Barriers and motivators for making error reports from family medicine offices: A report from the American Academy of Family Physicians National Research Network (AAFP NRN)

Journal of the American Board of Family Medicine

Volumn 20, Issue 2, 2007, Pages 115-123

  Elder, Nancy C ^a   Graham, Deborah ^b   Brandt, Elias ^b   Hickner, John ^c  

^a UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^b AMERICAN ACADEMY OF FAMILY PHYSICIANS   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; DECISION MAKING; DEMOGRAPHY; FAMILY MEDICINE; GENERAL PRACTITIONER; HUMAN; INTERVIEW; MEDICAL ERROR; MEDICAL PRACTICE; MEDICAL RESEARCH; MEDICAL STAFF; NORMAL HUMAN; NURSE PRACTITIONER;

ADULT; BIOMEDICAL RESEARCH; COMMUNICATION BARRIERS; EDUCATION, MEDICAL; EDUCATION, NURSING; FAMILY PRACTICE; FEMALE; FOCUS GROUPS; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MEDICAL ERRORS; PATIENT EDUCATION; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; RISK ASSESSMENT; TIME FACTORS; UNITED STATES;

EID: 34247154085     PISSN: 15572625     EISSN: 15587118     Source Type: Journal    
DOI: 10.3122/jabfm.2007.02.060081     Document Type: Article

References (37)

1. Kaplan H, Barach P. Incident reporting: science or protoscience? Ten years later. Qual Saf Health Care 2002;11:144-5.
2. Sutcliffe KM. Defining and classifying medical error: lessons for learning. Qual Saf Health Care 2004;13:8-9.
3. West D, Westfall JM, Araya-Guerra R, et al. Using reported primary care errors to develop and implement patient safety interventions: a report from the ASIPS Collaborative. In: Advances in patient safety: from research to implementation. Rockville (MD): Agency for Healthcare Research and Quality; 2005 Publication no. 050021.
4. Elder NC, Graham D, Hickner J. Can a national primary care error-reporting system make a difference in medical practice? Available from: http://www.npsf.org/html/Focus.html Focus on Patient Safety 2004;7:4-5.
5. Johnson CW. How will we get the data and what will we do with it then? Issues in the reporting of adverse healthcare events. Qual Saf Health Care 2003;12 Suppl 2:ii64-7.
6. Hobgood C, Xie J, Weiner B, Hooker J. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med 2004;11:196-9.
7. Tamuz M, Thomas EJ, Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. Qual Saf Health Care 2004;13:13-20.
8. Dovey SM, Phillips RL. What should we report to medical error reporting systems? Qual Saf Health Care 2004;13:322-3.
9. Jeffe DB, Dunagan WC, Garbutt J, et al. Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals. Jt Comm J Qual Saf 2004;30:471-9.
10. Taylor JA, Brownstein D, Christakis DA, et al. Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics 2004;114:729-35.
11. Karsh BT, Escoto KH, Beasley JW, Holden RJ. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon 2006;37:283-95.
12. Wakefield DS, Wakefield BJ, Uden-Holman T, Blegen MA. Perceived barriers in reporting medication administration errors. Best Pract Benchmarking Healthc 1996;1:191-7.
13. Coyle YM, Mercer SQ, Murphy-Cullen CL, Schneider GW, Hynan LS. Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior. Qual Saf Health Care 2005;14:383-8.
14. Uribe CL, Schweikhart SB, Pathak DS, Dow M, Marsh GB. Perceived barriers to medical-error reporting: an exploratory investigation. J Healthc Manag 2002;47:263-79.
15. Carney J. Patient Safety and Quality Improvement Act of 2005. Bricker and Eckler Health Care Client Bulletin 2005;05-06:1-4.
16. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2002;11:15-8.
17. Beasley JW, Escoto KH, Karsh BT. Design elements for a primary care medical error reporting system. WMJ 2004;103:56-9.
18. Cherry D, Burt C, Woodwell D. National Ambulatory Medical Care Survey, 2001 Summary, Advance Data from Vital and Health Statistics. Hyattsville (MD): National Center for Health Statistics; 2003.
19. Hickner JM, Fernald DH, Harris DM, Poon EG, Elder NC, Mold JW. Issues and initiatives in the testing process in primary care physician offices. Jt Comm J Qual Patient Saf 2005;31:81-9.
20. Dovey SM, Meyers DS, Phillips RL, Jr, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care 2002;11:233-8.
21. Fernald DH, Pace WD, Harris DM, West DR, Main DS, Westfall JM. Event reporting to a primary care patient safety reporting system: A report from the ASIPS Collaborative. Annals of Fam Med 2004;2:327-332.
22. Phillips R, Dovey S, Graham D, Elder N, Hickner J. Learning from different lenses: Reports of medical errors in primary care by clinicians, staff and patients. J Patient Safety 2006;2(3):140-146.
23. Morgan DL. Successful focus groups: advancing the state of the art. Newbury Park (CA): Sage Press; 1993.
24. Fern E. Advanced focus group research. Thousand Oaks (CA): Sage Press; 2001.
25. Brown J. The use of focus groups in clinical research. In: Crabtree B, Miller W, editors. Doing Qualitative Research. 2nd Ed. Thousand Oaks (CA): Sage Press; 1999. pp. 109-26.
26. Boohaker EA, Ward RE, Uman JE, McCarthy BD. Patient notification and follow-up of abnormal test results. A physician survey. Arch Intern Med 1996;156:327-31.
27. Mold JW, Cacy DS, Dalbir DK. Management of laboratory test results in family practice. An OKPRN study. Oklahoma Physicans Resource/Research Network. J Fam Pract 2000;49:709-15.
28. Nutting PA, Main DS, Fischer PM, Stull TM, Pontious M, Seifert M, Jr, et al. Toward optimal laboratory use. Problems in laboratory testing in primary care. JAMA 1996;275:635-9.
29. Miller W, Crabtree B. Clinical research. A multi-method typology and qualitative roadmap. In: Crabtree B, Miller W, editors. Doing qualitative research. 2nd ed. Thousand Oaks (CA): Sage Press; 1999. pp. 3-30.
30. Miller W, Crabtree B. Qualitative analysis: how to begin making sense. Fam Prac Res J 1994;14:289-97.
31. Gibbs G. Qualitative data analysis. Explorations with NVivo. Philadelphia: Open University Press; 2002.
32. Fischer G, Fetters MD, Munro AP, Goldman EB. Adverse events in primary care identified from a risk-management database. J Fam Prac 1997;45:40-6.
33. Karsh BT. Beyond usability: designing effective technology implementation systems to promote patient safety. Qual Saf Health Care 2004;13:388-94.
34. Battles JB, Kaplan HS, Van der Schaaf TW, Shea CE. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med 1998;122:231-8.
35. Zinn J. Risk, affect and emotion. In: Forum: Qualitative Social Research; 2006. Available from: www.qualitative-research.net/fqs-texts/1-06/06-1-29-E. htm.
36. Woods D, Cook R. Mistaking error. In: Youngberg B, Harlie M, editors. The patient safety handbook. Jones and Bartlett Publishers, Inc., Sudbury (MA); 2003. pp. 95-109.
37. Elder NC, Vonder Meulen MB, Cassedy A. The identification of medical errors by family physicians during outpatient visits. Ann Fam Med 2004;2:125-9.