title: Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.
abstract: OBJECTIVE
  To explore general practitioner (GP) team perceptions and experiences of participating in a large-scale safety and improvement pilot programme to develop and test a range of interventions that were largely new to this setting.
  
  
  METHODS
  Qualitative study using semistructured interviews. Data were analysed thematically.
  
  
  METHODS
  Purposive sample of multiprofessional study participants from 11 GP teams based in 3 Scottish National Health Service (NHS) Boards.
  
  
  RESULTS
  27 participants were interviewed. 3 themes were generated: (1) programme experiences and benefits, for example, a majority of participants referred to gaining new theoretical and experiential safety knowledge (such as how unreliable evidence-based care can be) and skills (such as how to search electronic records for undetected risks) related to the programme interventions; (2) improvements to patient care systems, for example, improvements in care systems reliability using care bundles were reported by many, but this was an evolving process strongly dependent on closer working arrangements between clinical and administrative staff; (3) the utility of the programme improvement interventions, for example, mixed views and experiences of participating in the safety climate survey and meeting to reflect on the feedback report provided were apparent. Initial theories on the utilisation and potential impact of some interventions were refined based on evidence.
  
  
  CONCLUSIONS
  The pilot was positively received with many practices reporting improvements in safety systems, team working and communications with colleagues and patients. Barriers and facilitators were identified related to how interventions were used as the programme evolved, while other challenges around spreading implementation beyond this pilot were highlighted.
authors.affiliation: NHS Education for Scotland, Glasgow, UK Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Bowie
authors.affiliation: NHS Education for Scotland, Glasgow, UK.
authors.forename: Lyn
authors.initials: L
authors.lastname: Halley
authors.affiliation: Avril Blamey Associates Ltd, Glasgow, UK.
authors.forename: Avril
authors.initials: A
authors.lastname: Blamey
authors.affiliation: Healthcare Improvement Scotland, Edinburgh, UK.
authors.forename: Jill
authors.initials: J
authors.lastname: Gillies
authors.affiliation: Healthcare Improvement Scotland, Edinburgh, UK.
authors.forename: Neil
authors.initials: N
authors.lastname: Houston
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D058006:General Practice; D058005:General Practitioners; D006801:Humans; D008297:Male; D019300:Medical Errors; D010348:Patient Care Team; D064406:Patient Harm / Q000517:prevention & control*; D061214:Patient Safety; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards*; D015397:Program Evaluation; D036301:Qualitative Research; D012606:Scotland
keywords: general practice; patient safety; quality improvement
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