Table 3 The number of detected triggers, patient safety incidents and intended actions reported by GP trainees in groups 1 & 2 and overall
|  | Group 1 (n = 14) | Group 2 (n = 7) | All (n = 21) | |||
|---|---|---|---|---|---|---|
| Â | No | Mean (range) | No | Mean (range) | No | Mean (range) |
Triggers | Â | Â | Â | Â | Â | Â |
≥3 Consultations | 83 | 5.9 (0–14) | 36 | 5.14 (0–20) | 119 | 5.67 (0–20) |
New ‘high priority’ code added | 45 | 3.2 (0–12) | 29 | 4.14 (0–9) | 74 | 3.52 (0–17) |
New allergy code | 15 | 1.0 (0–3) | 7 | 1.0 (0–4) | 27 | 1.05 (0–4) |
Repeat medication item discontinued | 46 | 3.3 (0–9) | 17 | 2.43 (1–6) | 63 | 3.00 (0–9) |
Out-of-Hours/A&E attendance | 51 | 3.64 (0–8) | 19 | 2.71 (1–5) | 70 | 3.33 (0–8) |
Hospital admission | 46 | 3.29 (0–6) | 19 | 2.71 (0–6) | 65 | 3.10 (0–6) |
Hb < 10.0 | 16 | 1.14 (0–6) | 1 | 0.14 (0–1) | 17 | 0.81 (0–6) |
eGFR reduction ≥5 | 22 | 1.57 (0–11) | 2 | 0.29 (0–1) | 24 | 1.14 (0–11) |
Optional triggers | 8 | 23 (0–14) | 1 | 0.14 (0–1) | 9 | 0.43 (0–14) |
|  | N = 14 | N = 6 | N = 20 | |||
Patient safety incidents | 62 | 4.4 (2–9) | 18 | 4.0 (1–5) | 80 | 4 (1–9) |
Severity | Â | Â | Â | Â | Â | Â |
1 | 13 | 0.93 (0–3) | 4 | 0.67 (0–2) | 17 | 0.85 (0–3) |
2 | 21 | 1.5 (0–3) | 7 | 1.12 (0–2) | 28 | 1.4 (0–3) |
3 | 15 | 1.07 (0–2) | 3 | 0.5 (0–1) | 18 | 0.9 (0–2) |
4 | 13 | 0.93 (0–5) | 4 | 0.67 (0–2) | 17 | 0.85 (0–5) |
Preventability | Â | Â | Â | Â | Â | Â |
1 | 4 | 0.29 (0–2) | 1 | 0.17 (0–1) | 5 | 0.25 (0–2) |
2 | 30 | 2.14 (0–4) | 9 | 1.5 (0–4) | 39 | 1.95 (0–4) |
3 | 17 | 1.21 (0–5) | 5 | 0.2 (0–2) | 22 | 1.1 (0–5) |
4 | 11 | 0.78 (0–3) | 3 | 0.6 (0–1) | 14 | 1.65 (0–3) |
Priority | Â | Â | Â | Â | Â | Â |
2 | 1 | 0.07 (0–1) | 0 | 0.33 (0–2) | 1 | 0.05 (0.1) |
3 | 8 | 0.57 (0–2) | 3 | 0.5 (0–2) | 11 | 0.45 (0–2) |
4 | 13 | 0.93 (0–2) | 1 | 0.17 (0–1) | 14 | 0.7 (0–2) |
5 | 15 | 1.1 (0–2) | 9 | 1.5 (0–3) | 24 | 1.2 (0–3) |
6 | 14 | 1.0 (0–3) | 4 | 0.8 (0–1) | 18 | 0.9 (0–3) |
7 | 8 | 0.07 (0–3) | 1 | 0.17 (0–1) | 9 | 0.45 (0–3) |
8 | 3 | 0.21 (0–5) | 0 | 0 | 3 | 0.15 (0–5) |
Intended next actions | Â | Â | Â | Â | Â | Â |
Significant event analysis | 8 | 0.57 (0–3) | 2 | 0.33 (0–2) | 10 | 0.5 (0–3) |
Clinical audit | 9 | 0.64 (0–2) | 1 | 0.17 (0–1) | 10 | 0.5 (0–2) |
PDSA cycle | 2 | 0.14 | 0 | 0 | 3 | 0.15 (0–2) |
Feedback to colleagues | 20 | 1.43 (0–5) | 9 | 1.5 (0–4) | 29 | 1.45 (0–5) |
Make a specific improvement | 8 | 0.57 (0–2) | 0 | 0 | 8 | 0.4 (0–2) |
Add to appraisal documentation | 19 | 1.36 (0–5) | 0 | 0 | 19 | 0.95 |
Discuss with Educational Supervisor | 26 | 1.86 (0–8) | 2 | 0.33 (0–1) | 28 | 1.4 (0–8) |
Protocol update | 6 | 0.43 (0–3) | 1 | 0.17 (0–1) | 7 | 0.35 (0–3) |