Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.

ABSTRACT:

Background

Health care-related harm is an internationally recognized threat to public health. The United Kingdom's national health services demonstrate that upwards of 90% of health care encounters can be delivered in ambulatory settings. Other countries are transitioning to more family practice-based health care systems, and efforts to understand avoidable harm in these settings is needed.

Methods

We developed 100 scenarios reflecting a range of diseases and informed by the World Health Organization definition of 'significant harm'. Scenarios included different types of patient safety incidents occurring by commission and omission, demonstrated variation in timeliness of intervention, and conditions where evidence-based guidelines are available or absent. We conducted a two

SUBMITTER: Carson-Stevens A 

PROVIDER: S-EPMC6777037 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature