Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.
OBJECTIVE
There is variation in the identification, analysis and reporting of significant events in general practice. Consistency is desired to optimise learning from, and reporting of, patient safety incidents. We examined levels of agreement among different groups of general practitioners (GPs) on the grading, analysis and reporting of selected significant event scenarios.


METHODS
Cross-sectional postal questionnaire survey of 162 GPs split into five professional groups in the west of Scotland. Differences in grading severity and willingness to formally analyse and report seven significant event scenarios were examined using analysis of variance (ANOVA). Differences in proportions were calculated together with 95% confidence intervals.


RESULTS
122 GPs responded (77%). No difference was found in the grading severity of significant events by GP groups. Increased grading severity was linked to the willingness of GP groups to analyse and report that event (p<0.05). A preference to anonymously report all event scenarios to a national educational body was reported (p<0.05). The majority of respondents were not willing to involve patients in relevant event analyses (83-100%).


CONCLUSIONS
The strong levels of agreement suggest that GPs can prioritise relevant significant events for formal analysis and reporting. Focused guidance should be developed to encourage their engagement with the patient safety agenda, optimise learning from safety-relevant events and increase reporting opportunities. Exploration is required of the reasons why GPs may prefer an educational body as a potential reporting source or may be unwilling to include patients in relevant event analyses.
Division of Community Based Sciences, University of Glasgow, Glasgow, UK. john.mckay@nes.scot.nhs.uk
J
J
McKay
P
P
Bowie
L
L
Murray
M
M
Lough
D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D006302:Health Services Research; D006801:Humans; D010821:Physicians, Family / Q000523:psychology / Q000706:statistics & numerical data*; D010865:Pilot Projects; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards*; D017064:Process Assessment, Health Care / Q000592:standards; D015203:Reproducibility of Results; D017751:Safety Management; D012606:Scotland; D011795:Surveys and Questionnaires