Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

Alan Schwartz; Saul J. Weiner; Amy Binns-Calvey; Frances M. Weaver

Study

Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

March 2, 2016

Schwartz A, Weiner SJ, Binns-Calvey A, et al. BMJ Qual Saf. 2016;25(3):159-63.

View more articles from the same authors.

This meta-analysis of three pooled studies revealed that patient-specific contextual factors, which may affect the care plan, were more often identified when providers specifically elicited such information rather than when it arose spontaneously. This finding demonstrates the benefits of recommended best practices for safe health communication, discussed in a past PSNet interview.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.

October 6, 2010

Uncharted territory: measuring costs of diagnostic errors outside the medical record.

July 25, 2012

Contextual errors and failures in individualizing patient care: a multicenter study.

August 4, 2010

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.

April 19, 2017

Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making.

October 17, 2007

Contextual errors in medical decision making: overlooked and understudied.

December 16, 2015

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

Processes for effective communication in primary care.

May 4, 2005

Understanding psychological safety in health care and education organizations: a comparative perspective.

March 16, 2016

Confidential clinician-reported surveillance of adverse events among medical inpatients.

March 27, 2005

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.

September 18, 2019

Resident hesitation in the operating room: does uncertainty equal incompetence?

November 21, 2018

How safe is my intensive care unit? Methods for monitoring and measurement.

November 21, 2007

Team-training in healthcare: a narrative synthesis of the literature.

March 12, 2014

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

April 7, 2010

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

March 10, 2021

Recruitment of hospitals for a safety climate study: facilitators and barriers.

April 30, 2008

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

November 18, 2009

Burnout in pediatric residents: three years of national survey

January 22, 2020

What does nursing teamwork look like? A qualitative study.

May 6, 2009

Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure.

March 5, 2008

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

February 11, 2009

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

May 25, 2011

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

March 25, 2015

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey

December 23, 2020

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Using Medical Emergency Teams to detect preventable adverse events.

September 9, 2009

Twelve best practices for team training evaluation in health care.

August 10, 2011

The problem with the '5 whys.'

September 14, 2016

Patient safety: this is public health.

August 20, 2014

Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a pilot study.

July 7, 2021

Can you prevent adverse drug events after hospital discharge?

April 12, 2006

Ambulance stretcher adverse events.

June 17, 2009

Measuring patient safety in real time: an essential method for effectively improving the safety of care.

December 6, 2017

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.

September 24, 2008

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care.

August 2, 2017

Using pharmacists to optimize patient outcomes and costs in the ED.

August 27, 2014

The active components of effective training in obstetric emergencies.

June 10, 2009

Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists.

April 26, 2023

A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative.

October 17, 2012

Automation of the I-PASS tool to improve transitions of care.

October 23, 2019

Seeking high reliability in primary care: leadership, tools, and organization.

May 28, 2014

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

December 12, 2007

Reducing surgical complications.

November 21, 2007

On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile.

November 12, 2014

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life.

May 10, 2006

Medication errors—new approaches to prevention.

May 25, 2011

Patient safety professionals as the third victims of adverse events.

June 26, 2019

Rapid response systems as a patient safety strategy: a systematic review.

March 20, 2013

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem.

March 12, 2014

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.

January 30, 2019

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

A combined assessment tool of teamwork, communication, and workload in hospital procedural units.

January 17, 2024

Promoting a culture of safety as a patient safety strategy: a systematic review.

March 13, 2013

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review.

October 5, 2022

The problem with Plan-Do-Study-Act cycles.

February 3, 2016

A new frontier in healthcare risk management: working to reduce avoidable patient suffering.

February 24, 2016

Hospital mortality: when failure is not a good measure of success.

July 30, 2008

Using an interactive voice response system to improve patient safety following hospital discharge.

August 1, 2007

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

March 3, 2010

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills.

September 14, 2005

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

October 8, 2008

Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

June 7, 2017

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

Medication errors in the home: a multisite study of children with cancer.

May 15, 2013

A survey of hospital quality improvement activities.

July 30, 2008

Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system.

May 2, 2018

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Double checking: a second look.

May 18, 2016

Improving the quality and safety of patient care in cardiac anesthesia.

December 10, 2014

Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices.

October 15, 2014

Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.

July 23, 2014

Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.

January 16, 2008

Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.

August 24, 2016

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Cognitive and system factors contributing to diagnostic errors in radiology.

October 9, 2013

A randomized controlled trial on the effect of a double check on the detection of medication errors.

August 23, 2017

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

June 8, 2016

An acetaminophen icon helps reduce medication decision errors in an experimental setting.

August 17, 2016

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Associations between safety culture and employee engagement over time: a retrospective analysis.

July 1, 2015

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

March 29, 2006

Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.

January 16, 2008

The meaning of justice in safety incident reporting.

November 7, 2007

Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.

May 21, 2008

The effect of emergency department boarding on order completion.

January 13, 2016

Chasing the 6-sigma: drawing lessons from the cockpit culture.

March 7, 2018

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

August 13, 2008

Prevention of prescription opioid misuse and projected overdose deaths in the United States.

February 13, 2019

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

April 21, 2010

Quality gaps identified through mortality review.

February 1, 2017

Relationship between patient complaints and surgical complications.

February 15, 2006

An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training.

April 2, 2008

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

March 27, 2013

Improving patient safety through the systematic evaluation of patient outcomes.

February 13, 2013

Beyond FMEA: the structured what-if technique (SWIFT).

September 26, 2012

Creating a just culture: the Ottawa Hospital's experience.

August 21, 2019

Improving patient safety: moving beyond the "hype" of medical errors.

October 26, 2005

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.

January 24, 2024

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment.

July 12, 2023

Disclosing medical errors: prioritising the needs of patients and families.

July 5, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.

January 18, 2023

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Embedded bias: how medical records sow discrimination.

October 5, 2022

How cisgender clinicians can help prevent harm during encounters with transgender patients.

August 24, 2022

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

June 29, 2022

A family and hospital's journey and commitment to improving diagnostic safety.

March 9, 2022

Addressing intimate partner violence and helping to protect patients.

February 2, 2022

Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.

December 22, 2021

Communication regarding adverse neonatal birth events: experiences of parents and clinicians.

December 1, 2021

Association of physician burnout with suicidal ideation and medical errors.

January 27, 2021

Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations.

January 13, 2021

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Frequency and types of patient-reported errors in electronic health record ambulatory care notes.

July 1, 2020

Many COVID-19 survivors will be left traumatized by their ICU experience.

May 6, 2020

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.

June 5, 2019

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

May 8, 2019

Interview

In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD

April 1, 2019

Interview

In Conversation With… Timothy B. McDonald, MD, JD

April 1, 2019

Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.

March 27, 2019

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).

February 20, 2019

We want to know: patient comfort speaking up about breakdowns in care and patient experience.

October 17, 2018

Failures in the respectful care of critically ill patients.

October 10, 2018

Does the perception of severity of medical error differ between varying levels of clinical seniority?

October 3, 2018

See More About The Topic

Hospitals

Health Care Providers

Medicine

Psychological and Social Complications

Epidemiology of Errors and Adverse Events

Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

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