• Rita Fernholm, Caroline Wachtler, Karolina Malm-Willadsen, Martin J Holzmann, Axel C Carlsson, Gunnar H Nilsson, and Karin Pukk Härenstam.
• Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
• Scand J Prim Health Care. 2020 Dec 1; 38 (4): 381390381-390.

ObjectiveTo (1) validate and (2) display initial results of surveys to health care professionals and patients on the importance and mitigation of specified risks for diagnostic and medication errors.DesignFor validation, psychometric properties were analysed by assessment of construct validity and internal consistency by factor analysis. Non-parametric analyses were used concerning areas of risk, and top ranking of solutions were reported descriptively.SettingPrimary health care in Sweden.ParticipantsHealth care professionals (HCPs); including physicians, nurses and practice managers, as well as patients who had experienced diagnostic or medication errors.Main Outcome MeasuresPsychometric properties of the surveys. Median ratings for risks and top rankings of solutions for professionals and patients.ResultsThere were 939 respondents to the HCP survey. Construct validity resulted in a model with four dimensions: Patient-provider level; Support systems for every day clinical work; Shared information and cooperation between different caregivers; Risks in the environment. Internal consistency was acceptable with Cronbach's α values above 0.7. Confirmatory factor analysis generally showed an acceptable fit. Initial results from the professionals showed the importance of continuity of care, a nationwide on-line medical platform and cooperation in transfer of care. The patient survey could not be validated because of low response rate.ConclusionThe HCP survey showed some contradicting results regarding model fit and may be tentatively acceptable but validity needs further study. HCP survey answers indicated that relational continuity of care and a nationwide on-line medical platform are highly valued. Current awareness Health care professionals and patients are rather untapped sources of knowledge regarding patient safety in primary health care Main statements Validation is performed on a new survey capturing rating of risks and solutions. The validation of the health care professional survey is tentatively acceptable. Survey answers indicate that health care professionals' and patients' perspectives are complementary.

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