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Search results for "Legal and Policy Approaches"
Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3.
This report analyzes communication practices between emergency and primary care physicians and provides suggestions to improve and encourage meaningful communication.
Journal Article > Review
Wallace E, Lowry J, Smith SM, Fahey T. BMJ Open. 2013;3:e002929.
This systematic review of 34 studies of malpractice claims in primary care from five countries identified diagnostic errors and medication errors as the most common types of preventable adverse events in ambulatory medicine. Missed and delayed diagnoses—particularly of cancer and myocardial infarction—were also found to be a main source of malpractice lawsuits in another recent study, which was not included in this analysis. Although malpractice claims are an imperfect data source, this study provides important information to help focus efforts to improve patient safety in ambulatory care.
Journal Article > Study
'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.
Amalberti R, Brami J. BMJ Qual Saf. 2012;21:729-736.
The systems approach to analyzing adverse events emphasizes how active errors (those made by individuals) and latent errors (underlying system flaws) contribute to preventable harm. Adverse events in ambulatory care may arise from an especially complex array of latent errors. This paper explores the role of time management problems, which the authors term "tempos," as a contributor to errors in ambulatory care. Through a review of closed malpractice claims, the authors identify 5 tempos that can affect the risk of an adverse event: disease tempo (the expected disease course), patient tempo (timing of complaints and adherence to recommendations), office tempo (including the availability of clinicians and test results), system tempo (such as access to specialists or emergency services), and access to knowledge. The role of these tempos in precipitating diagnostic errors and communication errors is discussed through analysis of the patterns of errors in malpractice claims. A preventable adverse event caused by misunderstanding of disease tempo is discussed in this AHRQ WebM&M commentary.
Journal Article > Commentary
Lippman H, Davenport J. J Fam Pract. 2010;59:498-508.
This article explains how to avoid diagnostic error, minimize litigation, and prevent patient harm.
Journal Article > Study
Learning from malpractice claims about negligent, adverse events in primary care in the United States.
Phillips RL Jr, Bartholomew LA, Dovey SM, Fryer GE Jr, Miyoshi TJ, Green LA. Qual Saf Health Care. 2004;13:121-126.