Skip to main content

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.