Frequency of inappropriate medical exceptions to quality measures.

Stephen D. Persell; Nancy C. Dolan; Elisha M. Friesema; Jason A. Thompson; Darren Kaiser; David W. Baker

Study

Frequency of inappropriate medical exceptions to quality measures.

March 31, 2010

Persell SD, Dolan NC, Friesema EM, et al. Ann Intern Med. 2010;152(4):225-31.

View more articles from the same authors.

This AHRQ-funded study found that physicians usually chose appropriate reasons for excluding patients from inclusion in quality measurement programs.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication dosing errors for patients with renal insufficiency in ambulatory care.

September 14, 2005

Health literacy and mortality among elderly persons.

August 8, 2007

Incidence and method of suicide in hospitals in the United States.

October 31, 2018

Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.

February 24, 2016

Patterns of nurse–physician communication and agreement on the plan of care.

June 9, 2010

Medication reconciliation and hypertension control.

March 24, 2010

Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.

March 11, 2015

Limited health literacy is a barrier to medication reconciliation in ambulatory care.

October 31, 2007

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?

September 11, 2019

Digital health and patient safety.

April 27, 2016

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

March 17, 2010

Aiming higher to enhance professionalism: beyond accreditation and certification.

May 27, 2015

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

September 23, 2009

Literacy and misunderstanding prescription drug labels.

December 13, 2006

The incidence of adverse events among home care patients.

January 30, 2013

Patient safety climate in US hospitals: variation by management level.

November 12, 2008

As coronavirus ravaged nursing homes, inspectors were not being tested.

August 5, 2020

Identifying organizational cultures that promote patient safety.

November 18, 2009

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.

June 28, 2017

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.

September 9, 2015

Relationship of safety climate and safety performance in hospitals.

April 1, 2009

ASHP guidelines on the safe use of automated dispensing devices.

August 29, 2021

Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.

October 4, 2023

Finding blunders in thyroid testing: experience in newborns.

July 30, 2008

What causes adverse events in prehospital care? A human-factors approach.

September 19, 2012

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

February 18, 2009

ACGME duty-hour recommendations—a national survey of residency program directors.

August 11, 2010

Do patient safety indicators explain increased weekend mortality?

September 2, 2015

Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review.

March 25, 2020

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

August 4, 2010

Stepping out further from the shadows: disclosure of harmful radiologic errors to patients.

February 15, 2012

Risk factors for hospital admissions associated with adverse drug events.

August 28, 2013

Patient safety climate in 92 US hospitals: differences by work area and discipline.

February 4, 2009

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

October 3, 2007

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

August 24, 2005

Mortality among patients admitted to hospitals on weekends as compared with weekdays.

November 2, 2005

Measures of patient safety in developing and emerging countries: a review of the literature.

March 17, 2010

Medication errors and adverse drug events in pediatric inpatients.

August 10, 2005

Planning and implementing a systems-based patient safety curriculum in medical education.

August 13, 2008

Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.

July 12, 2017

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

August 9, 2006

Maternal sleepiness and risk of infant drops in the postpartum period.

June 12, 2019

Health information exchange and patient safety.

November 7, 2007

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey.

September 26, 2007

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.

June 22, 2016

Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.

August 26, 2015

Assessing and improving safety climate in a large cohort of intensive care units.

February 23, 2011

Diagnostic errors in the pediatric and neonatal ICU: a systematic review.

March 4, 2015

Risk of adverse drug events by patient destination after hospital discharge.

September 21, 2005

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.

April 17, 2024

What did the doctor say? Health literacy and recall of medical instructions.

May 16, 2012

How to develop a second victim support program: a toolkit for health care organizations.

May 2, 2012

Impact of including readmissions for qualifying events in the Patient Safety Indicators.

April 22, 2015

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis.

March 6, 2024

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

May 6, 2009

Assessing adverse events among home care clients in three Canadian provinces using chart review.

November 27, 2013

National patterns of codeine prescriptions for children in the emergency department.

May 7, 2014

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

August 25, 2010

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.

May 17, 2017

Development and evaluation of a required patient safety course.

September 3, 2008

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.

May 30, 2018

Composite measures for profiling hospitals on bariatric surgery performance.

October 30, 2013

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

April 21, 2005

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.

November 26, 2014

National trends in safety performance of electronic health record systems in children's hospitals.

October 12, 2016

Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study.

October 21, 2020

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

July 18, 2012

Laboratory testing in general practice: a patient safety blind spot.

November 4, 2015

All CLEAR? Preparing for IT downtime.

September 28, 2016

Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial.

June 11, 2008

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

March 9, 2011

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

An investigation of occupational subgroups with respect to patient safety culture.

March 14, 2012

Psychosocial influences on safety climate: evidence from community pharmacies.

December 14, 2011

Retrospective analysis of medication incidents reported using an on-line reporting system.

December 13, 2006

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

May 31, 2006

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.

July 11, 2018

Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.

April 23, 2014

Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.

June 11, 2008

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.

January 11, 2023

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.

July 10, 2019

Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.

December 11, 2019

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality.

January 25, 2006

Legality of technicians' involvement in medication reconciliation not clear.

February 25, 2009

JCAHO views medication reconciliation as adverse-event prevention.

August 3, 2005

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

February 28, 2007

Clinical faculty: taking the lead in teaching quality improvement and patient safety.

October 8, 2014

A morning briefing: setting the stage for a clinically and operationally good day.

August 10, 2005

The Johns Hopkins Hospital: identifying and addressing risks and safety issues.

March 6, 2005

View the world through a different lens: shadowing another provider.

October 8, 2008

Impact of a standard medication chart on prescribing errors: a before-and-after audit.

December 16, 2009

Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study.

January 17, 2024

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.

October 4, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Identification of patient safety threats in a post-intensive care clinic.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.

November 16, 2022

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Medical Office Survey on Patient Safety Culture.

September 1, 2021

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.

April 21, 2021

Understanding context specificity: the effect of contextual factors on clinical reasoning.

September 2, 2020

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.

July 29, 2020

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study

April 8, 2020

Making Healthcare Safer III.

March 18, 2020

Choosing a Patient Safety Organization

March 1, 2020

Medication reconciliation improvement utilizing process redesign and clinical decision support.

January 29, 2020

Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.

November 13, 2019

Cascades of care after incidental findings in a US national survey of physicians.

November 6, 2019

Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.

August 21, 2019

Gaps in ambulatory patient safety for immunosuppressive specialty medications.

June 12, 2019

A systematic review of clinical decision support systems for clinical oncology practice.

May 15, 2019

Why do hundreds of US women die annually in childbirth?

March 27, 2019

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.

November 28, 2018

Recognition and prevention of nosocomial malnutrition: a review and a call to action!

October 11, 2017

Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report.

June 8, 2016

Analysis of clinical decision support system malfunctions: a case series and survey.

April 13, 2016

Toolkit for Reducing CAUTI in Hospitals.

December 9, 2015

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.

August 5, 2015

See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Health Care Executives and Administrators

Internal Medicine

Epidemiology of Errors and Adverse Events

Frequency of inappropriate medical exceptions to quality measures.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Frequency of inappropriate medical exceptions to quality measures.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

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