Background and objectives: General practitioners (GPs), nurses and medical secretaries (practice staff) are responsible for the continuous provision of safe care in rural general practice. Little is known about their role in situations where patients were or could have been harmed in a rural setting. Therefore, we sought to investigate rural general practice staff experiences of patient safety incidents and low quality of care.
Methods: Descriptive qualitative interviews using the critical incident technique. Systematic text condensation analysis involving GPs and practice staff in eight rural municipalities in Norway.
Results: Sixteen participants (eight GPs, one nurse and seven medical secretaries) with mean work experience of 11.8 years were interviewed for a total of 11.5 hours. We identified three main factors that make rural GP clinics vulnerable to patient safety incidents and low quality of care: use of locums, work overload and rough weather and distance to hospital. There was a wide range of patient safety incidents. The healthcare personnel explained how they used local knowledge about people and context and greater awareness of risk of error in order to prevent these incidents from happening.
Conclusion: Rural GP clinics that suffer from frequent use of GP locums and work overload are vulnerable to patient safety incidents. Practice staff use various forms of continuity of care to prevent safety incidents from happening; this highlights the strengths but also some major safety concerns in these GP clinics. Staff at these clinics proved to be a resource for patient safety research.
Podcast: An accompanying podcast on patient safety is available as Supplementary Data, in which Martin Bruusgaardf Harbitz and Per Stensland provide insights into the context of this study.
Keywords: General practitioners; interview; medical secretaries; patient safety; primary health care; rural health.
When we go to see the doctor, we all want our diagnosis and treatment to be safe and free from mistakes. Unfortunately, patient harm and low quality of care happen every day in medical practice. This article looks at staff experiences of these mistakes; the staff were general practitioners, nurses and medical secretaries. We show how the use of locum doctors, work overload and long distance to hospital are linked to examples of patient harm. Our findings also show how nurses and medical secretaries may help to prevent harm to patients.
© The Author(s) 2021. Published by Oxford University Press.