Agreement between patient-reported symptoms and their documentation in the medical record.

Serguei Pakhomov V; Steven J. Jacobsen; Christopher G. Chute; Veronique L. Roger

Study

Agreement between patient-reported symptoms and their documentation in the medical record.

August 27, 2008

Pakhomov S, Jacobsen SJ, Chute CG, et al. Am J Manag Care. 2008;14(8):530-539.

View more articles from the same authors.

This study analyzed electronic medical records to determine how patient-reported symptoms were addressed by clinicians and found that physicians frequently did not document or address symptoms that patients had identified as the primary reason for their visit.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Teaching a 'good' ward round.

April 22, 2015

Best-practice protocols: preventing adverse drug events.

September 28, 2005

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

September 7, 2005

The role of automation in complex system failures.

May 11, 2005

Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.

November 9, 2022

Quality Improvement in Neurosurgery.

April 15, 2015

Development of the ICU safety reporting system.

May 11, 2005

Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.

November 1, 2017

Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.

January 23, 2019

Clinical reasoning assessment methods: a scoping review and practical guidance.

June 26, 2019

Paramedic self-reported medication errors.

October 18, 2006

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

Patient safety in emergency medical services: a systematic review of the literature.

December 21, 2011

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

Biomedical Complexity and Error.

July 13, 2011

Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies.

June 21, 2017

Formalizing the hidden curriculum of performance enhancing errors.

March 22, 2023

Parent-reported errors and adverse events in hospitalized children.

March 16, 2016

Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.

April 27, 2022

Operational failures and interruptions in hospital nursing.

June 14, 2006

Patient feedback for safety improvement in primary care: results from a feasibility study.

July 29, 2020

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

Electronic approaches to making sense of the text in the adverse event reporting system.

September 7, 2016

Organisation and characteristics of out-of-hours primary care during a COVID-19 outbreak: a real-time observational study.

September 30, 2020

Improving patient safety in intensive care units in Michigan.

June 25, 2008

How house officers cope with their mistakes.

March 6, 2005

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.

February 16, 2022

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

March 3, 2021

Listening for What Matters: Avoiding Contextual Errors in Health Care.

March 9, 2016

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Driving improvement in patient care: lessons from Toyota.

March 6, 2005

Safety culture of nursing homes: opinions of top managers.

April 6, 2011

A mismatch made in America.

June 19, 2019

Teaching Clinical Reasoning.

August 26, 2015

Keeping patients safe from iatrogenic methadone overdoses.

February 27, 2008

Patient safety records: silent witness.

October 1, 2008

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Patient care, square-rigger sailing, and safety.

October 22, 2008

Nursing home administrators' opinions of the resident safety culture in nursing homes.

February 7, 2007

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

August 27, 2008

Strategies to reduce errors associated with 2-component vaccines.

December 2, 2020

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

What COVID-19 teaches us about implicit bias in pediatric health care.

February 24, 2021

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.

May 18, 2022

Risk Management in Obstetrics and Gynaecology.

July 24, 2013

Quality and Safety Education.

August 12, 2009

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

January 30, 2013

Anatomic pathology databases and patient safety.

October 19, 2005

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards.

September 15, 2021

Health Information Technology.

February 4, 2015

Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.

March 9, 2011

Survey of nurses' experiences applying The Joint Commission's medication management titration standards.

November 3, 2021

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.

August 19, 2020

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

June 29, 2022

Work-arounds in health care settings: literature review and research agenda.

January 16, 2008

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

Association of measured quality with financial health among U.S. hospitals.

May 4, 2022

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital.

September 2, 2020

Reconciling medications at admission: safe practice recommendations and implementation strategies.

January 11, 2006

Surgical fire in the United States: 2000-2020.

March 15, 2023

Role of registered nurses in error prevention, discovery and correction.

April 16, 2008

The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.

January 3, 2007

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

March 20, 2013

FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention!

August 21, 2013

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals.

January 11, 2023

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

How to mitigate the effects of cognitive biases during patient safety incident investigations.

September 28, 2022

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.

December 21, 2022

12 h shifts and rates of error among nurses: a systematic review.

August 5, 2015

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Building comprehensive strategies for obstetric safety: simulation drills and communication.

January 11, 2017

The art of apology: when and how to seek forgiveness.

August 8, 2007

Small patients, big consequences in medical errors.

September 24, 2008

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

August 3, 2016

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.

May 15, 2013

Parent–provider miscommunications in hospitalized children.

August 23, 2017

I'm sorry: laws that support apologies in health care.

February 5, 2020

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.

November 9, 2016

Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.

March 22, 2006

Sponges, surgical instruments miscounted in 13% of surgeries.

October 1, 2008

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care.

July 13, 2022

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.

December 8, 2021

Focus on Computerized Provider Order Entry.

January 10, 2007

The prevalence of wrong level surgery among spine surgeons.

January 30, 2008

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

Communication and shared understanding between parents and resident-physicians at night.

July 13, 2016

Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant.

September 23, 2020

Can decision support combat incompleteness and bias in routine primary care data?

April 7, 2021

Incentives for patient safety: holding healthcare executives accountable.

September 3, 2008

Related Resources

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.

April 17, 2024

Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system.

April 3, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients.

March 6, 2024

Perspective

Patient Safety in Office-Based Care Settings

January 31, 2024

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study.

January 17, 2024

Parents' understanding of medication at discharge and potential harm in children with medical complexity.

December 20, 2023

Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study.

December 6, 2023

Handoff tool improves transitions from the operating room to the neonatal intensive care unit.

November 8, 2023

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.

October 4, 2023

Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

Emotional harm in the radiology department: analysis of an underrecognized preventable error.

February 9, 2022

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

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

January 13, 2021

Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis.

January 13, 2021

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study.

October 14, 2020

Resilience from a stakeholder perspective: the role of next of kin in cancer care.

September 23, 2020

With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.

April 29, 2020

The untold toll — the pandemic’s effects on patients without Covid-19.

April 29, 2020

Awareness of diagnosis and follow up care after discharge from the emergency department

December 11, 2019

Discrepant advanced directives and code status orders: a preventable medical error.

October 2, 2019

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

September 25, 2019

An opportunity to engage obstetrics and gynecology patients through shared visit notes.

June 26, 2019

Engineering a foundation for partnership to improve medication safety during care transitions.

February 6, 2019

"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.

October 10, 2018

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Improving communication with patients with limited English proficiency.

March 28, 2018

See More About The Topic

Discontinuities, Gaps, and Hand-Off Problems

Active Errors

Provider-Patient Communication

Agreement between patient-reported symptoms and their documentation in the medical record.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Agreement between patient-reported symptoms and their documentation in the medical record.

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