Table 2.
Most important threats to safe patient transitions from hospital to primary care, ranked by mean rating and percentage consensus of threat being considered ‘very important’ following analysis of round 3, round 2 results also displayed
| Final rank | Mean rating at round 3 | Threat | Round 3 | Round 2 | ||||
|---|---|---|---|---|---|---|---|---|
| Practices rating problem ‘very important’,% | Median rating | IQR of median rating | Practices rating problem ‘very important’,% | Median rating | IQR of median rating | |||
| 1 | 8.43 | Poor quality of handover instructions from secondary to primary care | 100.00 | 8.5 | 1 | 97.22 | 9.0 | 1 |
| 2 | 8.43 | Patients discharged before arrangements for care in place at home or in the community | 93.33 | 9.0 | 1 | 88.89 | 9.0 | 2 |
| 3 | 8.40 | Unsafe provision or availability of medication following patient discharge | 93.33 | 9.0 | 1 | 86.11 | 9.0 | 1 |
| 4 | 8.23 | Unreasonable handover of workload from secondary to primary care | 93.33 | 8.5 | 1 | 91.67 | 9.0 | 1 |
| 5 | 8.17 | Problems in sending and receiving discharge paperwork | 93.33 | 8.0 | 1 | 91.67 | 9.0 | 1 |
| 6 | 7.83 | Key handover instructions not acted on by primary care | 86.67 | 8.0 | 2 | 83.33 | 8.0 | 2 |
| 7 | 7.80 | Poor information given to patients, relatives, or carers on discharge from hospital | 86.67 | 8.0 | 1 | 88.89 | 8.0 | 2 |
| 8 | 7.80 | Unsafe prescribing practices during a patient’s transition from hospital to home | 83.33 | 8.0 | 2 | 77.78 | 8.0 | 2 |
| 9 | 7.23 | Poor engagement with primary care services in patient discharge planning | 66.67 | 9.0 | 3 | 69.44 | 7.0 | 2 |
IQR = interquartile range.