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Table 7 A selection of comments and perceptions about the training intervention and the acceptability, feasibility and potential usefulness of the Trigger Review Method

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

The training intervention
‘Positive experience’
‘Not aware of [the trigger review method] previously’
‘Case-based scenarios helped us to focus on what to look for, good idea to have a practice beforehand’
‘Good that we did it individually but could then ask questions of each other in our small groups’
‘Left confident that we could apply the process’
‘Matching the case record example to EMIS/Vision would be a big help’
‘Liked the handouts, good reference a few weeks later’
Acceptability
‘Initially a bit annoying but good when you get into it’
‘More interesting when audit is your own and relevant to you’
‘Very good experience, sharing with colleagues and leading to further audit’
‘Too reticent to discuss uncovered issues with colleagues for fear of offending or upsetting, particularly given junior position’
‘[The TRM is a] good way of identifying important safety concerns’
Feasibility
‘Focus needs to be on high risk groups’
‘Very simple and quick to go through - triggers can be done in 2 minutes’
‘Difficult for non-clinical staff, practice nurses might be even better, though might need GP guidance’
‘Duration of time taken ok’
‘Couldn't open electronic version’
‘Increasing sample size not a real issue as it's quick and easy to find triggers and review records where nil of note found’
Potential usefulness
‘Highlighted many interface issues [e.g. secondary care], not following-up [or] informing us to follow-up [patients]’
‘Good to see all the potential, all the things we're doing to stop potential harm’
‘Helped to change our [practice] protocol’
‘Arguably more useful than audit, greater sense of ownership’