Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 3, 2005 Smith PC, Araya-Guerra R, Bublitz C, et al. JAMA. 2005;293(5):565-71. View more articles from the same authors. This survey of 253 primary care clinicians revealed that important clinical information was missing in nearly 1 in 7 visits, and providers believed this missing information could adversely affect patient care. Free full text PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. March 7, 2007 Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. February 8, 2006 Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. March 21, 2007 Evaluating sample medications in primary care: a practice-based research network study. December 6, 2006 Implementation and evaluation of a laboratory safety process improvement toolkit. May 22, 2019 Patient perspectives of patient–provider communication after adverse events. August 10, 2005 Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. November 2, 2016 A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017 Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. November 23, 2016 Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010 Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. July 2, 2008 Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. May 31, 2006 Physician knowledge, attitudes, and behavior related to reporting adverse drug events. March 27, 2005 Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. September 28, 2011 Out-of-hospital pediatric patient safety events: results of the CSI chart review. November 15, 2017 Are apologies a way to reduce malpractice risks?. June 21, 2023 The weekend effect in hospitalized patients: a meta-analysis. October 11, 2017 The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. February 13, 2013 Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. April 22, 2015 Identifying the latent failures underpinning medication administration errors: an exploratory study. March 21, 2012 Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. February 27, 2019 Judging whether a patient is actually improving: more pitfalls from the science of human perception. June 6, 2012 Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. August 3, 2016 Questionable hospital chart documentation practices by physicians. September 24, 2008 Direct reporting of laboratory test results to patients by mail to enhance patient safety. July 26, 2006 Lessons learned from implementing a principled approach to resolution following patient harm. January 9, 2019 Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. July 12, 2023 Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. February 20, 2013 Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. July 23, 2014 Patient safety issues in advanced practice nursing students' care settings. November 9, 2011 When a surgical colleague makes an error. February 24, 2016 Nighttime and weekend medication error rates in an inpatient pediatric population. December 15, 2010 Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. August 3, 2016 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. February 22, 2006 The safety of Australian healthcare: 10 years after QAHCS. April 15, 2005 High rates of adverse drug events in a highly computerized hospital. May 25, 2005 Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. January 13, 2016 Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. February 13, 2013 Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. January 24, 2018 A systems approach to patient-centered care. January 3, 2007 What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. March 28, 2018 Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. January 13, 2021 An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? July 29, 2015 Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. January 30, 2013 Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. October 21, 2009 Emergency physicians and disclosure of medical errors. November 8, 2006 Exploring the causes of adverse events in hospitals and potential prevention strategies. February 24, 2010 Design and impact of a novel surgery-specific second victim peer support program. January 29, 2020 A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. November 30, 2016 Pediatric prehospital medication dosing errors: a mixed-methods study. November 11, 2015 Medicaid markets and pediatric patient safety in hospitals. September 26, 2007 The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. December 21, 2016 Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. February 18, 2009 Do no unconscious harm. March 15, 2023 Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. April 29, 2015 A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 2, 2015 Where are my instruments? Hazards in delivery of surgical instruments. August 10, 2016 Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. April 15, 2005 Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. September 10, 2014 Better medical office safety culture is not associated with better scores on quality measures. January 11, 2012 A study of innovative patient safety education. February 29, 2012 Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. May 18, 2016 The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019 The threat within: mitigating the risk of medical error. March 25, 2020 Comparison of potential risk factors for medication errors with and without patient harm. August 18, 2010 Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. May 14, 2014 Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. June 6, 2012 Personal formularies of primary care physicians across 4 health care systems. August 4, 2021 A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. August 27, 2014 The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. December 21, 2016 Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. August 20, 2014 Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Time to sign off on signout. July 20, 2011 Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. April 29, 2015 Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. March 31, 2010 Governing the quality and safety of healthcare: a conceptual framework. May 30, 2018 Information technology interventions to improve medication safety in primary care: a systematic review. July 10, 2013 Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. March 4, 2015 Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. July 11, 2012 Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. February 27, 2019 Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. August 10, 2016 Nature, causes and consequences of unintended events in surgical units. December 1, 2010 Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. August 31, 2011 High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. March 21, 2012 We want to know: patient comfort speaking up about breakdowns in care and patient experience. October 17, 2018 Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. April 9, 2014 A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. August 23, 2006 Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. August 13, 2014 PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016 The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014 Prevalence of medication transfer errors in nephrology patients and potential risk factors. November 6, 2019 Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. February 15, 2017 Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. April 2, 2014 The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. November 7, 2012 The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. March 8, 2017 Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014 Internally-developed online adverse drug reaction and medication error reporting systems. June 7, 2006 A multihospital safety improvement effort and the dissemination of new knowledge. March 6, 2005 Evaluation of drug interaction software to identify alerts for transplant medications. March 6, 2005 View More Related Resources ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. April 3, 2024 Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024 Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. November 29, 2023 Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. November 1, 2023 Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. March 22, 2023 Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. August 3, 2022 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. August 3, 2022 Annual Perspective Annual Perspective: Topics in Medication Safety March 31, 2022 Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022 WebM&M Cases The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers May 26, 2021 Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 WebM&M Cases Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 WebM&M Cases Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Good medical care can suffer late in the day. March 18, 2020 WebM&M Cases Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation November 27, 2019 Using incident reports to assess communication failures and patient outcomes. April 17, 2019 The effect of a clinical decision support for pending laboratory results at emergency department discharge. February 13, 2019 Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 The need for closed-loop systems for management of abnormal test results. April 25, 2018 The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017 Electronic detection of delayed test result follow-up in patients with hypothyroidism. February 15, 2017 The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016 Communicating findings of delayed diagnostic evaluation to primary care providers. July 27, 2016 Building a Patient Safety Toolkit for use in general practice. July 20, 2016 The forgotten tourniquet—an update. March 13, 2016 System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 View More See More About The Topic Physicians Nurses Primary Care Missed or Critical Lab Results Noncognitive Errors ("Slips and Lapses")
Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. February 8, 2006
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. March 21, 2007
Evaluating sample medications in primary care: a practice-based research network study. December 6, 2006
Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. November 2, 2016
A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. July 26, 2017
Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. November 23, 2016
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. July 2, 2008
Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. May 31, 2006
Physician knowledge, attitudes, and behavior related to reporting adverse drug events. March 27, 2005
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. September 28, 2011
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. February 13, 2013
Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. April 22, 2015
Identifying the latent failures underpinning medication administration errors: an exploratory study. March 21, 2012
Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. February 27, 2019
Judging whether a patient is actually improving: more pitfalls from the science of human perception. June 6, 2012
Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. August 3, 2016
Direct reporting of laboratory test results to patients by mail to enhance patient safety. July 26, 2006
Lessons learned from implementing a principled approach to resolution following patient harm. January 9, 2019
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. July 12, 2023
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. February 20, 2013
Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. July 23, 2014
Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. August 3, 2016
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. February 22, 2006
Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. January 13, 2016
Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. February 13, 2013
Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. January 24, 2018
What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. March 28, 2018
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. January 13, 2021
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? July 29, 2015
Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. January 30, 2013
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. October 21, 2009
Exploring the causes of adverse events in hospitals and potential prevention strategies. February 24, 2010
A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. November 30, 2016
The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. December 21, 2016
Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. February 18, 2009
Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. April 29, 2015
A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 2, 2015
Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. April 15, 2005
Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. September 10, 2014
Better medical office safety culture is not associated with better scores on quality measures. January 11, 2012
Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. May 18, 2016
The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? June 12, 2019
Comparison of potential risk factors for medication errors with and without patient harm. August 18, 2010
Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. May 14, 2014
Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. June 6, 2012
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. August 27, 2014
The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. December 21, 2016
Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. August 20, 2014
Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. April 29, 2015
Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. March 31, 2010
Information technology interventions to improve medication safety in primary care: a systematic review. July 10, 2013
Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. March 4, 2015
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. July 11, 2012
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. February 27, 2019
Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. August 10, 2016
Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. August 31, 2011
High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. March 21, 2012
We want to know: patient comfort speaking up about breakdowns in care and patient experience. October 17, 2018
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. April 9, 2014
A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. August 23, 2006
Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. August 13, 2014
PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014
Prevalence of medication transfer errors in nephrology patients and potential risk factors. November 6, 2019
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. February 15, 2017
Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. April 2, 2014
The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. November 7, 2012
The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. March 8, 2017
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014
Internally-developed online adverse drug reaction and medication error reporting systems. June 7, 2006
Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. April 3, 2024
Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024
Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. November 29, 2023
Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. November 1, 2023
Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023
"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. March 22, 2023
Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. August 3, 2022
'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. August 3, 2022
Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. March 30, 2022
Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020
WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020
WebM&M Cases Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020
The effect of a clinical decision support for pending laboratory results at emergency department discharge. February 13, 2019
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018
The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017
Electronic detection of delayed test result follow-up in patients with hypothyroidism. February 15, 2017
The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016