Title |
Reducing Medical Errors in Primary Care Using a Pragmatic Complex Intervention
|
---|---|
Published in |
Asia Pacific Journal of Public Health, January 2015
|
DOI | 10.1177/1010539514564007 |
Pubmed ID | |
Authors |
Ee Ming Khoo, Sondi Sararaks, Wai Khew Lee, Su May Liew, Ai Theng Cheong, Azah Abdul Samad, Kalsom Maskon, Maimunah A Hamid |
Abstract |
This study aimed to develop an intervention to reduce medical errors and to determine if the intervention can reduce medical errors in public funded primary care clinics. A controlled interventional trial was conducted in 12 conveniently selected primary care clinics. Random samples of outpatient medical records were selected and reviewed by family physicians for documentation, diagnostic, and management errors at baseline and 3 months post intervention. The intervention package comprised educational training, structured process change, review methods, and patient education. A significant reduction was found in overall documentation error rates between intervention (Pre 98.3% [CI 97.1-99.6]; Post 76.1% [CI 68.1-84.1]) and control groups (Pre 97.4% [CI 95.1-99.8]; Post 89.5% [85.3-93.6]). Within the intervention group, overall management errors reduced from 54.0% (CI 49.9-58.0) to 36.6% (CI 30.2-43.1) and medication error from 43.2% (CI 39.2-47.1) to 25.2% (CI 19.9-30.5). This low-cost intervention was useful to reduce medical errors in resource-constrained settings. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 5 | 71% |
United States | 1 | 14% |
Unknown | 1 | 14% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 63 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 14 | 22% |
Student > Ph. D. Student | 9 | 14% |
Student > Bachelor | 6 | 10% |
Researcher | 5 | 8% |
Lecturer | 4 | 6% |
Other | 13 | 21% |
Unknown | 12 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 15 | 24% |
Medicine and Dentistry | 13 | 21% |
Social Sciences | 5 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 6% |
Business, Management and Accounting | 2 | 3% |
Other | 9 | 14% |
Unknown | 15 | 24% |