An exploratory study of critical incident reviews in general practice after patient suicides
An exploratory study of critical incident reviews in general practice after patient suicides
Aim: to explore the feasibility of holding critical incident reviews (CIRs) after patient suicides in general practice and their ability to change practice.
Methods: thirteen practices were invited to conduct a facilitated CIR on 18 current patient suicides. Next of kin views were sought. All staff attending a CIR were interviewed after the review.
Results: ten practices reviewed 12 deaths. Twenty six staff attended reviews; all were interviewed. Next of kin contributed to six reviews; only one criticised care. Changes following the reviews included steps to improve internal communication and bereavement support to set up internal CIRs and review prescribing policies. Communications between practices and other agencies were clarified.
Conclusion: practices were willing to hold CIRs and appreciated the potential positive value but need reassurance that they will not be blamed for suicides, and that the cost in time and resources will be recognised.
suicide, critical incident review, general practice, quality improvement
18-25
King, E.
915d0fc4-38c4-4892-a44e-03c3104fcd9a
Kendall, K.
7c1c7abc-513b-4da5-b99d-268cd1d8bc58
Rosenvinge, H.
a98e5375-5c4b-499a-acc1-9ebbafe62db1
Gould, C.
09f6797c-ed02-4986-9b3c-2eba3d526b24
Wiles, R.
5bdc597b-716c-4f60-9f45-631ecca25571
Kendrick, T.
1aee2919-abd7-452c-8a0f-5b1ed22d58b3
2005
King, E.
915d0fc4-38c4-4892-a44e-03c3104fcd9a
Kendall, K.
7c1c7abc-513b-4da5-b99d-268cd1d8bc58
Rosenvinge, H.
a98e5375-5c4b-499a-acc1-9ebbafe62db1
Gould, C.
09f6797c-ed02-4986-9b3c-2eba3d526b24
Wiles, R.
5bdc597b-716c-4f60-9f45-631ecca25571
Kendrick, T.
1aee2919-abd7-452c-8a0f-5b1ed22d58b3
King, E., Kendall, K., Rosenvinge, H., Gould, C., Wiles, R. and Kendrick, T.
(2005)
An exploratory study of critical incident reviews in general practice after patient suicides.
Quality and Safety in Health Care, 14 (1), .
(doi:10.1136/qshc.2003.007344).
Abstract
Aim: to explore the feasibility of holding critical incident reviews (CIRs) after patient suicides in general practice and their ability to change practice.
Methods: thirteen practices were invited to conduct a facilitated CIR on 18 current patient suicides. Next of kin views were sought. All staff attending a CIR were interviewed after the review.
Results: ten practices reviewed 12 deaths. Twenty six staff attended reviews; all were interviewed. Next of kin contributed to six reviews; only one criticised care. Changes following the reviews included steps to improve internal communication and bereavement support to set up internal CIRs and review prescribing policies. Communications between practices and other agencies were clarified.
Conclusion: practices were willing to hold CIRs and appreciated the potential positive value but need reassurance that they will not be blamed for suicides, and that the cost in time and resources will be recognised.
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More information
Published date: 2005
Keywords:
suicide, critical incident review, general practice, quality improvement
Identifiers
Local EPrints ID: 17942
URI: http://eprints.soton.ac.uk/id/eprint/17942
ISSN: 1475-3898
PURE UUID: e3c266bd-7aef-4fc2-8c7c-4f31c7e17698
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Date deposited: 26 May 2006
Last modified: 15 Mar 2024 06:02
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Contributors
Author:
E. King
Author:
H. Rosenvinge
Author:
C. Gould
Author:
R. Wiles
Author:
T. Kendrick
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