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Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care.
Fournier, Jean-Pascal; Amélineau, Jean-Baptiste; Hild, Sandrine; Nguyen-Soenen, Jérôme; Daviot, Anaïs; Simonneau, Benoit; Bowie, Paul; Donaldson, Liam; Carson-Stevens, Andrew.
  • Fournier JP; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Amélineau JB; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Hild S; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Nguyen-Soenen J; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Daviot A; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Simonneau B; Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, France.
  • Bowie P; Medical Directorate, NHS Education for Scotland, Glasgow, UK.
  • Donaldson L; Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
  • Carson-Stevens A; School of Health and Social Care, Staffordshire University, Stafford, UK.
Eur J Gen Pract ; 27(1): 142-151, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1294616
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has resulted in the rapid reorganisation of health and social care services. Patients are already at significant risk of healthcare-associated harm and the wholesale disruption to service delivery during the pandemic stood to heighten those risks.

OBJECTIVES:

We explored the type and nature of patient safety incidents in French primary care settings during the COVID-19 first wave to make tentative recommendations for improvement.

METHODS:

A national patient safety incident reporting survey was distributed to General Practitioners (GPs) in France on 28 April 2020. Reports were coded using a classification system aligned to the WHO International Classification for Patient Safety (incident types, contributing factors, incident outcomes and severity of harm). Analysis involved data coding, processing, iterative generation of data summaries using descriptive statistical analysis. Clinicaltrials.gov NCT04346121.

RESULTS:

Of 132 incidents, 58 (44%) related to delayed diagnosis, assessments and referrals. Cancellations of appointments, hospitalisations or procedures was reported in 22 (17%) of these incidents. Home confinement-related incidents accounted for 13 (10%) reports and inappropriate medication stopping for five (4%). Patients delayed attending or did not consult their general practitioner or other healthcare providers due to their fear of contracting COVID-19 infection at an in-person visit in 26 (10%) incidents or fear of burdening their GPs in eight (3%) incidents.

CONCLUSION:

Constraints from the first wave of the COVID-19 pandemic have contributed to patient safety incidents during non-COVID-19 care. Lessons from these incidents pinpoint where primary care services in France can focus resources to design safer systems for patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Infection Control / Patient Safety / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Eur J Gen Pract Year: 2021 Document Type: Article Affiliation country: 13814788.2021.1945029

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Infection Control / Patient Safety / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Eur J Gen Pract Year: 2021 Document Type: Article Affiliation country: 13814788.2021.1945029