Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports

Archives of Disease in Childhood
Adhnan OmarAndrew Carson-Stevens

Abstract

Patient safety failures are recognised as a global threat to public health, yet remain a leading cause of death internationally. Vulnerable children are inversely more in need of high-quality primary health and social-care but little is known about the quality of care received. Using national patient safety data, this study aimed to characterise primary care-related safety incidents among vulnerable children. This was a cross-sectional mixed methods study of a national database of patient safety incident reports occurring in primary care settings. Free-text incident reports were coded to describe incident types, contributory factors, harm severity and incident outcomes. Subsequent thematic analyses of a purposive sample of reports was undertaken to understand factors underpinning problem areas. Of 1183 reports identified, 572 (48%) described harm to vulnerable children. Sociodemographic analysis showed that included children had child protection-related (517, 44%); social (353, 30%); psychological (189, 16%) or physical (124, 11%) vulnerabilities. Priority safety issues included: poor recognition of needs and subsequent provision of adequate care; insufficient provider access to accurate information about vulnerable children, a...Continue Reading

References

Jun 6, 1998·BMJ : British Medical Journal·E Webb
Apr 2, 2002·BMJ : British Medical Journal·Jonathan R Benger, V Pearce
Jun 20, 2003·The New England Journal of Medicine·David W Bates, Atul A Gawande
Oct 12, 2007·The New England Journal of Medicine·Rita Mangione-SmithElizabeth A McGlynn
Dec 6, 2008·Lancet·Ruth GilbertStaffan Janson
Jul 17, 2009·Journal of the Royal Society of Medicine·Sukhmeet S PanesarAziz Sheikh
Jul 18, 2009·Journal of General Internal Medicine·David M MasloveChaim M Bell
Sep 5, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Anthony HarndenGale Pearson
May 17, 2013·British Journal of Nursing : BJN·Lisa Smith
Jul 23, 2013·BMJ Quality & Safety·Daniel R MurphyHardeep Singh
May 6, 2014·JAMA : the Journal of the American Medical Association·Kathleen E WalshChristopher P Landrigan
Nov 13, 2014·Lancet·Janusz Kaczorowski
Aug 1, 2015·Lancet·David LowCyril Chantler
Sep 16, 2015·BMJ : British Medical Journal·Wilson M WereMaharaj K Bhan
Dec 2, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Huw WilliamsAndrew Carson-Stevens
May 5, 2016·BMJ : British Medical Journal·Martin A Makary, Michael Daniel
Nov 18, 2018·Pediatrics·Lindsay G TerrellAditee P Narayan

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