Applying the trigger review method after a brief educational intervention: potential for teaching and improving safety in GP specialty training?

BMC Medical Education

Research Article

John McKay¹  Moya Kelly¹  Paul Bowie¹  Carl de Wet² 

[1] Postgraduate GP Education, NHS Education for Scotland, Glasgow, UK;Postgraduate GP Education, NHS Education for Scotland, Glasgow, UK;General Practice & Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Science, University of Glasgow, Glasgow, UK;

关键词: Patient safety;    General practice;    Primary care;    Trigger tool;    Clinical record review;    GP training;    Clinical audit;   

DOI  :  10.1186/1472-6920-13-117

 received in 2013-01-09, accepted in 2013-08-26,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe Trigger Review Method (TRM) is a structured approach to screening clinical records for undetected patient safety incidents (PSIs) and identifying learning and improvement opportunities. In Scotland, TRM participation can inform GP appraisal and has been included as a core component of the national primary care patient safety programme that was launched in March 2013. However, the clinical workforce needs up-skilled and the potential of TRM in GP training has yet to be tested. Current TRM training utilizes a workplace face-to-face session by a GP expert, which is not feasible. A less costly, more sustainable educational intervention is necessary to build capability at scale. We aimed to determine the feasibility and impact of TRM and a related training intervention in GP training.MethodsWe recruited 25 west of Scotland GP trainees to attend a 2-hour TRM workshop. Trainees then applied TRM to 25 clinical records and returned findings within 4-weeks. A follow-up feedback workshop was held.Results21/25 trainees (84%) completed the task. 520 records yielded 80 undetected PSIs (15.4%). 36/80 were judged potentially preventable (45%) with 35/80 classified as causing moderate to severe harm (44%). Trainees described a range of potential learning and improvement plans. Training was positively received and appeared to be successful given these findings. TRM was valued as a safety improvement tool by most participants.ConclusionThis small study provides further evidence of TRM utility and how to teach it pragmatically. TRM is of potential value in GP patient safety curriculum delivery and preparing trainees for future safety improvement expectations.

【 授权许可】

Unknown   
© McKay et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.