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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - technology intervention (PINCER) composed of feedback and educational outreach to a randomized subset of 72 primary … January 11, 2023
Incidence, nature and causes of avoidable significant harm in primary … January 7, 2015
How safe is primary care? A systematic review. … E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary … See More About The Topic
Ambulatory Care
Physicians
Pharmacists
Family Medicine
Primary
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - To reduce nausea and vomiting, the primary team initially ordered intramuscular (IM) trimethobenzamide … The primary team hesitated to prescribe medications despite their safety in pregnancy and delayed reaching … The consultant made recommendations but did not ensure that the primary team received and understood … In this case, the primary team initially chose trimethobenzamide, a dopamine receptor antagonist, and … The specific primary and specialty team composition depends on the hospital’s volume and resources.
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psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - In this study conducted in outpatient primary care clinics, chart review and patient surveys detected … May 2, 2012
Routinely recorded patient safety events in primary care: a literature review … November 2, 2011
Patient safety in out-of-hours primary care: a review of patient records … View More
See More About The Topic
Ambulatory Care
Family Medicine
Primary
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psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
November 10, 2017 - Research is increasingly focusing on patient safety in primary care . … harm and describes how to conduct a root cause analysis to investigate clinical incidents in the primary … Equity in Patient Safety
March 27, 2024
Characterising the nature of primary … May 4, 2015
Computer visualisation of patient safety in primary care: a systems approach … May 16, 2012
Patient safety systems in the primary health care of diabetes—a story of
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psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
September 07, 2022 - Commentary
Measuring and improving diagnostic safety in primary care: addressing … Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic … Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic … Influence of opioid prescription policy on overdoses and related adverse effects in a primary … May 12, 2021
The diagnostic moment: a study in US primary care.
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Another analysis in primary care health centers found that the program was cost neutral for high-risk … These individuals are employed by the primary care practice. … Context of the Innovation
At the time of innovation design, Indiana University Medical Group—Primary … Care, located in Indianapolis, IN, was a large primary care practice affiliated with an urban health … model, the case management program must be integrated with the primary care practice.
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Two studies used a trigger approach to review unusual patterns of return visits in primary care and one … Related Resources From the Same Author(s)
Types and origins of diagnostic errors in primary … June 21, 2016
Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary … August 7, 2019
Primary care pediatricians' interest in diagnostic error reduction. … June 3, 2014
Types and origins of diagnostic errors in primary care settings.
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - The case report does not mention whether the patient's primary care physician received communication … primary care record after an ED visit or a hospitalization. … In the interim, he had seen his primary physician, who had restarted a sulfonylurea (a common type of … The result is that an updated record of the patient's care plan is available to the primary care team … This record can be used to facilitate safe care whether the patient calls the primary care office on
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psnet.ahrq.gov/issue/systematic-review-patient-report-safety-climate-measures-health-care
September 15, 2021 - reliability, and assess core safety climate domains from a patient perspective with an emphasis in primary … From the Same Author(s)
A meta-review of methods of measuring and monitoring safety in primary … June 14, 2017
A systematic review of primary care safety climate survey instruments: … delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary … March 23, 2022
Impact of remote consultations on antibiotic prescribing in primary healthcare
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psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
November 16, 2022 - by the Medication Regimen Complexity Index, was associated with more medication discrepancies among primary … December 23, 2016
How to monitor patient safety in primary care? … 2016
Healthcare system intervention for safer use of medicines in elderly patients in primary … November 11, 2015
Patient safety skills in primary care: a national survey of GP educators … See More About The Topic
Ambulatory Care
Health Care Providers
Risk Managers
Primary
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psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care
October 21, 2020 - Victims of severe intimate partner violence are left without advocacy intervention in primary … Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency … February 3, 2021
Diagnostic trajectories in primary care at 12 months: an observational … August 3, 2022
Use of an electronic clinical decision support system in primary care … Barriers to effective communication among primary care physicians and oncologists about diagnostic delays
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Prior research has found poor communication between hospital-based and primary care physicians and has … included 19 studies assessing the transfer of information at hospital discharge between hospital-based and primary … Discharge summaries nearly always contained patient demographics, admission/discharge dates and primary … April 1, 2020
Annual Perspective
Patient Safety in Primary … Researchers
Hospitals
Ambulatory Clinic or Office
Quality and Safety Professionals
Primary
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psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
March 16, 2022 - Study
Evaluation of drug utilization and prescribing errors in infants: a primary … Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study … Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study … July 20, 2011
High risk prescribing in primary care patients particularly vulnerable … Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary
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psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
December 18, 2017 - Review
Patients' views of adverse events in primary and ambulatory care: a systematic … Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods … January 9, 2018
Primary care pediatricians' interest in diagnostic error reduction. … October 16, 2019
Classification of patient-safety incidents in primary care. … April 22, 2015
Safety of medication use in primary care.
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psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
June 11, 2014 - In this cluster-randomized controlled trial conducted in primary care clinics, clinicians received targeted … : dissatisfaction with test result management systems in primary care. … July 16, 2014
Improving medication safety in primary care using electronic health records … July 24, 2011
Using nurses and office staff to report prescribing errors in primary care … Ambulatory Clinic or Office
Physicians
Information Professionals
Family Medicine
Primary
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psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
July 29, 2015 - This survey of patients attending primary care clinics found that nearly 1 in 3 patients reported experiencing … January 5, 2017
Exploring situational awareness in diagnostic errors in primary care. … November 26, 2014
Types and origins of diagnostic errors in primary care settings. … October 23, 2012
Information chaos in primary care: implications for physician performance … June 13, 2011
Patient safety in out-of-hours primary care: a review of patient records
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - discussing medication errors in the context of ambulatory care and provides a medication safety plan for primary … March 28, 2011
A mixed method study of the merits of e-prescribing drug alerts in primary … Ambulatory Care
Health Care Providers
Facility and Group Administrators
Family Medicine
Primary
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - The report delineates nine steps in the referral process, starting from the primary care provider ordering … Recommendations to improve this process include interoperability between primary care and subspecialty … Patient Safety in the Ambulatory Care Setting
August 5, 2022
Primary … June 21, 2018
Exploring situational awareness in diagnostic errors in primary care. … More About The Topic
Ambulatory Care
Health Care Providers
Information Professionals
Primary
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psnet.ahrq.gov/issue/efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study
June 14, 2017 - thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary … thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary … May 30, 2011
High risk prescribing in primary care patients particularly vulnerable to … November 14, 2018
Threats to patient safety in primary care reported by older people … May 16, 2012
High risk prescribing in primary care patients particularly vulnerable to
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psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
January 25, 2023 - In this study, the medical records of patients who received outpatient care (e.g., primary, radiology … June 16, 2019
Classification of patient-safety incidents in primary care. … Incident reporting practices in the preanalytical phase: low reported frequencies in the primary … The Topic
Emergency Departments
Ambulatory Care
Emergency Medicine
Family Medicine
Primary