Learning from new colorectal cancers: a qualitative synthesis of significant event reports.

Autor:	Cooper-Moss N; School of Medicine, Faculty of Health and Biomedical Sciences, University of Central Lancashire, Preston, UK nicolacooper-moss@nhs.net.; Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK., Bajpai A; School of Medicine, Faculty of Health and Biomedical Sciences, University of Central Lancashire, Preston, UK., Smith N; Lancashire and South Cumbria Cancer Alliance, Manchester, UK., Merriel SWD; Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK., Chauhan U; School of Medicine, Faculty of Health and Biomedical Sciences, University of Central Lancashire, Preston, UK.
Jazyk:	angličtina
Zdroj:	BJGP open [BJGP Open] 2024 Jul 29; Vol. 8 (2). Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024).
DOI:	10.3399/BJGPO.2023.0088
Abstrakt:	Background: Colorectal cancer is the second leading cause of cancer-related mortality in the UK and a significant contributor to morbidity and mortality worldwide. Early diagnosis provides opportunities for intervention and improved survival. Significant event analysis (SEA) is a well-established quality improvement method for learning from new cancer diagnoses. Aim: To provide additional insights into diagnostic processes for colorectal cancer and to identify areas for improvement in patient care pathways. Design & Setting: Fifty-three general practices across Pennine Lancashire, England, submitted one or more SEA reports as part of an incentivised scheme. Method: A standardised data collection form was used to collate learning points and recommendations for improvements. In total, 161 reports were analysed using an inductive framework analysis approach. Results: There was an overarching theme of building vigilance and collaboration between and within general practices and secondary care. The following four main sub-themes were also identified: education; individualised and flexible care; ownership and continuity; and communication. Conclusion: These findings provide additional insights into colorectal cancer pathways from a primary care perspective. Practices should be supported in developing protocols for assessment and follow-up of patients with varying presentations. Screening and access to investigations are paramount for improving early diagnosis; however, a flexible diagnostic approach is required according to the individual circumstances of each patient. (Copyright © 2024, The Authors.)
Databáze:	MEDLINE
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