Completed Studies
Initiative to Improve Depression Care
(10/1/04-3/31/06) PI: Paul Nutting, MD, MSPH. This study was funded by six pharmaceutical companies including Pfizer US Pharmaceuticals, Eli Lilly and Company, Sanofi, Forrest, AstraZeneca, and Wyeth-Ayerst. This purpose of this project was: 1) To develop and test a process for supporting practice improvement through enhancing skills of practice champions (change agents) through a modified Improvement Collaborative; 2) To use the MAP/RAP approach to identify and test simple office systems for monitoring depression severity using the PHQ-9. The project emphasizes strategies to monitor and adjust therapy during acute and continuing phase treatment of depression; 3) To examine characteristics of office practices (values, structures, and processes) that are associated with initial adoption and ongoing maintenance of both the Improvement Team and its activities and the changes intended to improve depression and chronic care.
Estimating Rates and Describing Causes and Consequences of Testing Process Detected in Family Physician Offices
(10/1/02-9/30/05) PI: John Hickner, MD, MS. This study was funded by the Agency for Healthcare Research and Quality (AHRQ) (R21 HS013554-02) with additional funding support from the American Academy of Family Physicians. This purpose of this project was 1) To describe Testing Process Errors detected in family medicine practices by physicians and office staff and estimate rates of Testing Process Errors as reported during intensive one-week monitoring periods; 2) To investigate causes and consequences of these errors; and 3) To generate hypotheses about interventions to avert laboratory and imaging process errors in primary care practices, which we will test in subsequent studies.
The article titled “Can a national primary-care error reporting system make a difference in medical practice was published in Focus on Patient Safety (2004) 7(1):5-6 and The article titled “Learning from Different Lenses: Report of Medical Errors in Promary Care by Clinicians, Staff and Patients. A Project of the AAFP National Research Network” was accepted for publication in the Journal of Patient Safety (in press).
Chapters titled “The challenges and successes of institutional review board review and approval of practice-based research network patient safety research studies” and “The AAFP Patient Safety Reporting System: Needed bridges for the next chasms in patient safety” were published in Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021.
The article titled “Can a national primary-care error reporting system make a difference in medical practice was published in Focus on Patient Safety (2004) 7(1):5-6 and The article titled “Learning from Different Lenses: Report of Medical Errors in Promary Care by Clinicians, Staff and Patients. A Project of the AAFP National Research Network” was accepted for publication in the Journal of Patient Safety (in press).
Chapters titled “The challenges and successes of institutional review board review and approval of practice-based research network patient safety research studies” and “The AAFP Patient Safety Reporting System: Needed bridges for the next chasms in patient safety” were published in Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021.
Studies
