Inclusion and Exclusion Criteria
| Inclusion Criteria | Exclusion Criteria |
|---|---|
| Set in primary care, general practice, or similar settings Focused on the work of primary care physicians or their equivalent internationally Presented empirical data or primary research Described the impact or effect of the potential operational failures (related terms include disruptions, distractions, breaks-in-task, interruptions, situational constraints etc) on the primary care physician | Set in secondary or tertiary care or hospitals Focused on secondary care or subspecialty physicians, or other health care professionals in primary care who are not physicians Focused on the entire organizational system of primary care at a regional, state, or national level Based in out-of-hours services, community hospitals, or specialty clinic care in the community Lacking empirical data (ie, theoretical discussions, editorials etc) Not published in English Examined practice responses to new policy initiatives without examining if/how these initiatives were problematic for primary care physicians Focused on adverse events, errors, quality and safety, quality improvement, or task-distribution without problematization of issues from the perspective of primary care physicians Focused on the implementation of novel innovations/interventions as part of a program of research Focused only on productivity without identifying or describing specific problems that interfere with efficiency |