User redesign, testing and evaluation of the Monitoring Risk and Improving System Safety (MoRISS) checklist for the...

Area of Science:

• Healthcare Quality and Safety
• Primary Care Medicine
• Health Services Research

Background:

• Inadequate safety checks in general practice (GP) can reduce care quality.
• A systematic approach can enhance process standardization and task reliability.
• Previous safety checklists require adaptation for current GP contexts.

Purpose of the Study:

• To revise and modify a validated safety checklist for general practice.
• To test the content and relevance of the updated checklist in current GP settings.
• To evaluate the usability and effectiveness of the redesigned tool.

Main Methods:

• A multimethod study involving consensus workshops with users and experts.
• Regional testing of the revised checklist across general practices.
• Usability evaluation survey of general practice users.

Main Results:

• A redesigned 61-item checklist across eight themes was agreed upon.
• The checklist achieved 92.0% mean compliance across 42 participating general practices.
• User feedback indicated high usefulness (77.0%), ease of use (89.0%), and satisfaction (78.4%).

Conclusions:

• The redesigned checklist is a practical tool for safety monitoring and improvement in general practice.
• Testing confirmed high compliance and usability, suggesting potential for implementation.
• Findings indicate areas for improvement in current safety-critical checking processes.