Primary Care Workstream
Our goal is to engage with local stakeholders and develop a pilot project to explore the patient safety issues in primary care.
The PSA provided a programme of human factors patient safety learning and guided staff-led improvement for the practice involved in the pilot scheme across all practice roles. The PSa then provided ongoing human factors support focused on three projects chosen by the practice:
Getting the most urgent patients seen as rapidly as possible (appointment matching)
Reduction in failures in prescription issuance and dispensing
Handling of the large volume of incoming clinical information in GP without overloading doctors or missing important items (rationalisation of DocMan system use).
Improvement was noted in the proportion of patients seen in an appropriate appointment type (i.e. urgent patients to same day appointments, lower acuity patients to routine appointments). Creation of a new Advanced Clinical Practitioner (ACP) role was trialed to handle a proportion of the duty call-back appointments and Docman documents, both of which freed up GP time for urgent consultations.
Significant reduction in the number of missing prescriptions and associated increased uptake of electronic prescribing. Reorganisation of the system for screening low-risk document types and training of staff such that administration staff can safely process some of the Docman correspondence.
The project was presented at the PSA patient safety conference on March 28 2018 and is being written up for publication in order to share the learning as widely as possible.
This project has now been completed. If your practice is interested in joining this project please get in touch by emailing or contact us here.