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Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.
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    • Liu L, Chien AT, Singer SJ. Health Care Manage Rev. 2022;Epub Apr 30.
    Work conditions can impact clinician satisfaction and the quality and safety of the care they provide. This study sought to identify the combination of systems features (team dynamics, provider-perceived safety culture, patient care coordination) that positively impact work satisfaction in primary care practices. Results showed a strong culture of safety combined with more effective team dynamics were sufficient to lead to improved work satisfaction.
    Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
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    • Gupta K, Rivadeneira NA, Lisker S, et al. J Patient Saf. 2022;Epub Apr 27.
    Strategies to reduce clinician burnout related to adverse events are critically needed. Physicians in the United States were surveyed on their experiences with adverse events to identify facilitators and barriers to reducing burnout. A common facilitator was peer support, and barriers included shame and a punitive work environment.
    Management of Cardiac Arrest in Unconventional Locations.
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    • This WebM&M describes two cases involving patients who became unresponsive in unconventional locations – inside of a computed tomography (CT) scanner and at an outpatient transplant clinic – and strategies to ensure that all healthcare teams are prepared to deliver advanced cardiac life support (ACLS), such as the use of mock codes and standardized ACLS algorithms. 

    Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.
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    • Brady KJS, Barlam TF, Trockel MT, et al. Jt Comm J Qual Patient Saf. 2022;48:287-297.
    Inappropriate prescribing of antibiotics to treat viral illnesses is an ongoing patient safety threat. This study examined the association between clinician depression, anxiety, and burnout and inappropriate prescribing of antibiotics for acute respiratory tract infections (RTIs) in outpatient care. Depression and anxiety, but not burnout, were associated with increased adjusted odds of inappropriate prescribing for RTIs.
    Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?
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    • Lim L, Zimring CM, DuBose JR, et al. HERD. 2022;Epub Apr 5.
    Social distancing policies implemented during the COVID-19 pandemic challenged healthcare system leaders and providers to balance infection prevention strategies and providing collaborative, team-based patient care. In this article, four primary care clinics made changes to the clinic design, operational protocols, and usage of spaces. Negative impacts of these changes, such as fewer opportunities for collaboration, communication, and coordination, were observed.
    Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.
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    • Jagsi R, Griffith KA, Vicini F, et al for the Michigan Radiation Oncology Quality Consortium. JAMA Oncol. Epub 2022 Apr 21. 

    Concordance of patient-reported symptoms and provider-documented symptoms is necessary for appropriate patient care and has clinical implications for research. This study compared patient-reported symptoms (pain, pruritus, edema, and fatigue) following radiotherapy for breast cancer with provider assessments. Underrecognition of at least one symptom occurred in more than 50% of patients. Underrecognition was more common in Black patients and those seen by male physicians. The authors suggest that interventions to improve communication between providers and patients may not only improve outcomes but also reduce racial disparities.
    The patient's "story": an examination of patient-reported safety incidents in general practice.
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    • Madden C, Lydon S, Murphy AW, et al. Fam Pract. 2022;Epub Apr 20.
    Patient complaints and patient-reported incidents can help identify safety issues. This study compared clinician perceptions and patients’ accounts regarding patient safety incidents and identified a significant difference in perceptions about incident severity. Patients’ accounts of incidents commonly described deficiencies related to communication, staff performance, compassion, and respect.
    Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system.
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    • Meyer AND, Scott TMT, Singh H. JAMA Netw Open. 2022;5:e228568.
    Delayed communication of abnormal test results can contribute to diagnostic and treatment delays, patient harm, and malpractice claims. The Department of Veterans Affairs specifies abnormal test results be communicated to the patient within seven days if treatment is required, and within 14 days if no treatment is required. In the first full year of the program, 71% of abnormal test results and 80% of normal test results were communicated to the patient within the specified timeframes. Performance varied by facility and type of test.
    Factors associated with workplace violence among healthcare workers in an academic medical center.
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    • Otachi JK, Robertson H, Okoli CTC. Perspect Psychiatr Care. 2022;Epub Apr 6.
    Workplace violence in healthcare settings can jeopardize the safety of both patients and healthcare workers. This study found that over half of healthcare workers at one large academic medical center in the United States reported witnessing or experiencing workplace violence. Witnessing or experiencing workplace violence was most common in psychiatric settings and in the emergency department.  
    The effect of clinician feedback interventions on opioid prescribing.
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    • Navathe AS, Liao JM, Yan XS, et al. Health Aff (Millwood). 2022;41:424-433.
    Opioid overdose and misuse continues to be a major public health concern with numerous policy- and organization-level approaches to encourage appropriate clinician prescribing. A northern California health system studied the effects of three interventions (individual audit feedback, peer comparison, both combined) as compared to usual care at several emergency department and urgent care sites. Peer comparison and the combined interventions resulted in a significant decrease in pills per prescription.
    Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
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    • Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008.

    Improving diagnosis and reducing diagnostic errors are patient safety priorities. This announcement supports the development of Diagnostic Centers of Excellence focused on improving frontline diagnostician support and improving diagnostic systems (i.e., improving diagnostic precision through consensus, improving “truth” or diagnostic reference standards). Applications are due by June 9, 2022.
    Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.
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    • Casalino LP, Li J, Peterson LE, et al. Health Aff (Millwood). 2022;41:549-556.
    Physician burnout has been associated with higher rates of self-reported medical errors and increased costs related to physician turnover. This analysis linked survey data from family physicians to Medicare claims to explore any association of burnout with four objective measures of care outcomes (ambulatory care-sensitive admissions, ambulatory care-sensitive emergency department visits, readmissions, or costs). There was no consistent, statistically significant relationship between burnout and the four measures of care outcomes and further research on this relationship is warranted.
    Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.
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    • Cucchiaro SÉ, Princen F, Goreux JË, et al. Int J Qual Health Care. 2022;34:mzac014.
    Patient satisfaction surveys, unexpected event reports and patient complaints can each be used to improve patient safety. This radiotherapy service combined the three sources to make improvements in safety and quality. Results highlighted areas of strength (e.g., physical healing, kindness) and areas to improve (e.g., scheduling, comfort). Involving the patient in this way could lead to improvements in quality and safety.
    Error and cognitive bias in diagnostic radiology.
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    • Tee QX, Nambiar M, Stuckey S. J Med Imaging Radiat Oncol. 2022;66:202-207.
    Diagnostic errors in radiology can result in treatment delays and contribute to patient harm. This article provides an overview of the common cognitive biases encountered in diagnostic radiology that can contribute to diagnostic error, and strategies to avoid these biases, such as the use of a cognitive bias mitigation strategy checklist, peer feedback, promoting a just culture, and technology approaches including artificial intelligence (AI).
    Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.
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    • Giardina TD, Choi DT, Upadhyay DK, et al. J Am Med Inform Assoc. 2022;Epub Mar 29.
    Most patients can now access their provider visit notes via online portals and many have reported mistakes such as diagnostic errors or missed allergies. This study asked patients who may be “at-risk” for diagnostic error about perceived concerns in their visit notes. Patients were more likely to report having concerns if they did not trust their provider and did not have a good feeling about the visit. Soliciting patient concerns may be one way to improve transparency regarding diagnostic errors and trust in providers.
    Exploration of prescribing error reporting across primary care: a qualitative study.
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    • Hall N, Bullen K, Sherwood J, et al. BMJ Open. 2022;12:e050283.
    Reporting errors is a key component of improving patient safety and patient care. Primary care prescribers and community pharmacists in Northeast England were interviewed about perceived barriers and enablers to reporting medication prescribing errors, either internally or externally. Motivation, capability, and opportunity influenced reporting behaviors. 
    Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report.
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    • Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0017.

    The AHRQ Medical Office Survey on Patient Safety Culture  is designed to assess safety culture in outpatient clinics. The 2022 comparative data report includes data from 1,100 US medical offices and over 13,000 providers and staff. The highest-scoring composite measures are patient care tracking/follow-up and teamwork. Like the 2020 report, the lowest-scoring measure was work pressure and pace.
    Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories.
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    • Gilmartin HM, Hess E, Mueller C, et al. Health Serv Res. 2022;57:385-391.
    Ideal clinical learning environments (CLE) support employee engagement, satisfaction, and a culture of safety. The Learning Environment and High Reliability Practices Survey (LEHR) was used to determine the association between ideal CLE and job satisfaction, burnout, intent to leave, and staff turnover. Learning environments with higher average LEHR scores were associated with higher employee engagement, retention, and safety climate scores.
    HEAR Her Concerns.
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    • National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health; Centers for Disease Control and Prevention. 

    Maternal harm during and after pregnancy is a sentinel event. This campaign encourages women, families, and health providers to identify and speak up with concerns about maternal care and act on them. The program seeks to inform the design of support systems and tool development that enhance maternal safety.
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