Data was collected from 48 weeks of sentinel and intensive reports, focus groups, and system redesign investigations.
The following reporting tools were used for this study:
Reporting tools: Web-based, telephone and paper
Sample sites: Eight sites with distribution similar to first pilot
-Urban/rural/suburban
-Office practices/residency clinics
-Private/community health
This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
Laboratory and Imaging Process Errors in Family Physician Offices - DCERPS Pilot Study #2
Study Description and Methods
Specific Aims and Objectives
- To describe and estimate rates of laboratory and imaging process errors detected in family physician offices by physicians and office staff during intensive one-week monitoring periods
- To investigate causes and consequences of these errors
- To generate hypotheses about interventions to avert laboratory and imaging process errors in primary care offices, which we will test in subsequent studies
Status
Data collection was completed in November 2003. Please see below for a list of published papers and research presentations from this study.
Contact Information
- Principal Investigator: John M. Hickner, M.D., M.S. (AAFP National Research Network)
- Lead Investigator: Susan M. Dovey, Ph.D. (AAFP Robert Graham Center)
- Co-Investigators: Nancy Elder, M.D. (Department of Family Medicine, University of Cincinnati), James M. Galliher, Ph.D. (AAFP National Research Network), Deborah G. Graham, M.S.P.H. (AAFP National Research Network)
- Consultants: James W. Mold, M.D. (The Oklahoma Physicians Resource / Research Network (OKPRN) & University of Oklahoma Department of Family), Wilson D. Pace, M.D. (University of Colorado Health Sciences Center & The Colorado Research Network)
For Additional Information on this study, contact:
Debbie Graham, MSPH
Associate Research Director
AAFP National Research Network
1-800-274-2237, x3176
dgraham@aafp.org
Debbie Graham, MSPH
Associate Research Director
AAFP National Research Network
1-800-274-2237, x3176
dgraham@aafp.org
Publications
Graham D, Harris D, Elder NC, Emsermann C, Brandt E, Staton E, Hickner J. Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. Quality and Safety in Healthcare. 2008;17:201-208.
Hickner JM, Graham DG, Elder NC, Brandt E, Emsermann C, Dovey S, Phillips R. Testing Process Errors and Their Harms and Consequences Reported from Family Medicine: A Study of the AAFP National Research Network. Quality and Safety in Healthcare. 2008;17:194-200.
Elder NC, Graham D, Brandt E, Hickner J. Barriers and motivators for making error reports from family medicine offices: A report from the American Academy of Family Physicians National Research Network. Journal of the American Board of Family Medicine. 2007;20(2):115-123.
Elder NC, Graham D, Brandt E, Dovey S, Phillips R, Ledwith J, Hickner J. The Testing Process in Family Medicine: Problems, Solutions, and Barriers as Seen By Physicians and Their Staffs. A Study of the American Academy of Family Physicians' National Research Network. The Journal of Patient Safety. 2006;2(1):25-32.
Phillips RL, Dovey SM, Hickner JM, Graham D, Johnson M, Robinett T. The AAFP Patient Safety Reporting System: Needed bridges for the next chasms in patient safety. Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021 (3). February 2005. Agency for Healthcare Research and Quality, Rockville, MD.
Graham DG, Pace W, Kappus J, Holcomb S, Galliher JM, Duclos CW, Bonham AJ. The challenges and successes of institutional review board review and approval of practice-based research network patient safety research studies. Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021 (3). February 2005. Agency for Healthcare Research and Quality, Rockville, MD.
Hickner JM, Graham DG, Elder NC, Brandt E, Emsermann C, Dovey S, Phillips R. Testing Process Errors and Their Harms and Consequences Reported from Family Medicine: A Study of the AAFP National Research Network. Quality and Safety in Healthcare. 2008;17:194-200.
Elder NC, Graham D, Brandt E, Hickner J. Barriers and motivators for making error reports from family medicine offices: A report from the American Academy of Family Physicians National Research Network. Journal of the American Board of Family Medicine. 2007;20(2):115-123.
Elder NC, Graham D, Brandt E, Dovey S, Phillips R, Ledwith J, Hickner J. The Testing Process in Family Medicine: Problems, Solutions, and Barriers as Seen By Physicians and Their Staffs. A Study of the American Academy of Family Physicians' National Research Network. The Journal of Patient Safety. 2006;2(1):25-32.
Phillips RL, Dovey SM, Hickner JM, Graham D, Johnson M, Robinett T. The AAFP Patient Safety Reporting System: Needed bridges for the next chasms in patient safety. Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021 (3). February 2005. Agency for Healthcare Research and Quality, Rockville, MD.
Graham DG, Pace W, Kappus J, Holcomb S, Galliher JM, Duclos CW, Bonham AJ. The challenges and successes of institutional review board review and approval of practice-based research network patient safety research studies. Advances in Patient Safety: From Research to Implementation. Volume 3, AHRQ Publication No. 050021 (3). February 2005. Agency for Healthcare Research and Quality, Rockville, MD.
Presentations
Recruiting Practices for Participation in Patient Safety Studies -- Deborah G. Graham, MSPH. Presented at NAPCRG 2002, New Orleans
(12-page PowerPoint file; About Downloading)
Safe Transitions of Care: Primary Care Practice -- Nancy Elder, MD, MSPH; Debbie Graham, MSPH; John Hickner, MD, MS. Presented at 2004 National Patient Safety Foundation Conference-- “Let’s Get On With It!” May 3-7, 2004
(5-page PowerPoint file; About Downloading)
Errors in the Testing Process in Primary Care: A report from the American Academy of Family Physicians National Research Network -- Presented at NAPCRG 2005
(35-page PowerPoint file; About Downloading)
Errors in the Testing Process in Primary Care: A Report from the American Academy of Family Physicians' National Research Network -- Nancy C. Elder, MD, MSPH; John Hickner, MD, MS; Deborah Graham, MSPH; Elias Brandt; Susan Dovey, PhD; Robert Phillips, MD, MSPH. Presented at the Institute for Quality in Laboratory Medicine (IQLM) 2005 Conference, Atlanta, GA
(15-page PowerPoint file; About Downloading)
Changes in Family Practice Procedures and Attitudes from Participating in a Testing Process Error Reporting Study -- Debbie Graham, MSPH; Nancy Elder, MD, MSPH; John Hickner, MD, MSc; Jennifer Kappus, BA; Sue Dovey, PhD; Robert Phillips, MD, MSPH. Presented at WONCA 2004 Annual Meeting, Orlando, FL
(22-page PowerPoint file; About Downloading)
Patient reporting of medical errors in primary care: A comparison of two methods -- Nancy C. Elder, MD, MSPH; Robert Phillips, MD, MSPH; Deborah Graham, MSPH; Jennifer Kappus; John Hickner, MD, MS; Leif Solberg, MD. Presented at STFM 2005
(15-page PowerPoint file; About Downloading)
Mitigation of Harm and Recovery from Testing Process Errors -- Deborah Graham, MSPH; Elias Brandt; John Hickner, MD, MSc; Daniel M. Harris, PhD; Nancy C. Elder, MD, MSPH; Sue Dovey, PhD; Robert Phillips, MD, MSPH. Presented at NAPCRG 2005
(24-page PowerPoint file; About Downloading)
(12-page PowerPoint file; About Downloading)
Safe Transitions of Care: Primary Care Practice -- Nancy Elder, MD, MSPH; Debbie Graham, MSPH; John Hickner, MD, MS. Presented at 2004 National Patient Safety Foundation Conference-- “Let’s Get On With It!” May 3-7, 2004
(5-page PowerPoint file; About Downloading)
Errors in the Testing Process in Primary Care: A report from the American Academy of Family Physicians National Research Network -- Presented at NAPCRG 2005
(35-page PowerPoint file; About Downloading)
Errors in the Testing Process in Primary Care: A Report from the American Academy of Family Physicians' National Research Network -- Nancy C. Elder, MD, MSPH; John Hickner, MD, MS; Deborah Graham, MSPH; Elias Brandt; Susan Dovey, PhD; Robert Phillips, MD, MSPH. Presented at the Institute for Quality in Laboratory Medicine (IQLM) 2005 Conference, Atlanta, GA
(15-page PowerPoint file; About Downloading)
Changes in Family Practice Procedures and Attitudes from Participating in a Testing Process Error Reporting Study -- Debbie Graham, MSPH; Nancy Elder, MD, MSPH; John Hickner, MD, MSc; Jennifer Kappus, BA; Sue Dovey, PhD; Robert Phillips, MD, MSPH. Presented at WONCA 2004 Annual Meeting, Orlando, FL
(22-page PowerPoint file; About Downloading)
Patient reporting of medical errors in primary care: A comparison of two methods -- Nancy C. Elder, MD, MSPH; Robert Phillips, MD, MSPH; Deborah Graham, MSPH; Jennifer Kappus; John Hickner, MD, MS; Leif Solberg, MD. Presented at STFM 2005
(15-page PowerPoint file; About Downloading)
Mitigation of Harm and Recovery from Testing Process Errors -- Deborah Graham, MSPH; Elias Brandt; John Hickner, MD, MSc; Daniel M. Harris, PhD; Nancy C. Elder, MD, MSPH; Sue Dovey, PhD; Robert Phillips, MD, MSPH. Presented at NAPCRG 2005
(24-page PowerPoint file; About Downloading)
This study was funded in part by the Agency for Healthcare Research and Quality, with additional funding provided by the American Academy of Family Physicians.
Pilot Studies
Testing Process Errors Study
