waveney Integrated Care System. The prevalence was 0.99%, 1.00% and 1.5% for those aged older than 50 years across the three areas respectively consistent with published disease estimates. There was considerable number of individuals with PMR prescribed glucocorticoids above the recommend levels (see Table 1). Conclusion There is significant departure from the suggested PMR tapering regimens which may be due to frequency of relapse, inadequate treatment response or inadequate guideline implementation. Strategies to reduce glucocorticoid exposure in this older co-morbid population are required urgently. Disclosure P. Saha: None. J. Brown: None. A. MacGregor: None. C. Aldus: None. M. Yates: None.

Health Service Management and Patient Safety in Primary Care during the COVID-19 Pandemic in Kosovo.

Several changes must be made to the services to ensure patient safety and enable delivering services in environments where the danger of infection of healthcare personnel and patients in primary care (PC) institutions is elevated, i.e., during the COVID-19 pandemic. This study aimed to examine patient safety and healthcare service management in PHC practices in Kosovo during the COVID-19 pandemic. In this cross-sectional study, data were collected using a self-reported questionnaire among 77 PHC practices. Our main finding reveals a safer organization of PC practices and services since the COVID-19 pandemic compared to the previous period before the pandemic. The study also shows a collaboration between PC practices in the close neighborhood and more proper human resource management due to COVID-19 suspicion or infection. Over 80% of the participating PC practices felt the need to introduce changes to the structure of their practice. Regarding infection protection measures (IPC), our study found that health professionals' practices of wearing a ring or bracelet and wearing nail polish improved during the COVID-19 pandemic compared to the pre-pandemic period. During the COVID-19 pandemic, PC practice health professionals had less time to routinely review guidelines or medical literature. Despite this, implementing triage protocols over the phone has yet to be applied at the intended level by PC practices in Kosovo. Primary care practices in Kosovo responded to the COVID-19 pandemic crisis by modifying how they organize their work, implementing procedures for infection control, and enhancing patient safety.

Involving patients and carers in patient safety in primary care: A qualitative study of a co-designed patient safety guide.

Involving patients is a key premise of national and international policies on patient safety, which requires understanding how patients or carers want to be involved and developing resources to support this. This paper examines patients' and carers' views of being involved in patient safety in primary care and their views of potentially using a co-designed patient safety guide for primary care (PSG-PC) to foster both involvement and their safety. A qualitative study using semistructured face-to-face interviews with 18 patients and/or carers in primary care. Interviews were transcribed and analysis was conducted using an inductive thematic approach. Overall participants expressed enthusiasm for the PSG-PC as a tool to support patients and carers to be involved in patient safety in primary care. However, for some participants being involved in patient safety was seen as taking on the role of General Practitioner and had the potential to add an additional workload for patients. Participants' willingness or ability to be involved in patient safety was influenced by a range of factors including an invisible, often underacknowledged role of everyday safety for patients' interactions with primary care; the levels of involvement that patients wanted in their care and safetyand the work of embedding the PSG-PC for patients into their routine interactions with primary care. Participants identified components of the PSG-PC that would be useful to them, in particular, if they had a responsibility for caring for a family member if they had more complex care or long-term conditions. Involving patients and carers in patient safety needs a tailored and personalized approach that enables patients and carers to use resources like the PSG-PC routinely and helps challenge assumptions about their willingness and ability to be involved in patient safety. Doing so would raise awareness of opportunities to be involved in safety in line with personal preference. Patient and public involvement were central to the research study. This included working in partnership to develop the PSG-PC with patients and carers and throughout our study including in the design of the study, recruiting participants, interpretation of findings.

Development of a shared decision-making intervention to improve drug safety and to reduce polypharmacy in frail elderly patients living at home.

For patients with geriatric frailty, reducing inappropriate medication is an important goal to improve patient safety in primary care. GP-side barriers include knowledge gaps, legal concerns, and lack of communication between the actors involved. The aim was to develop a multi-faceted intervention to facilitate deprescribing and shared prioritisation among frail elderlies with polypharmacy living at home. Mixed methods study including: 1) scoping review on family conferences, expert panels; 2) group discussions with GPs, mapping of needs and challenges in Primary Care; 3) workshops and expert interviews with GPs, patient advocates, researchers as a basis for a theoretical intervention model; 4) piloting. A major challenge for GPs is to conduct a productive discussion with patients and family cares on deprescribing and drug safety. A guideline for a structured family conference with a medication check and geriatric assessment was developed and proved to be feasible in the pilot study. The intervention developed to facilitate deprescribing and shared prioritisation of drug therapy based on family conferences seems suitable to be tested in a subsequent cRCT. Adapting family conferences to primary care for frail patients with polypharmacy.

Nurses' Perception of Patient Safety Culture in Primary Care During the COVID-19 Pandemic: A Preliminary Results.

Investigation of nurses' perceptions of patient safety culture (PSC) might be beneficial in identifying safety areas that need improvement, especially during the COVID-19 pandemic. The study reports on the PSC in primary care from the nurses' perspective during the pandemic. Nurses (n = 117) evaluated teamwork (87.3%) and staff training (80.9%) positively but work pressure and pace (26.1%) and patient care tracking (45.3%) concerning PSC dimensions negatively. Limited care coordination and continuity lead to patient hospitalizations and care fragmentation. However, regular assessment of PSC can lead to adopting the necessary strategies to reinforce weaknesses and thus improve patient safety in primary care.

UPAYA MENINGKATKAN BUDAYA KESELAMATAN PASIEN DI PUSKESMAS

Patient safety concerns can help minimize the risk of KTD, reduce the occurrence of medical disputes, reduce conflicts between health workers and patients, reduce the lawsuits process, and dismiss allegations of malpractice which is increasing lately. The achievement of a good patient culture is done by building an understanding of the norms, beliefs, attitudes, and values that are important to nursing organizations. The systematic review of this study is aimed at identifying patient safety measures implemented by different countries to look at the effectiveness of patient safety culture in primary health care in global coverage. This research uses systematic review methods. Searching for journals was conducted in three well-known journals such as Proquest, ScienceDirect, and Scopus in the 2015-2021 publishing year. The term used is patient safety in the primary health care area and the community, as well as efforts made. Research on the database identified 7,967 articles to be filtered. After sorting and verifying the paper, data was taken from 12 papers explaining the culture of patient safety in primary health care. The articles taken have global coverage with research originating in several countries namely; Manchester, Sweden, Yemen, Lebanon, Germany, and Brazil. Characteristics of the study are grouped into the following themes: Patient safety in primary health care, and patient safety events in primary health care, Measurement of patient safety in primary health care, and Methods/ efforts to improve patient safety in primary health care. Tools that are used to measure patient safety, in general, are SAQ (Safety Attitudes Questionnaire), MOSPC (Medical Office Survey on Patient Safety Culture), and SOPS(Survey on Patient Safety Culture). This systematic review shows that many measurements can be taken to identify patient safety culture applications. Several efforts can be made to improve patient safety application, one of the important efforts in improving patient safety is improving knowledge. Education is an important step for the best patient safety intervention efforts. One of the programs that can be useful for the development of patient safety is the CUSP (Comprehensive Unit-based Safety Program) program.

Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools.

The management of diagnostic uncertainty is part of every primary care physician’s role. e–Safety-netting tools help health care professionals to manage diagnostic uncertainty. Using software in addition to verbal or paper based safety-netting methods could make diagnostic delays and errors less likely. There are an increasing number of software products that have been identified as e–safety-netting tools, particularly since the start of the COVID-19 pandemic. e–Safety-netting tools can have a variety of functions, such as sending clinician alerts, facilitating administrative tasking, providing decision support, and sending reminder text messages to patients. However, these tools have not been evaluated by using robust research designs for patient safety interventions. We present an emergent framework of criteria for effective e–safety-netting tools that can be used to support the development of software. The framework is based on validated frameworks for electronic health record development and patient safety. There are currently no tools available that meet all of the criteria in the framework. We hope that the framework will stimulate clinical and public conversations about e–safety-netting tools. In the future, a validated framework would drive audits and improvements. We outline key areas for future research both in primary care and within integrated care systems.

Patient safety, self-injection, and B12 deficiency: a UK cross-sectional survey

Individuals with vitamin B12 deficiency (including pernicious anaemia) often report being 'let down' or stigmatised by general practice systems and policy, and choose instead to self-medicate via injection; the association between this and perceptions of safe primary care in this group of people is unknown. To examine the association between self-medication for vitamin B12 deficiency and patient-reported safety in primary care. A UK cross-sectional online survey. The survey consisted of the three components: demographics; the validated Primary Care Patient Measure of Safety; and questions about self-medication for vitamin B12 deficiency. Multivariable logistic regression analyses and thematic synthesis were undertaken. Responses from 1297 participants indicated 508 (39.2%) self-medicated via injection. Perceived primary care safety was low. Those who self-medicated via injection reported a significantly lower level of patient safety in primary care including adverse patient-related factors (odds ratio 0.82, 95% confidence interval = 0.73 to 0.92), and patients >34 years of age were significantly more likely to self-medicate via injection. Many reported that treatment under the guidance of a clinician was preferable to self-medication, but felt they had no other choice to regain quality of life. Almost half felt that the doctor did not always consider what they wanted for their care. To the authors' knowledge, this is the largest study to date examining patient safety and vitamin B12 deficiency. It found that four out of 10 patients with B12 deficiency self-medicate via injection. Patients who self-medicated perceived primary care as less safe. Providing patient-centred care and treating these patients with dignity and respect is a policy priority to reduce unsafe health behaviours.

POS0321 CO-MORBIDITY IN POLYMYALGIA RHEUMATICA

BackgroundPolymyalgia rheumatica (PMR) is the most common autoimmune musculoskeletal condition in the developed world, with UK prevalence of 1.7% in those aged older than 55 years. Current guidelines recommend glucocorticoid treatment for one to two years. Since PMR affects older individuals and is associated with prolonged treatment with glucocorticoids, patients are at risk of developing or worsening co-morbidity.ObjectivesThis national study aimed to establish the prevalence of PMR from routinely recorded administrative care records from community-based primary care practices; secondly to calculate the most common comorbidities and their relative risk amongst those diagnosed with PMR.MethodsThe ECLIPSE databased covers over 23m patients across 2400 general practices in England and provides insights for enhanced clinical pathway management and to support patient safety in primary care. Routinely recorded diagnoses from primary care data are updated daily, along with administrative prescribing data. Using standardised nationally agreed disease coding frameworks, all diagnoses of PMR were retrieved from the live patient population of 23.3m individuals registered with general practices across England. Comorbidity was recorded similarly. Diagnoses of PMR were categorised in 12-month bands since their date of diagnoses to examine the rates of prednisolone prescription by time since diagnosis.ResultsAmongst the 23.3 million patient care records there were 146,252 diagnoses of PMR, resulting in a prevalence of 2.2% for those aged older than 55 years. The average age of those with PMR was 77.5 years. There were between 9863 to 11036 diagnoses of PMR made each year over the past five years. The proportion of those receiving prednisolone were highest amongst those most recently diagnosed: 76.4% for those in the last year; 48.4% for those diagnosed between a year and two years ago; 33.0% for those diagnosed between two to three years ago; 28.8% for those diagnosed between three to four years ago, and 24.9% for those diagnosed between four to five years ago. On average each patient with PMR had 3.5 co-morbid conditions and was prescribed 5.4 different medications. The top ten co-morbid conditions were, in rank order: hypertension (53.6%), osteoarthritis (48.6%), anxiety and depression (27.5%), chronic kidney disease (24.3%), type II diabetes (18.9%), ischaemic heart disease (14.9%), atrial fibrillation (13.7%), asthma (12.7%), COPD (7.9%), and heart failure (6.2%).ConclusionRoutinely recorded GP records provide prevalence estimates that are similar to previously published descriptive epidemiological studies, and despite guidelines recommending shorter courses of treatment, show the rates of prednisolone prescription remain high, years after diagnosis. Furthermore, due to the age of onset of PMR, this results in a patient population with high levels of co-morbidity many of whom are at increased risk due to prolonged glucocorticoid use. These data are crucial for developing risk stratification and population health management tools.Disclosure of InterestsNone declared

Why Test study protocol: a UK-wide audit using the Primary Care Academic CollaboraTive (PACT) to explore the reasons for primary care testing.

The number of blood tests done in primary care has been increasing over the past 20 years. Some estimates suggest that up to one-quarter of these tests may not have been needed. This could lead to a cascade effect of further investigations, appointments, or referrals, as well as anxiety for patients, increased workload, and costs to the health service. To better understand the impact and sequelae of blood tests on patients, it is necessary to know why blood tests are requested and what is done with the results. To explore who orders blood tests and why, and how test results are actioned in primary care. Retrospective audit of electronic health records in general practices across the UK. The Primary care Academic CollaboraTive (PACT), a UK-wide network of primary care health professionals, will be utilised to collect data from individual practices. PACT members will be asked to review the electronic health records of 50 patients who had recent blood tests in their practice, and manually extract anonymised data on who requested the test, the indication, the result, and subsequent actions. Data will also be collected from PACT members to assess the feasibility of the collaborative model. PACT offers a unique opportunity to extract clinical data which cannot otherwise be obtained. Understanding the indications for tests will help identify priority areas for research to optimise testing and patient safety in primary care.

Challenges and Strategies for Patient Safety in Primary Care: A Qualitative Study.

Although most health care occurs in the ambulatory setting, limited research examines how providers and patients think about and enact ambulatory patient safety. This multimethod qualitative study seeks to identify perceived challenges and strategies to improve ambulatory safety from the perspectives of clinicians, staff, and patients. Data included interviews (N = 101), focus groups (N = 65), and observations of safety processes (N = 79) collected from 10 patient-centered medical homes. Key safety issues included the lack of interoperability among health information systems, clinician-patient communication failures, and challenges with medication reconciliation. Commonly cited safety strategies leveraged health information systems or involved dedicated resources (eg, providing access to social workers). Patients also identified strategies not mentioned by clinicians, emphasizing the need for their involvement in developing safety solutions. This work provides insight into safety issues of greatest concern to clinicians, staff, and patients and strategies to improve safety in the ambulatory setting.

Assessing patient experience with patient safety in primary care: development and validation of the ASK-ME-questionnaire

ObjectiveTo develop and test the validity and reliability of a tool measuring patient experiences with patient safety in ambulatory care that is suitable for routine use in general practitioner and...

Enfermagem na segurança do paciente na Atenção Primária

The aim was to describe how nursing should act in primary health care to ensure patient safety, with the specific objectives of describing the concept of primary health care, understanding the importance of patient safety in primary health care and discussing how nursing must act in primary care to ensure patient safety. The methodology used in this project was through a bibliographic literature review research, where information on the chosen topic was researched, thus raising texts published in Portuguese, produced in Brazil, through a SciELO database, and LILACS, selection of the texts was made by means of survey on the internet, such as academic books, articles and magazines relevant to the subject, with a period between 2015 and 2019. It was evidenced that increasing the structure and services in primary health care represents an excellent strategy to ensure the support of health systems around the world, providing assistance to users in a preventive, continuous and integrated manner.