ArticleJournal of general internal medicine2008
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Automated telephone communication systems for preventive healthcare and management of long-term conditions.The Cochrane database of systematic reviews · 2016Pooled it
- Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2013Pooled it
- Asynchronous and synchronous teleconsultation for diabetes care: a systematic literature review.Journal of diabetes science and technology · 2010Pooled it
- Safety events during an automated telephone self-management support intervention.Journal of diabetes science and technology · 2013Trial
- Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries.Journal of telemedicine and telecare · 2013Trial
- Personal health records: a randomized trial of effects on elder medication safety.Journal of the American Medical Informatics Association : JAMIATrial
- Shared Medical Appointments and the Quintuple Aim of Health Care: A State of the Art Literature Review.American journal of lifestyle medicine · 2026Review
- Recommending encounters according to the sociodemographic characteristics of patient strata can reduce risks from type 2 diabetes.PloS one · 2021Article
- Lifetime Prevalence and Correlates of Patient-Perceived Medical Errors Experienced in the U.S. Ambulatory Setting: A Population-Based Study.Health equity · 2020Article
- Addressing Diabetes and Poorly Controlled Hypertension: Pragmatic mHealth Self-Management Intervention.Journal of medical Internet research · 2019Article
- The empirical evidence for the telemedicine intervention in diabetes management.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2015Review
- A two-year utilization of the pharmacist-operated drug information center in Iran.Journal of research in pharmacy practice · 2014Article
- Feasibility and effectiveness of an automated telehealth intervention to improve illness self-management in people with serious psychiatric and medical disorders.Psychiatric rehabilitation journal · 2013Article
- Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.BMJ quality & safety · 2012Article
- Adverse drug events in U.S. adult ambulatory medical care.Health services research · 2011Article
- A preliminary study of a cloud-computing model for chronic illness self-care support in an underdeveloped country.American journal of preventive medicine · 2011Article
- What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.Quality & safety in health care · 2010Article
- Refocusing the lens: patient safety in ambulatory chronic disease care.Joint Commission journal on quality and patient safety · 2009Article
- Interventions to Improve Care for Patients with Limited Health Literacy.Journal of clinical outcomes management : JCOM · 2009Article
- The pervasiveness of telemedicine: adoption with or without a research base.Journal of general internal medicine · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundThere is growing interest in the use of interactive telephone technology to support chronic disease management. We used the implementation of an automated telephone self-management support program for diabetes patients as an opportunity to monitor patient safety.
methodsWe identified adverse and potential adverse events among a diverse group of diabetes patients who participated in an automated telephone health-IT self-management program via weekly interactions augmented by targeted nurse follow-up. We defined an adverse event (AE) as an injury that results from either medical management or patient self-management, and a potential adverse event (PotAE) as an unsafe state likely to lead to an event if it persists without intervention. We distinguished between incident, or new, and prevalent, or ongoing, events. We conducted a medical record review and present summary results for event characteristics including detection trigger, preventability, potential for amelioration, and primary care provider awareness.
resultsAmong the 111 patients, we identified 111 AEs and 153 PotAEs. Eleven percent of completed calls detected an event. Events were most frequently detected through health IT-facilitated triggers (158, 59%), followed by nurse elicitation (80, 30%), and patient callback requests (28, 11%). We detected more prevalent (68%) than incident (32%) events. The majority of events (93%) were categorized as preventable or ameliorable. Primary care providers were aware of only 13% of incident and 60% of prevalent events.
conclusionsSurveillance via a telephone-based, health IT-facilitated self-management support program can detect AEs and PotAEs. Events detected were frequently unknown to primary providers, and the majority were preventable or ameliorable, suggesting that this between-visit surveillance, with appropriate system-level intervention, can improve patient safety for chronic disease patients.
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What OpenQuestion holds
Registered trials
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.