Harm caused by adverse events in primary care: a clinical observational study.

Raymond Wetzels; René Wolters; Chris van Weel; Michel Wensing

Study

Harm caused by adverse events in primary care: a clinical observational study.

April 15, 2009

Wetzels R, Wolters R, van Weel C, et al. J Eval Clin Pract. 2009;15(2):323-7.

View more articles from the same authors.

This study analyzed adverse events in two primary care practices and found that half had health consequences and a third led to worsening of symptoms or an unplanned hospital admission.

PubMed citation

Available at

Related Resources From the Same Author(s)

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

July 23, 2008

Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.

May 26, 2010

Organizational culture, team climate and diabetes care in small office-based practices.

October 8, 2008

Are health professionals' perceptions of patient safety related to figures on safety incidents?

September 19, 2012

Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study?

November 16, 2011

On the trail of quality and safety in health care.

January 23, 2008

Self-reported uptake of recommendations after dissemination of medication incident alerts.

August 22, 2012

Classification of medication incidents associated with information technology.

October 9, 2013

Safety and risk management interventions in hospitals: a systematic review of the literature.

October 28, 2009

Patient safety in out-of-hours primary care: a review of patient records.

February 9, 2011

As industry automates, adverse events continue to haunt caregivers.

February 16, 2011

When errors occur.

October 27, 2010

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.

September 16, 2009

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.

May 13, 2009

Patient safety attitudes and behaviors of graduating medical students.

September 21, 2011

Roundtable on public policy affecting patient safety.

March 16, 2011

Do final-year medical students have sufficient prescribing competencies? A systematic literature review.

February 14, 2018

Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users.

August 8, 2018

Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.

July 24, 2013

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.

August 25, 2021

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

April 17, 2013

Patient safety in otolaryngology: a descriptive review.

November 16, 2016

Thinking fast and slow in medicine.

February 12, 2020

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

April 3, 2013

Factors influencing in-hospital prescribing errors: a systematic review.

July 19, 2023

Injury and death associated with incidents reported to the Patient Safety Net.

September 23, 2009

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

The business case for patient safety.

February 14, 2007

The relationship between nurse education level and patient safety: an integrative review.

May 7, 2008

Quality and patient safety teams in the perioperative setting.

January 6, 2016

Failure to rescue as a process measure to evaluate fetal safety during labor.

January 21, 2009

Content analysis of nurses' reflections on medication errors in a regional hospital.

July 26, 2023

Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices.

March 31, 2021

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

April 17, 2013

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

August 16, 2006

Patient safety checklist: keys to successful implementation.

August 9, 2006

Managing risk in hazardous conditions: improvisation is not enough.

July 24, 2019

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

October 16, 2013

Creating complex health improvement programs as mindful organizations: from theory to action.

October 17, 2007

Fatigue in radiology: a fertile area for future research.

July 31, 2019

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review.

February 15, 2023

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

The perinatal safety nurse: exemplar of transformational leadership.

July 27, 2011

When medical care leads to harm—difficulty finding words: a teachable moment.

June 17, 2015

Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality.

August 19, 2015

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.

October 27, 2021

American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards.

February 10, 2010

Standardizing hospital discharge planning at the Mayo Clinic.

January 12, 2011

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review

December 11, 2019

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

February 1, 2017

Safer care at home: use of simulation training to improve standards.

October 19, 2011

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

January 21, 2015

The impact of the use of employee functional flexibility on patient safety.

November 18, 2020

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

Effect of crew resource management training in a multidisciplinary obstetrical setting.

May 21, 2008

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Overlapping surgery in arthroplasty - a systematic review and meta-analysis.

July 5, 2023

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Stop the silent misdiagnosis: patients' preferences matter.

November 21, 2012

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.

May 10, 2017

Piece of my mind. Stories doctors tell.

July 19, 2017

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.

September 9, 2009

Nurses' role in medical error recovery: an integrative review.

April 20, 2016

Assessing the safety of a new clinical decision support system for a national helpline.

February 14, 2024

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.

July 1, 2020

How health care complexity leads to cooperation and affects the autonomy of health care professionals.

February 6, 2008

Five system barriers to achieving ultrasafe health care.

May 11, 2005

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

March 27, 2013

The ins and outs of change of shift handoffs between nurses: a communication challenge.

February 22, 2012

Prevalence and nature of errors and near errors reported by hospital staff nurses.

March 6, 2005

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

Managing cognitive biases during disaster response: the development of an aide memoire.

May 20, 2020

Office surgery incidents: what seven years of Florida data show us.

March 26, 2008

Emergency department volume and delayed diagnosis of serious pediatric conditions.

February 28, 2024

The effects of stress and coping on surgical performance during simulations.

January 13, 2010

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.

July 29, 2020

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.

November 25, 2015

Safety analysis over time: seven major changes to adverse event investigation.

January 24, 2018

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

March 9, 2016

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

August 21, 2019

Analysis and prioritization of near-miss adverse events in a radiology department.

May 11, 2011

The human face of simulation: patient-focused simulation training.

October 18, 2006

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

October 6, 2010

Interventions to improve team effectiveness: a systematic review.

November 18, 2009

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review.

May 10, 2023

Implementing standardized reporting and safety checklists.

June 1, 2011

Medical errors reported by French general practitioners in training: results of a survey and individual interviews.

April 4, 2012

Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.

February 10, 2021

A call for the application of patient safety culture in medical humanitarian action: a literature review.

May 6, 2020

Evaluation for occult fractures in injured children.

August 5, 2015

Identification of warning signs during selection of surgical trainees.

January 16, 2019

Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.

March 23, 2016

Why do doctors make mistakes? A study of the role of salient distracting clinical features.

December 11, 2013

Hospital medication errors: a cross sectional study.

December 23, 2020

Related Resources

Using morbidity and mortality conferences to drive quality improvement and reduce errors.

May 17, 2023

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

May 11, 2022

Medical Office Survey on Patient Safety Culture.

September 1, 2021

AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition.

July 1, 2015

Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.

March 12, 2014

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

March 5, 2014

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.

February 26, 2014

Primary care physician communication at hospital discharge reduces medication discrepancies.

December 18, 2013

Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners.

November 6, 2013

Patient Safety Toolkits.

October 30, 2013

Primary care closed claims experience of Massachusetts malpractice insurers.

October 16, 2013

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

A typology of electronic health record workarounds in small-to-medium size primary care practices.

August 21, 2013

Impact of individual and team features of patient safety climate: a survey in family practices.

August 14, 2013

Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.

August 7, 2013

Resilient actions in the diagnostic process and system performance.

July 17, 2013

Safety climate and its association with office type and team involvement in primary care.

May 29, 2013

Types and origins of diagnostic errors in primary care settings.

March 6, 2013

Reasons for not reporting patient safety incidents in general practice: a qualitative study.

January 30, 2013

Certain uncertainties: modes of patient safety in healthcare.

December 19, 2012

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Are health professionals' perceptions of patient safety related to figures on safety incidents?

September 19, 2012

Threats to patient safety in the primary care office: concerns of physicians and nurses.

August 8, 2012

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

August 1, 2012

Medical errors reported by French general practitioners in training: results of a survey and individual interviews.

April 4, 2012

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

March 21, 2012

Emotional impact of patient safety incidents on family physicians and their office staff.

March 21, 2012

Measuring perceptions of safety climate in primary care: a cross-sectional study.

February 29, 2012

Diagnostic errors in primary care: lessons learned.

February 22, 2012

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

February 22, 2012

See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Facility and Group Administrators

Safety Scientists

Family Medicine

Harm caused by adverse events in primary care: a clinical observational study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Harm caused by adverse events in primary care: a clinical observational study.

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