1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1370/afm.220" target="_blank" rel="noreferrer noopener">http://doi.org/10.1370/afm.220</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
333-340
Issue
4
Volume
2
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Patient Reports Of Preventable Problems And Harms In Primary Health Care
Publisher
An entity responsible for making the resource available
Annals of Family Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
2004-07
Subject
The topic of the resource
adverse events; ecology; General & Internal Medicine; harms; health care; medical errors; patient perspective; patient safety; patient-centered care; physician-patient relations; physicians; qualitative research; quality; quality assurance; safety
Creator
An entity primarily responsible for making the resource
Kuzel A J; Woolf S H; Gilchrist V J; Engel J D; LaVeist T A; Vincent C; Frankel R M
Description
An account of the resource
BACKGROUND Despite recent attention given to medical errors, little is known about the kinds and importance of medical errors in primary care. The principal aims of this study were to develop patient-focused typologies of medical errors and harms in primary care settings and to discern which medical errors and harms seem to be the most important. METHODS Thirty-eight in-depth anonymous interviews of adults from rural, suburban, and urban locales in Virginia and Ohio were conducted to solicit stories of preventable problems with primary health care that led to physical or psychological harm. Transcriptions were analyzed to identify, name, and organize the stories of errors and harms. RESULTS The 38 narratives described 221 problematic incidents that predominantly involved breakdowns in the clinician-patient relationship (n = 82, 37%) and access to clinicians (n = 63, 29%). There were several reports of perceived racism. The incidents were linked to 170 reported harms, 70% of which were psychological, including anger, frustration, belittlement, and loss of relationship and trust in one's clinician. Physical harms accounted for 23% of the total and included pain, bruising, worsening medical condition, and adverse drug reactions. DISCUSSION The errors reported by interviewed patients suggest that breakdowns in access to and relationships with clinicians may be more prominent medical errors than are technical errors in diagnosis and treatment. Patients were more likely to report being harmed psychologically and emotionally, suggesting that the current preoccupation of the patient safety movement with adverse drug events and surgical mishaps could overlook other patient priorities.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1370/afm.220" target="_blank" rel="noreferrer noopener">10.1370/afm.220</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2004
adverse events
Annals of family medicine
ecology
Engel J D
Frankel R M
General & Internal Medicine
Gilchrist V J
harms
Health Care
Journal Article or Conference Abstract Publication
Kuzel A J
LaVeist T A
Medical Errors
patient perspective
Patient Safety
Patient-Centered Care
Physician-Patient Relations
Physicians
Qualitative Research
quality
Quality Assurance
Safety
Vincent C
Woolf S H