Evidence map›Paper›PMID 15335131›Full record

ArticleAnnals of family medicine

Event reporting to a primary care patient safety reporting system: a report from the ASIPS collaborative.

Douglas H Fernald, Wilson D Pace, Daniel M Harris, David R West, Deborah S Main, John M Westfall

Abstract readEvaluation Study
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Ambulatory Medication Safety in Primary Care: A Systematic Review.Journal of the American Board of Family Medicine : JABFM
    Pooled it
  6. Trial
  7. Article
  8. Effectiveness of New Tools to Define an Up-to-Date Patient Safety Risk Map: A Primary Care Study Protocol.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Review
  11. Health Care Provider Factors Associated with Patient-Reported Adverse Events and Harm.Joint Commission journal on quality and patient safety · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Classification of patient-safety incidents in primary care.Bulletin of the World Health Organization · 2018
    Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Douglas H FernaldDepartment of Family Medicine, University of Colorado Health Sciences Center, Aurora, CO 80045-0508, USA. doug.fernald@uchsc.edu
Wilson D Pace
Daniel M Harris
David R West
Deborah S Main
John M Westfall

Funding

Applied Strategies for Interventions for Patient SafetyU18HS011878 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI PACE, WILSON D · 2001 to 2003
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AHRQ HHS U18-HS011878
6 · The paper itself

Abstract

backgroundWe examined reports to a primary care, ambulatory, patient safety reporting system to describe types of errors reported and differences between anonymous and confidential reports.

methodsApplied Strategies for Improving Patient Safety (ASIPS) is a demonstration project designed to collect and analyze medical error reports from clinicians and staff in 2 practice-based research networks: the Colorado Research Network (CaReNet) and the High Plains Research Network (HPRN). A major component of ASIPS is a voluntary patient safety reporting system that accepts reports of errors anonymously or confidentially. Reports are coded using a multiaxial taxonomy.

resultsTwo years into this project, 33 practices with a total of 475 clinicians and staff have participated in ASIPS. Participants submitted 708 reports during this time (66% using the confidential reporting form). We successfully followed up on 84% of the confidential reports of interest within the allotted 10-day time frame. We ended up with 608 relevant, codable reports. Communication problems (70.8%), diagnostic tests (47%), medication problems (35.4%), and both diagnostic tests and medications (13.6%) were the most frequently reported errors. Confidential reports were significantly more likely than anonymous reports to contain codable data.

conclusionA safe and secure reporting system that relies on voluntary reporting from clinicians and staff can be successfully implemented in primary care settings. Information from confidential reports appears to be superior to that from anonymous reports and may be more useful in understanding errors and designing interventions to improve patient safety.

Indexed as

Medical ErrorsPrimary Health CareRisk ManagementConfidentialityData CollectionFollow-Up StudiesHumansReproducibility of ResultsSystems Analysis

Identifiers

PMID15335131
PMCPMC1466702

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.