ArticleQuality & safety in health care2007
Ambulatory care adverse events and preventable adverse events leading to a hospital admission.
Article in Quality & safety in health care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03837912 (Intervention Based on the Use of Patient Feedback Collected for Improving Patient Safety in Spanish Primary Care), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Intervention Based on the Use of Patient Feedback Collected for Improving Patient Safety in Spanish Primary Care (PC) Centres
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events.BMC family practice · 2016Pooled it
- Adverse events analysis as an educational tool to improve patient safety culture in primary care: a randomized trial.BMC family practice · 2011Trial
- The relationship between psychological safety, patient safety culture, and work engagement with patient safety outcomes: a cross-sectional study in a Japanese university hospital.BMC health services research · 2026Article
- Psychometric Properties for the Safety Attitudes Questionnaire in Child and Youth Health Clinics and School Health Services: A Validation Study.Nursing open · 2025Article
- Epidemiological study on gender bias and low-value practices in primary care: a study protocol.BMJ open · 2023Article
- Patient safety discourse in a pandemic: a Twitter hashtag analysis study on #PatientSafety.Frontiers in public health · 2023Article
- Use of e-triggers to identify diagnostic errors in the paediatric ED.BMJ quality & safety · 2022Article
- Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application.International journal of environmental research and public health · 2021Article
- [Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity].Atencion primaria · 2020Article
- What Safety Events Are Reported For Ambulatory Care? Analysis of Incident Reports from a Patient Safety Organization.Joint Commission journal on quality and patient safety · 2020Article
- Adverse drug reactions in primary care: a scoping review.BMC health services research · 2020Article
- A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey.Journal of dental sciences · 2019Article
- Observational
- Patient safety awareness among 309 surgeons in Enugu, Nigeria: a cross-sectional survey.Patient safety in surgery · 2019Article
- Epidemiology of Patient Harms in New Zealand: Protocol of a General Practice Records Review Study.JMIR research protocols · 2017Article
- Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers' view in Jimma zone Hospitals, Southwest Ethiopia.BMC health services research · 2016Article
- Electronic health record-based surveillance of diagnostic errors in primary care.BMJ quality & safety · 2012Article
- A clinical decision support needs assessment of community-based physicians.Journal of the American Medical Informatics Association : JAMIA · 2011Article
- Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE'.BMC family practice · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost healthcare in the US is delivered in the ambulatory care setting, but the epidemiology of errors and adverse events in ambulatory care is understudied.
methodsUsing the population-based data from the Colorado and Utah Medical Practices Study, we identified adverse events that occurred in an ambulatory care setting and led to hospital admission. Proportions with 95% CIs are reported.
resultsWe reviewed 14,700-hospital discharge records and found 587 adverse events of which 70 were ambulatory care adverse events (AAEs) and 31 were ambulatory care preventable adverse events (APAEs). When weighted to the general population, there were 2608 AAEs and 1296 (44.3%) APAEs in Colorado and Utah, USA, in 1992. APAEs occurred most commonly in physicians' offices (43.1%, range 46.8-27.8), the emergency department (32.3%, 46.1-18.5) and at home (13.1%, 23.1-3.1). APAEs in day surgery were less common (7.1%, 13.6-0.6) but caused the greatest harm to patients. The types of APAEs were broadly distributed among missed or delayed diagnoses (36%, 50.2-21.8), surgery (24.1%, 36.7-11.5), non-surgical procedures (14.6%, 25.0-4.2), medication (13.1%, 23.1-3.1) and therapeutic events (12.3%, 22.0-2.6). Overall, 10% of the APAEs resulted in serious permanent injury or death. The proportion of APAEs that resulted in death was 31.8% for general internal medicine, 22.5% for family practice and 16.7% for emergency medicine.
conclusionAn estimated 75,000 hospitalisations per year are due to preventable adverse events that occur in outpatient settings in the US, resulting in 4839 serious permanent injuries and 2587 deaths.
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