Fam Pract Manag. 2020 Mar-Apr;27(2):32.


When we set out to redesign our community health center, we made sure everyone on staff had input.

We were completely renovating the facility from the ground up, so we asked everyone to draw up a wish list of what they wanted to see when it was done. Then we took that information to the architects and asked them to try to make everyone's wishes reality.

The collaborative approach led to a facility that was not only larger and more brightly lit, but also more efficient. The new design streamlined the way patients move through our facility by reducing bottlenecks. It also created “work pods” where physicians and support staff can talk without patients overhearing them.

Getting everyone involved in the design process fostered a sense of ownership in the day-to-day work inside the facility and made us a tighter team.


A claims analysis by The Doctors Company, a physician-owned medical malpractice insurer, found several lawsuits related to vaccines.

In one case an infant received the Prevnar 7 vaccine but did not receive the Prevnar 13 shot during three subsequent well-child visits, because the physician had not updated the office's immunization protocols after the new shot became available. The infant later contracted serotype 6A pneumococcal meningitis, which is covered by Prevnar 13 but not Prevnar 7. The illness caused seizures, vision loss, hearing impairment, and hemiparesis on the child's left side.

Physicians should designate a staff member within their offices to monitor updates to federal vaccine schedules and make sure any changes to the schedules are promptly included in office protocols.


Hill D, McCorkle L. Reduce patient safety risks with vaccinations. The Doctors Company website. https://www.t


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