Document Detail

Errors and adverse events in family medicine: developing and validating a Canadian taxonomy of errors.
MedLine Citation:
PMID:  17872644     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To develop a taxonomy of errors derived solely from the content of error reports using Canadian data from the Primary Care International Study of Medical Errors.
DESIGN: Secondary analysis of data from a descriptive, cross-sectional, self-report survey.
SETTING: Community-based family medicine clinics.
PARTICIPANTS: Family physicians.
INTERVENTION: Implementation of an error-reporting system for family medicine.
MAIN OUTCOME MEASURES: Type of error, type of causal factor.
RESULTS: Six types of errors or adverse events (administrative, communication, diagnostic, documentation, medication, and surgical or procedural) and 10 causal factors (case complexity, discontinuity of care, failure to follow protocol or accepted practice, fatigue, gap in knowledge, high workload, insufficient information on pharmacologic properties of medication, medication side effects, relationship dynamics, and structural problems) were identified.
CONCLUSION: Our taxonomy differs from that adopted by the Primary Care International Study of Medical Errors. We propose that our taxonomy is better suited for the purposes of family physicians reporting errors in Canada.
Sarah Jacobs; Maeve O'Beirne; Luz Palacios Derfiingher; Lucie Vlach; Walter Rosser; Neil Drummond
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  53     ISSN:  1715-5258     ISO Abbreviation:  Can Fam Physician     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-09-17     Completed Date:  2007-10-18     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  271-6, 270     Citation Subset:  IM    
Department of Public Health Sciences, University of Toronto, Ontario.
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MeSH Terms
Adverse Drug Reaction Reporting Systems
Clinical Competence*
Delivery of Health Care
Family Practice / standards*,  trends
Health Care Surveys
Medical Errors / classification*,  statistics & numerical data
Observer Variation
Reproducibility of Results
Risk Assessment
Safety Management
Comment In:
Can Fam Physician. 2007 Apr;53(4):626   [PMID:  17872709 ]
Can Fam Physician. 2007 Feb;53(2):201   [PMID:  17872626 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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