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Table 3 A new taxonomy of patient safety in general practice

From: Tools for measuring patient safety in primary care settings using the RAND/UCLA appropriateness method

  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)