Proxies of patient safety events and processes, CY P09 23 01

As our protocols are in development and we are still assessing what is possible to extract from the cBradford data, we cannot say exactly which outcomes we will be measuring. However, the focus of our theme is on health inequalities in patient safety (particularly in primary care) and as such, we will certainly be taking measures of patient comorbidities and health for our model adjustment, alongside indicators of inequality (e.g. protected characteristics and deprivation indices – see examples in Table 1 below). Primarily, however, we aim to capture a variety of outcomes which indicate or are proxies of patient safety events and processes (see examples provided in Table 2), including errors in the process of care delivery, avoidable adverse events attributable to the process of care delivery, near misses, instances of sub-optimal care compared with a reference model (e.g. patient outcomes that deviate from expected standards of care or statistical norms across groups), and evidence of potentially harmful deviations in care (e.g. indication of deficiencies in leading safety indicators, such as accuracy & completeness of safety-critical information, timely transfer between safety-critical steps in the care pathway, missed communication, missed opportunities to detect and ameliorate risk). The data extract or profile of metrics we focus upon in this work will be informed by a comprehensive scoping review of existing literature coupled with review of opportunities inherent within the evolving cBradford dataset in order to enhance capability for patient safety research and insight within the CBradford system.

01/04/2023

5 years