Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England

Background Patient engagement in safety has shown positive effects preventing or reducing adverse events and potential risks. Capturing utilising patient-reported incident data can be used for service learning improvement. Objective The aim of this study was to characterise the nature incidents primary care. Design Secondary analysis two cross sectional studies. Participants Adult patients from Australian English care settings. Measures Patients’ self-reported experiences were captured using validated Primary Care Measure Safety questionnaire. Qualitative responses survey items analysed categorised Classification System. frequency type incidents, contributory factors, patient system level outcomes are presented. Results A total 1329 (n=490, England; n=839, Australia) completed Overall, 5.3% (n=69) reported a over preceding 12 months. most common types administration (n=27, 31%) (mainly delays accessing physician) involving diagnosis assessment (n=16, 18.4%). Organisation accounted 27.6% (n=29) factors identified incidents. Staff (n=13, 12.4%) second commonly factor. Where an outcome could determined, inconvenience (n=24, 28.6%) clinical harm (n=21, 25%) (psychological distress unpleasant experience) frequent. Conclusions differ markedly those studies staff-reported findings emphasise importance capturing setting. perspective complement existing sources intelligence with