Skip to main content

Table 4 Summary of themes and sub-themes in relation to individual tools

From: Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives

Theme Sub-theme 1 Sub-theme 2 Trigger tool PC-Safe-Quest PREOS-PC Prescribing Safety Indicators Medicines Reconciliation Tool Concise Safe Systems Checklist for General Practice
1. Tool Design 1.1 Utility Inform patient safety
Training aide
Provide evidence of safe practice.
Did not uncover enough learning points for those using SEA. Provided a useful practice-wide staff perspective. Provided a novel patient perspective. Produced useful patient specific information. Produced useful information. Produced useful information that prompted reflection on safety issues.
1.2 Usability Format
Time to completion
Integration with existing systems
Was time consuming in the selection of individual records. Completed online and easy to follow. Resource intensive due to the addressing and packing of multiple envelopes. Required either existing IT knowledge or additional help and support. Straightforward to use. Easy to use and quick to complete
2. Organisational factors 2.1 Staff training Existing skill set Was straightforward to use though a preference for an electronic version was expressed. No training needed though an email address for each staff member was required. Issues arose selecting random patients and using ‘mail merge’ to address letters and envelopes. Staff training was required to run the software and upload the results. No formal training required. An electronic version preferred. No training required
2.2 Available resource Staffing levels,
Time constraints
2.3 Existing patient safety approaches Comparative effectiveness
3. Environmental context 3.1 Clinical commissioning group Existing initiatives N/A N/A N/A N/A Repeated the work of a CCG initiative in one area. N/A
3.2 Central policy Financial Incentives
Fragmented policy