Skip to main content

Table 5 A selection of personal, professional and practice learning needs and points identified and reported by GPSTs

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

Personal and professional learning needs

•

‘Review SIGN and NICE cardiovascular heart disease guidelines’ and ‘Need to update [my] knowledge on management and therapeutics of heart failure’

•

‘Need for new knowledge on gout management’

•

‘[Find out] how to liaise with social services about respite [care]’

•

‘How different Quality improvement (QI) techniques can be used’

•

‘Need to examine previous clinical notes to identify root of potential difficulties [that caused the detected patient safety incidents]’

•

‘[What are the patient] self management issues in COPD

•

‘Revise indication for warfarin in atrial fibrillation’

Learning needs for the practice team

•

‘Need to update diabetic guidelines on therapeutics and management’

•

‘Need system for dealing with out of hours (OOH) mail’

•

‘Need system for better medication reviews and monitoring’

•

‘Need for [consistent] adverse event coding’

•

‘Need to develop protocol for falls prevention’

•

‘Need to develop more continuity in patient care’

•

‘Address appointment availability’

•

‘Examine how hospital discharge prescriptions are actioned’

•

‘How to highlight medication errors to allow action’

•

‘To improve communication within primary care team’

•

‘How to carry out quality improvement techniques’

•

‘How to do trigger review’

•

‘Protocol for monitoring potential nephrotoxic [and hepatotixic] drugs’

Learning points

•

‘[I realized the] importance of coding as a safety issue’

•

‘[I] need to give more attention to out of hours summary sheets’

•

‘Need to action more thorough [medication] reviews’

•

‘How to carry out searches [to identify specific patient populations in the practice]’

•

‘[I need to] revise medication interactions’

•

‘[What are the] potential high yield triggers to identify problems’

•

‘[What] factors are involved (medical & social) in warfarin prescribing’

•

‘Recognition of the ‘cascade of error’ and need for root cause analysis’

•

‘Positive learning that disease monitoring systems work well (COPD) [in this practice]’