Unintended consequences of online consultations: a qualitative study in UK primary care.

Andrew Turner; Rebecca Morris; Dylan Rakhra; Fiona Stevenson; Lorraine McDonagh; Fiona Hamilton; Helen Atherton; Michelle Farr; Sarah Blake; Jon Banks; Gemma Lasseter; Sue Ziebland; Emma Hyde; John Powell; Jeremy Horwood

Study

Unintended consequences of online consultations: a qualitative study in UK primary care.

February 2, 2022

Turner A, Morris R, Rakhra D, et al. Br J Gen Pract. 2021;72(715):e128-e137.

View more articles from the same authors.

The UK’s National Health Service (NHS) is increasingly using digital technology to deliver care. Researchers interviewed 19 patients and 18 general practice staff about their experiences with one of the NHS’s digital tools, online (asynchronous) consultations. Unintended consequences related to access to and efficiency of care are discussed.

PubMed citation

Available at

Related Resources From the Same Author(s)

Unintended consequences of patient online access to health records: a qualitative study in UK primary care.

November 16, 2022

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.

December 15, 2021

Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.

October 20, 2021

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.

December 15, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

Harms from discharge to primary care: mixed methods analysis of incident reports.

December 16, 2015

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Adverse events associated with home blood transfusion: a retrospective cohort study.

May 12, 2021

Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.

August 11, 2021

Exploration of prescribing error reporting across primary care: a qualitative study.

April 13, 2022

The frequency and nature of prescribing problems by general practitioners in training (REVISiT).

June 15, 2022

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.

March 3, 2021

A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.

January 8, 2014

Medication safety incidents associated with the remote delivery of primary care: a rapid review.

January 18, 2023

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.

December 9, 2020

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.

November 10, 2021

Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study.

May 19, 2021

Patient safety skills in primary care: a national survey of GP educators.

February 4, 2015

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals.

October 13, 2021

Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment.

April 14, 2021

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Anesthesiology patient handoff education interventions: a systematic review.

March 29, 2023

Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.

November 30, 2022

Swimming against the tide: primary care physicians' views on deprescribing in everyday practice.

August 23, 2017

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.

August 5, 2020

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Health professionals' perspectives of safety issues in mental health services: a qualitative study.

March 31, 2021

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.

August 26, 2020

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

October 7, 2020

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care.

July 13, 2022

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.

May 19, 2021

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

The effect of virtual nursing and missed nursing care.

July 1, 2020

Perceptions of nurses who are second victims in a hospital setting.

December 22, 2021

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

March 2, 2011

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

The role of organizational and professional cultures in medication safety: a scoping review of the literature.

January 15, 2020

Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers.

March 2, 2022

Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.

October 5, 2016

LINNEAUS Collaboration on Patient Safety in Primary Care.

September 23, 2015

Making safety training stickier: a richer model of safety training engagement and transfer.

September 15, 2021

How providers can optimize effective and safe scribe use: a qualitative study.

February 1, 2023

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.

April 13, 2022

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study.

March 16, 2022

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.

June 30, 2021

Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review.

December 2, 2020

Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.

February 9, 2022

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.

May 18, 2022

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

March 11, 2020

The diagnostic moment: a study in US primary care.

December 9, 2020

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing.

January 19, 2022

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.

August 4, 2021

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.

May 18, 2022

The delivery of safe and effective test result communication, management and follow-up.

September 27, 2023

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Predicting avoidable hospital events in Maryland.

December 1, 2021

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.

March 31, 2021

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff.

November 10, 2021

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.

May 25, 2022

The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.

July 28, 2021

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study.

December 15, 2021

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.

May 26, 2021

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.

May 12, 2021

Characteristics of critical incident reporting systems in primary care: an international survey.

January 19, 2022

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Effectiveness of acute care remote triage systems: a systematic review.

February 5, 2020

The organizational and intraorganizational development of disasters.

March 27, 2005

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

Personal formularies of primary care physicians across 4 health care systems.

August 4, 2021

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies.

June 23, 2021

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

The patient died: what about involvement in the investigation process?

June 24, 2020

Experiences of transgender people reviewing their electronic health records, a qualitative study.

June 29, 2022

Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters.

August 25, 2021

What do hospital staff in the UK think are the causes of penicillin medication errors?

April 17, 2013

Related Resources

An electronic trigger to detect telemedicine-related diagnostic errors.

April 17, 2024

Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis.

December 20, 2023

Completion of recommended tests and referrals in telehealth vs in-person visits.

December 6, 2023

Identifying failure modes in telemedicine: an instructional needs assessment.

August 9, 2023

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Early diagnosis of cancer: systems approach to support clinicians in primary care.

April 5, 2023

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations.

March 15, 2023

An infrastructure to provide safer, higher quality, and more equitable telehealth.

March 1, 2023

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.

February 15, 2023

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Medication safety incidents associated with the remote delivery of primary care: a rapid review.

January 18, 2023

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.

January 11, 2023

Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.

November 30, 2022

Unintended consequences of patient online access to health records: a qualitative study in UK primary care.

November 16, 2022

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

WebM&M Cases

Miscommunication During the Interhospital Transport of a Critically Ill Child

August 31, 2022

The Uneven Burden of Maternal Mortality in the U.S.

August 10, 2022

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites.

August 3, 2022

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?

July 27, 2022

Experiences of transgender people reviewing their electronic health records, a qualitative study.

June 29, 2022

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

April 13, 2022

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Ambulatory virtual care during a pandemic: patient safety considerations.

March 9, 2022

When no news is bad news: improving diagnostic testing communication through patient engagement.

March 9, 2022

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.

February 23, 2022

The abrupt expansion of ambulatory telemedicine: implications for patient safety.

February 9, 2022

See More About The Topic

Ambulatory Clinic or Office

Information Professionals

Primary Care

Epidemiology of Errors and Adverse Events

Latent Errors

Unintended consequences of online consultations: a qualitative study in UK primary care.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Unintended consequences of online consultations: a qualitative study in UK primary care.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site