Data collection was completed in November 2003.
Pilot Study #2: Laboratory and Imaging Process Errors in Family Physician Offices
Aims of Study
- 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
Reporting Tools and Sites
- 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
Sources of Data
- Error reporting, based on 48 weeks of sentinel and intensive reports
- Focus groups
- System redesign investigations
Staff
- 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)
- Research Associate: Jennifer A. Kappus (AAFP National Research Network)
- Research Assistant: Elias Brandt (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)
Funding
This study is funded in part by the Agency for Healthcare Research and Quality, with additional funding provided by the American Academy of Family Physicians.
Publications
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.
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
(MS PowerPoint file: 12 pages/89 KB. More information on downloading files.)
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
(MS PowerPoint file: 5 pages/37 KB. More information on downloading files.)
Errors in the Testing Process in Primary Care: A report from the American Academy of Family Physicians National Research Network -- Presented at NAPCRG 2005
(MS PowerPoint file: 35 pages/215 KB. More information on downloading files.)
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
(MS PowerPoint file: 15 pages/97 KB. More information on downloading files.)
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
(MS PowerPoint file: 22 pages/365 KB. More information on downloading files.)
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
(MS PowerPoint file: 15 pages/76 KB. More information on downloading files.)
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
(MS PowerPoint file: 24 pages/155 KB. More information on downloading files.)
(MS PowerPoint file: 12 pages/89 KB. More information on downloading files.)
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
(MS PowerPoint file: 5 pages/37 KB. More information on downloading files.)
Errors in the Testing Process in Primary Care: A report from the American Academy of Family Physicians National Research Network -- Presented at NAPCRG 2005
(MS PowerPoint file: 35 pages/215 KB. More information on downloading files.)
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
(MS PowerPoint file: 15 pages/97 KB. More information on downloading files.)
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
(MS PowerPoint file: 22 pages/365 KB. More information on downloading files.)
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
(MS PowerPoint file: 15 pages/76 KB. More information on downloading files.)
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
(MS PowerPoint file: 24 pages/155 KB. More information on downloading files.)
