title: A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice.
abstract: BACKGROUND
  Incident reports contain descriptions of errors and harms that occurred during clinical care delivery. Few observational studies have characterised incidents from general practice, and none of these have been from the England and Wales National Reporting and Learning System. This study aims to describe incidents reported from a general practice care setting.
  
  
  METHODS
  A general practice patient safety incident classification will be developed to characterise patient safety incidents. A weighted-random sample of 12,500 incidents describing no harm, low harm and moderate harm of patients, and all incidents describing severe harm and death of patients will be classified. Insights from exploratory descriptive statistics and thematic analysis will be combined to identify priority areas for future interventions.
  
  
  BACKGROUND
  The need for ethical approval was waivered by the Aneurin Bevan University Health Board research risk review committee given the anonymised nature of data (ABHB R&D Ref number: SA/410/13). The authors will submit the results of the study to relevant journals and undertake national and international oral presentations to researchers, clinicians and policymakers.
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Carson-Stevens
authors.affiliation: Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Australian Patient Safety Foundation, Adelaide, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Hibbert
authors.affiliation: Division of General Practice, College of Community Health Sciences, University of Nottingham, Nottingham, UK.
authors.forename: Anthony
authors.initials: A
authors.lastname: Avery
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Amy
authors.initials: A
authors.lastname: Butlin
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Ben
authors.initials: B
authors.lastname: Carter
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Cooper
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Huw Prosser
authors.initials: HP
authors.lastname: Evans
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Russell
authors.initials: R
authors.lastname: Gibson
authors.affiliation: Department of Anesthesia, Boston Children's Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Luff
authors.affiliation: Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
authors.forename: Meredith
authors.initials: M
authors.lastname: Makeham
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: McEnhill
authors.affiliation: Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK.
authors.forename: Sukhmeet S
authors.initials: SS
authors.lastname: Panesar
authors.affiliation: Harvard Medical School, Boston, Massachusetts, USA Institute for Healthcare Improvement, Cambridge, Massachusetts, USA.
authors.forename: Gareth
authors.initials: G
authors.lastname: Parry
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Philippa
authors.initials: P
authors.lastname: Rees
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Shiels
authors.affiliation: Centre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Scotland, UK Harvard Medical School, Boston, Massachusetts, USA Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: Aziz
authors.initials: A
authors.lastname: Sheikh
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Hope Olivia
authors.initials: HO
authors.lastname: Ward
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Huw
authors.initials: H
authors.lastname: Williams
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Wood
authors.affiliation: Department of Surgery and Cancer, Imperial College London, London, UK.
authors.forename: Liam
authors.initials: L
authors.lastname: Donaldson
authors.affiliation: Primary Care Patient Safety (PISA) Research Group, Primary and Emergency Care Research (PRIME) Centre Wales, School of Medicine, Cardiff University, Wales, UK.
authors.forename: Adrian
authors.initials: A
authors.lastname: Edwards
mesh_terms: D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D004739:England; D058006:General Practice / Q000706:statistics & numerical data*; D006801:Humans; D019300:Medical Errors / Q000706:statistics & numerical data*; D061214:Patient Safety / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards*; D012107:Research Design; D014852:Wales