PURPOSE In primary care practices, sustainability of performance improvements and ability
to deliver continuity of care to patients can be adversely affected by major disruptive events …

Purpose: Near-miss events represent an opportunity to identify and correct errors that
jeopardize patient safety. This study was undertaken to assess the feasibility of a near-miss …

Objective: A primary goal for this project was to better understand barriers and facilitators of
implementing a near-miss reporting and remediation system in primary care. Methods: We …

BACKGROUND. The inevitability of adverse events in medicine arises from human fallibility,
negligent care, lim its of medical knowledge, risks inherent in medical practice, and …

Background: US hospitals have had voluntary incident reporting systems for many years, but
the effectiveness of these systems is unknown. To facilitate substantial improvements in …

Disruptive behaviors have been shown to have a negative impact on work relationships,
team collaboration, communication efficiency, and process flow, all of which can adversely …

Article-at-a-Glance Background A recent survey was conducted to assess the significance of
disruptive behaviors and their effect on communication and collaboration and impact on …

BACKGROUND: Although recognized by both patients and practitioners as a highly
undesirable outcome, little is known about the factors which contribute to wrong diagnoses …

Policy Points: Health care complaints contain valuable data on quality and safety; however,
there is no reliable method of analysis to unlock their potential. We demonstrate a method to …

Objectives To explore the nature of managed-care hassles in primary care physicians'
offices and to determine the feasibility of practice-based research methods to study the …