U.S. flag

An official website of the Department of Health and Human Services

SHARE:

FacebookXEmail AHRQPrintShare

Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families

References

Environmental Scan Report

  1. Carman KL, Dardess P, Maurer M, et al. Patient and family engagement: a framework for understanding the elements and developing interventions and policies. Health Aff (Millwood) 2013;32(2):223-31. http://content.healthaffairs.org/content/32/2/223. Accessed December 8, 2016.
  2. Partnering to improve quality and safety: a framework for working with patient and family advisors. Chicago, IL: Health Research & Educational Trust; March 2015. http://www.hpoe.org/resources/hpoehretaha-guides/1828. Accessed December 8, 2016.
  3. American Hospitals Association. 2012 Committee on Research. Engaging health care users: a framework for healthy individuals and communities. Chicago, IL: American Hospital Association; January 2013. http://www.aha.org/engaging-healthcare-users. Accessed December 8, 2016.
  4. Scholle S, Torda P, Peikes D, et al. Engaging patients and families in the medical home. Rockville, MD: Agency for Healthcare Research and Quality; June 2010. AHRQ Publication No. 10-0083-EF. http://pcmh.ahrq.gov/sites/default/files/attachments/Engaging Patients and Families in the Medical Home.pdf. Accessed December 8, 2016.
  5. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press; 2001.
  6. Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of U.S. hospital practices. BMJ Qual Saf 2016 Mar;25(3):182-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789699/. Accessed December 8, 2016.
  7. Smith KM, Hatlie MJ, Mayer DB, et al. A 10-year journey engaging patients in patient safety education, research, and improvement [abstract]. In: International Society for Communication Science and Medicine; 2015 Jun 15; Montecatini Terme, Italy; SP57, p. 36. https://static1.squarespace.com/static/561c0d01e4b0b5ad2e65cc48/t/561d44dfe4b089431662d174/1444758751213/LibrettoProgramma.pdf. Accessed December 8, 2016.
  8. Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research & Quality; June 2013. http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/guide.html. Accessed December 8 , 2016.
  9. Lewis BM. PFACs: where’s the money? The financial impact on hospitals. Southlake, TX: The Beryl Institute; 2014. http://www.ipfcc.org/advance/topics/beryl-inst-patient-exp-research-rpt.pdf. Accessed December 8, 2016.
  10. Kushner C, Davis D. Improving safety: engaging with patients and families makes a difference! Healthc Q 2014;17 Spec No:41-44. http://www.ncbi.nlm.nih.gov/pubmed/25344615. Accessed December 8, 2016.
  11. Patient engagement, patient safety, and quality of care. Health Aff (Millwood) 2013;32(2):432-5. http://content.healthaffairs.org/content/32/2/432. Accessed December 8, 2016.
  12. Pronovost PJ, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation 2009;119(2):330-7. http://circ.ahajournals.org/content/119/2/330.long. Accessed December 8, 2016.
  13. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ 2008 Oct 6;337:a1714. doi:10.1136/bmj.a1714.
  14. Kottke TE, Solberg LI, Nelson AF, et al. Optimizing practice through research: a new perspective to solve an old problem. Ann Fam Med 2008;6(5):459-62. doi:10.1370/afm.862.
  15. Graham P, Evitts T, Thomas-MacLean R. Environmental scans: how useful are they for primary care research? Can Fam Physician 2008;54(7):1022-3. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2464800&tool=pmcentrez&rendertype=abstract. Accessed December 8, 2016.
  16. Solberg LI, Elward KS, Phillips WR, et al. How can primary care cross the quality chasm? Ann Fam Med 7(2):164-9. doi:10.1370/afm.951.
  17. Agency for Healthcare Research and Quality. PSNet Glossary. Patient Safety. https://psnet.ahrq.gov/glossary/p. Accessed December 8, 2016.
  18. Maurer M, Dardess P, Carman K, et al. Guide to patient and family engagement: environmental scan report. (Prepared by American Institutes for Research under Contract HHSA 290-200-600019). Rockville, MD; Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF. http://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptfamilyscan/ptfamilyscan.pdf. Accessed December 8, 2016.
  19. Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. Fam Pract 2015;32(1):106-19. doi:10.1093/fampra/cmu052.
  20. Agency for Healthcare Research and Quality. AHRQ Centers for Primary Care Practice-Based Research and Learning. http://www.ahrq.gov/professionals/systems/primary-care/rescenters/index.html. Accessed December 8, 2016.
  21. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19-32.
  22. Brien SE, Lorenzetti DL, Lewis S, et al. Overview of a formal scoping review on health system report cards. Implement Sci 2010;5(1):2. doi:10.1186/1748-5908-5-2.
  23. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci 2010;5:69. doi:10.1186/1748-5908-5-69.
  24. Daudt HML, van Mossel C, Scott SJ. Enhancing the scoping study methodology: a large, inter-professional team’s experience with Arksey and O’Malley’s framework. BMC Med Res Methodol 2013;13:48. doi:10.1186/1471-2288-13-48.
  25. McDonald J, McKinlay E, Keeling S, et al. How family carers engage with technical health procedures in the home: a grounded theory study. BMJ Open 2015;5(7):e007761. doi:10.1136/bmjopen-2015-007761.
  26. Tanon AA, Champagne F, Contandriopoulos A-P, et al. Patient safety and systematic reviews: finding papers indexed in MEDLINE, Embase and CINAHL. Qual Saf Health Care 2010;19(5):452-61. doi:10.1136/qshc.2008.031401.
  27. Guide to Patient and Family Engagement in Hospital Quality and Safety.Rockville, MD: Agency for Healthcare Research & Quality; June 2013. http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/index.html. Accessed December 8, 2016.
  28. Pronovost P, Berenholtz S, Needham D. Translating evidence into practice: a model for large scale knowledge translation. BMJ 2008 Oct;337:963-5. doi:10.1136/bmj.a1714.
  29. Sheikh K, Gilson L, Agyepong IA, et al. Building the field of health policy and systems research: framing the questions. PLoS Med 2011;8(8):e1001073. doi:10.1371/journal.pmed.1001073.
  30. Stoto MA, Holve E, Savitz L, et al. Analytical Methods for Learning Health Systems. EDM Forum webinar; September 9, 2014. http://repository.edm-forum.org/webinars/15/. Accessed December 8, 2016.
  31. Sharek PJ, Parry G, Goldmann D, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res 2011;46(2):654-78. doi:10.1111/j.1475-6773.2010.01156.x.
  32. Yin RK. Case study research: design and methods. 5th ed. Washington, DC: SAGE Publications; 2014.
  33. Patton MQ. Qualitative research and evaluation methods. 3rd ed. Washington, DC: SAGE Publications; 2015.
  34. Lingard L, Albert M, Levinson W. Grounded theory, mixed methods and action research. BMJ Qual Saf 2008;337:459-61.
  35. Kennedy TJT, Lingard LA. Making sense of grounded theory in medical education. Med Educ 2006;40(2):101-8. doi:10.1111/j.1365-2929.2005.02378.x.
  36. Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ 2001;323(7313):625-8. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1121189&tool=pmcentrez&rendertype=abstract. Accessed December 8, 2016.
  37. Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf 2015;24(2):103-10. doi:10.1136/bmjqs-2014-003675.
  38. Singh H, Giardina TD, Meyer AN, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med 2013;173(6):418-25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3690001/. Accessed December 9, 2016.
  39. Khoo EM, Lee WK, Sararaks S, et al. Medical errors in primary care clinics—a cross sectional study. BMC Fam Pract 2012;13:127. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565960/. Accessed December 9, 2016.
  40. Shekelle PG, Sarkar U, Shojania K, et al. Patient safety in ambulatory settings. Technical Brief No. 27.(Prepared by RAND Southern California Evidence-based Practice Center, University of California, San Francisco, Stanford University, and University of Toronto under Contract No. 290-2015-00010-I.) Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 16(17)-EHC033-EF. https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=2322. Accessed December 9, 2016.
  41. Lucian Leape Institute. Safety is personal: partnering with patients and families for the safest care. Boston: National Patient Safety Foundation; 2014. http://www.npsf.org/?page=safetyispersonal. Accessed December 9, 2016.
  42. Hernan AL, Giles SJ, O’Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. BMJ Qual Saf 2016 Apr;25(4):273-80. doi:10.1136/bmjqs-2015-004268.
  43. Daker-White G, Hays R, McSharry J, et al. Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. PLoS One 2015;10(8):e0128329. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0128329. Accessed December 9, 2016.
  44. Giles S, Panagioti M, Hernan A, et al. Contributory factors to patient safety incidents in primary care: protocol for a systematic review. Syst Rev 2015;4:63. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425920/. Accessed December 9, 2016.
  45. Verstappen W, Gaal S, Bowie P, et al. A research agenda on patient safety in primary care. Recommendations by the Linneaus collaboration on patient safety in primary care. Eur J Gen Pract 2015 Sep;21 Suppl:72-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828615/. Accessed December 9, 2016.
  46. Klemp K, Dovey S, Valderas JM, et al. Developing a patient safety incident classification system for primary care. A literature review and Delphi-survey by the Linneaus collaboration on patient safety in primary care. Eur J Gen Pract 2015;21 Suppl:35-8. doi:10.3109/13814788.2015.1043723.
  47. Nurek M, Kostopoulou O, Delaney BC, et al. Reducing diagnostic errors in primary care. A systematic meta-review of computerized diagnostic decision support systems by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21 Suppl:8-13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828626/. Accessed December 9, 2016.
  48. Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf 2015;24:583-93. http://qualitysafety.bmj.com/content/24/9/583.abstract. Accessed December 9, 2016.
  49. Hannawa AF. Heuristic thinking: interdisciplinary perspectives on medical error. J Public Health Res 2013;2(3):e22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147747/. Accessed December 9, 2016.
  50. Singh H, Giardina TD, Meyer AN, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med 2013;173(6):418-25. doi:10.1001/jamainternmed.2013.2777.
  51. Tilyard M, Dovey S, Hall K. Avoiding and fixing medical errors in general practice: prevention strategies reported in the Linnaeus Collaboration's Primary Care International Study of Medical Errors. N Z Med J 2005;118(1208):U1264. http://www.ncbi.nlm.nih.gov/pubmed/15682216. Accessed December 9, 2016.
  52. Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care 2007;16(4):313-20. doi:10.1136/qshc.2006.018366.
  53. Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly 2012.
  54. Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for performance and patient safety. J Am Board Fam Med 2011;24(6):745-51. http://www.ncbi.nlm.nih.gov/pubmed/22086819. Accessed December 9, 2016.
  55. Frigola-Capell E, Pareja-Rossell C, Gens-Barber M, et al. Quality indicators for patient safety in primary care. A review and Delphi-survey by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21(sup1):31-34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828619/. Accessed December 9, 2016.
  56. Esmail A, Valderas JM, Verstappen W, et al. Developing a research agenda for patient safety in primary care. Background, aims and output of the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pr 2015;21 Suppl 3-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828593/. Accessed December 9, 2016.
  57. Agency for Healthcare Research and Quality. 20 Tips to Help Prevent Medical Errors: Patient Fact Sheet. 2011. https://archive.ahrq.gov/patients-consumers/care-planning/errors/20tips/index.html. Accessed December 9, 2016.
  58. Kwan JL, Cram P, Boland P, et al. Taking charge of your healthcare: your path to being an empowered patient. http://www.patientsafety.org/take-charge.html. Accessed January 26, 2017.
  59. Agency for Healthcare Research and Quality. Five Steps to Safer Health Care: Patient Fact Sheet. 2004. https://archive.ahrq.gov/patients-consumers/care-planning/errors/5steps/index.html. Accessed December 9, 2016.
  60. Al-Aqeel S, Al-Sabhan J, Altiner A, et al. Communicating about health care: observations from persons who are deaf or hard of hearing. Cochrane Database Syst Rev 2015;11(3):CD000011. doi:10.1186/1748-5908-8-69 [doi].
  61. Agency for Healthcare Research & Quality. Questions To Ask Your Doctor http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html. Accessed December 9, 2016.
  62. Kurapati R. Hospital checklist: the 12 questions every patient should ask doctors and nurses. Slate 2015 Jul 13. http://www.slate.com/articles/health_and_science/medical_examiner/2015/07/hospital_checklist_questions_patients_should_ask_on_admission_discharge.html. Accessed December 9, 2016.
  63. Agency for Healthcare Research & Quality. Questions Are the Answer. http://www.ahrq.gov/health-care-information/topics/topic-questions-are-the-answer.html. Accessed December 9, 2016.
  64. Agency for Healthcare Research and Quality. Patient Notepad Improves Communication With Physicians, Including Likelihood of Having Questions Answered. 2009. https://innovations.ahrq.gov/profiles/patient-notepad-improves-communication-physicians-including-likelihood-having-questions. Accessed December 9, 2016.
  65. The National Patient Safety Foundation. National Agenda for Action: Patients and Families in Patient Safety. 2008. http://c.ymcdn.com/sites/www.npsf.org/resource/collection/ABAB3CA8-4E0A-41C5-A480-6DE8B793536C/Nothing_About_Me.pdf. Accessed December 9, 2016.
  66. McTiernan P, Wachter RM, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
  67. Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients’ experiences of adverse events in health care. Int J Qual Health Care 2015;27(6):423-41. http://intqhc.oxfordjournals.org/content/27/6/424.long. Accessed December 9, 2016.
  68. Medication Safety. Brown Bag Toolkit. http://ohiohospitals.org/Patient-Safety-Quality/Ohio-Patient-Safety-Institute-%28OPSI%29/Professional-Resources/Medication-Safety.aspx. Accessed January 26, 2017.
  69. Institute for Safe Medication Practices. Universal Medication Form. http://patientsafetyauthority.org/NewsAndInformation/Brochures/Documents/Universal%20Medication%20Form.pdf. Accessed January 26, 2017.
  70. Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care - mapping the problem, working to a solution: a systematic review of the literature. BMC Med 2009;7(1):50. doi:10.1186/1741-7015-7-50.
  71. Barry MJ, Edgman-Levitan S. Shared decision making - the pinnacle of patient-centered care. N Engl J Med 2012;366(9):780-1. http://www.nejm.org/doi/full/10.1056/NEJMp1109283. Accessed December 9, 2016.
  72. Elwyn G, Frosch D, Thomson R, et al. Shared decision making: a model for clinical practice. J Gen Intern Med 2012;27(10):1361-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/. Accessed December 9, 2016.
  73. Agency for Healthcare Research and Quality. The SHARE Approach: Essential Steps of Shared Decision Making: Expanded Reference Guide With Sample Conversation Starters. Workshop Curriculum: Tool 2. http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-2/share-tool2.pdf. Accessed December 9, 2016.
  74. Donahue M, Miller M, Smith L, et al. A leadership initiative to improve communication and enhance safety. Am J Med Qual 2011;26(3):206-11. doi:10.1177/1062860610387410.
  75. Freitag M, Carroll VS. Handoff communication: using failure modes and effects analysis to improve the transition in care process. Qual Manag Health Care 2011;20(2):103-9. doi:10.1097/QMH.0b013e3182136f58.
  76. Stead K, Kumar S, Schultz TJ, et al. Teams communicating through STEPPS. Med J Aust 2009;190(11 Suppl):S128-32. http://www.ncbi.nlm.nih.gov/pubmed/19485861. Accessed December 9, 2016.
  77. Gittell JH, Beswick J, Goldmann D, et al. Teamwork methods for accountable care. Health Care Manage Rev 2015;40(2):116-25. doi:10.1097/HMR.0000000000000021.
  78. Weaver R. Seeking high reliability in primary care: leadership, tools, and organization. Health Care Manage Rev 2015;40(3):183-92. http://www.ncbi.nlm.nih.gov/pubmed/24787749. Accessed December 9, 2016.
  79. Maatouk-Burmann B, Ringel N, Spang J, et al. Improving patient communication: results of a randomized controlled trial. Patient Educ Couns 2016;99(1):117-24. http://www.ncbi.nlm.nih.gov/pubmed/26490488. Accessed December 9, 2016.
  80. Miller WL, Crabtree BF, Nutting PA, et al. Primary care practice development: a relationship-centered approach. Ann Fam Med 2010;8(Suppl 1):S68-79; S92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885724/. Accessed December 9, 2016.
  81. Hull M. Medical language proficiency: a discussion of interprofessional language competencies and potential for patient risk. Int J Nurs Stud 2016 Feb;54:158-72. DOI:10.1016/j.ijnurstu.2015.02.015. Epub 2015 Mar 20.
  82. Rhodes P, Sanders C, Campbell S. Relationship continuity: when and why do primary care patients think it is safer? Br J Gen Pract 2014;64(629):e758-64. doi:10.3399/bjgp14X682825.
  83. Baker R, Willars J, McNicol S, et al. Primary care quality and safety systems in the English National Health Service: a case study of a new type of primary care provider. J Health Serv Res Policy 2013;19(1):34-41. DOI:10.1177/1355819613500664.
  84. Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. BMJ Open 2016;6(1):e009526. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735198/. Accessed December 9, 2016.
  85. Pathways for Patient Safety: Module One: Working as a Team. Chicago, IL: Health Research & Educational Trust; 2008. http://www.hret.org/quality/projects/resources/working_as_a_team.pdf. Accessed December 9, 2016.
  86. Delbanco T, Walker J, Darer JD, et al. Open notes: doctors and patients signing on. Ann Intern Med 2010;153(2):121-5. doi:10.7326/0003-4819-153-2-201007200-00008.
  87. Leveille SG, Walker J, Ralston JD, et al. Evaluating the impact of patients’ online access to doctors’ visit notes: designing and executing the OpenNotes project. BMC Med Inform Decis Mak 2012;12:32. doi:10.1186/1472-6947-12-32.
  88. Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead. Ann Intern Med 2012;157(7):461-70. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908866/. Accessed December 9, 2016.
  89. Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Jt Comm J Qual Patient Saf 2015;41(8):378-84. http://www.ncbi.nlm.nih.gov/pubmed/26215527. Accessed December 9, 2016.
  90. Esch T, Mejilla R, Anselmo M, et al. Engaging patients through open notes: an evaluation using mixed methods. BMJ Open 2016;6(1):e010034. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735137/. Accessed December 9, 2016.
  91. Elwyn G, Lloyd A, Joseph-Williams N, et al. Option Grids: shared decision making made easier. Patient Educ Couns 2013;90(2):207-12. doi:10.1016/j.pec.2012.06.036.
  92. Marrin K, Brain K, Durand MA, et al. Fast and frugal tools for shared decision-making: how to develop Option Grids. Eur J Pers Centered Healthc 2013;1(1):240-5. http://optiongrid.org/uploads/publications/Marrin-Fast-and-Frugal-Tools.pdf. Accessed December 9, 2016.
  93. Elwyn G, Pickles T, Edwards A, et al. Supporting shared decision making using an Option Grid for osteoarthritis of the knee in an interface musculoskeletal clinic: a stepped wedge trial. Patient Educ Couns 2015. doi:10.1016/j.pec.2015.10.011.
  94. Neal W. Patient education: better patient education for improved engagement and compliance. Middleton, MA: Patient Safety & Quality Healthcare; April 2015. http://psqh.com/march-april-2015/patient-education-better-patient-education-for-improved-engagement-and-compliance. Accessed December 9, 2016.
  95. Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. BMJ Qual Saf 2016;25(3):159-63. doi:10.1136/bmjqs-2015-004283.
  96. Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL: The Joint Commission; 2010. http://www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdf. Accessed December 9, 2016.
  97. Takata GS, Taketomo CK, Waite S. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm 2008;65(21):2036-44. doi:65/21/2036 [pii]10.2146/ajhp070557.
  98. Lainer M, Vögele A, Wensing M, et al. Improving medication safety in primary care. A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21 Suppl:14-18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828608/. Accessed December 9, 2016.
  99. Schwappach DL. Risk factors for patient-reported medical errors in eleven countries. Health Expect 2014;17(3):321-31. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5060731/. Accessed December 9, 2016.
  100. Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. BMJ Qual Saf 2014;23(1):56-65. doi:10.1136/bmjqs-2013-001828.
  101. Brami J. Amalberti R, Wensing M. Patient safety and the control of time in primary care: a review of the French tempos framework by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21 Suppl:45-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828602/. Accessed December 9, 2016.
  102. Agency for Healthcare Research and Quality. VA Patients Use Waiting Room Kiosk to Enter Medication List, Facilitating Reconciliation With Electromic Medical Record and Identifying More Discrepancies. 2007. https://innovations.ahrq.gov/profiles/va-patients-use-waiting-room-kiosk-enter-medication-list-facilitating-reconciliation. Accessed December 9, 2016.
  103. Agency for Healthcare Research and Quality. Patient Education and Staff Training Significantly Improves Medication Reconciliation in Outpatient Clinics. 2005. https://innovations.ahrq.gov/profiles/patient-education-and-staff-training-significantly-improves-medication-reconciliation. Accessed December 9, 2016.
  104. Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf 2010;6(4):238-43. PMID:21500611.
  105. Kliethermes MA. Outcomes evaluation: striving for excellence in ambulatory care pharmacy practice. Am J Health Syst Pharm 2014;71(16):1375-86. doi:10.2146/ajhp140079.
  106. Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Ann Pharmacother 2013;47(2):237-56. doi:10.1345/aph.1R147.
  107. Agency for Healthcare Research and Quality. Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics. 2004. https://innovations.ahrq.gov/profiles/reconciliation-patient-and-provider-medication-lists-reduces-discrepancies-and-enhances. Ac.cessed December 9, 2016
  108. Ciciriello S, Johnston RV, Osborne RH, et al. Multimedia educational interventions for consumers about prescribed and over-the-counter medications. Cochrane Database Syst Rev 2013;4:CD008416. doi:10.1002/14651858.CD008416.pub2 [doi].
  109. ConsumerMedSafety.org. General Advice on Safe Medication Use. http://www.consumermedsafety.org/tools-and-resources/medication-safety-tools-and-resources/taking-your-medicine-safely/general-advice-on-safe-medication-use. Accessed December 9, 2016.
  110. Howard R, Rodgers S, Avery AJ, et al.; PINCER Trialists. Description and process evaluation of pharmacists’ interventions in a pharmacist-led information technology-enabled multicentre cluster randomised controlled trial for reducing medication errors in general practice (PINCER trial). Int J Pharm Pract 2014;22(1):59-68. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283977/. Accessed December 9, 2016.
  111. Avery AJ, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. Lancet 2012;379(9823):1310-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328846/. Accessed December 9, 2016.
  112. Avery AJ, Rodgers S, Cantrill JA, et al. Protocol for the PINCER trial: a cluster randomised trial comparing the effectiveness of a pharmacist-led IT-based intervention with simple feedback in reducing rates of clinically important errors in medicines management in general practices. Trials 2009;10:28. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2685134/. Accessed December 9, 2016.
  113. Elliott RA, Putman KD, Franklin M, et al. Cost effectiveness of a pharmacist-led information technology intervention for reducing rates of clinically important errors in medicines management in general practices (PINCER). Pharmacoeconomics 2014;32(6):573-90. doi:10.1007/s40273-014-0148-8.
  114. Howard R, Rodgers S, Avery AJ, et al. Developing a generic, individualised adherence programme for chronic medication users. Cochrane Database Syst Rev 2015;4(4):148-57. doi:10.1186/s13063-015-0672-7.
  115. Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. BMJ Qual Saf 2015;24(4):264-71. doi:10.1136/bmjqs-2014-003555.
  116. Longo DR, Hewett JE, Ge B, et al. Rural hospital patient safety systems implementation in two States. J Rural Health 2007;23(3):189-97. doi:10.1111/j.1748-0361.2007.00090.x.
  117. Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract 2015;23(1):3-20. doi:10.1111/ijpp.12120.
  118. Agency for Healthcare Research and Quality. Working for Quality. Priorities in Action. The Patient Safety and Clinical Pharmacy Services Collaborative (PSPC). http://www.ahrq.gov/workingforquality/pias/pspcpia.htm. Accessed December 9, 2016.
  119. Lambert BL, Centomani N, Smith KM, et al. The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. Health Serv Res 2016 Dec;51 Suppl 3:2491-2515. doi: 10.1111/1475-6773.12548. Epub 2016 Aug 24.
  120. Pathways for Patient Safety: Module Three: Creating Medication Safety. Chicago, IL: Health Research & Educational Trust; 2008. http://www.hret.org/quality/projects/resources/creating_medication_safety.pdf. Accessed December 9, 2016.
  121. Wright E, Darer J, Tang X, et al. Sharing physician notes through an electronic portal is associated with improved medication adherence: quasi-experimental study. J Med Internet Res 2015;17(10):e226. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642386/. Accessed December 9, 2016.
  122. Matlin OS, Kymes SM, Averbukh A, et al. Community pharmacy automatic refill program improves adherence to maintenance therapy and reduces wasted medication. Am J Manag Care 2015;21(11):785-91. http://www.ncbi.nlm.nih.gov/pubmed/26633252. Accessed December 9, 2016.
  123. LaVela SL, Hill JN. Re-designing primary care: implementation of patient-aligned care teams. Healthc (Amst) 2014;2(4):268-74. doi:10.1016/j.hjdsi.2014.09.010.
  124. Gruman J, Jeffress D, Edgman-Levitan S, et al. Supporting patient engagement in the patient-centered medical home. Washington, DC: Center for Advancing Health; 2011. http://www.cfah.org/file/CFAH_PACT_WhitePaper_current.pdf. Accessed December 9, 2016.
  125. Agency for Healthcare Research and Quality. The SHARE Approach: Using the Teach-Back Technique: A Reference Guide for Health Care Providers. Workshop Curriculum: Tool 6. http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-6/share-tool6.pdf. Accessed December 9, 2016.
  126. Ratanawongsa N, Handley MA, Quan J, et al. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. BMC Health Serv Res 2012;12(1):22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276419/. Accessed December 9, 2016.
  127. Quiñones AR, Richardson J, Freeman M, et al. Educational group visits for the management of chronic health conditions: a systematic review. Patient Educ Couns 2014;95(1):3-29. doi:10.1016/j.pec.2013.12.021.
  128. Payne RA, Abel GA, Avery AJ, et al. Response to: assessing the harms of polypharmacy requires careful interpretation and consistent definitions. Br J Clin Pharmacol 2014;78(3):672-3. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4243918&tool=pmcentrez&rendertype=abstract. Accessed December 9, 2016.
  129. Akbarov A, Kontopantelis E, Sperrin M, et al. Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. Drug Saf 2015;38(7):671-82. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4486763/. Accessed December 9, 2016.
  130. Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician 2013;87(5):331-6. http://www.aafp.org/afp/2013/0301/p331.html. Accessed December 9, 2016.
  131. Singh H, Meyer AN, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving U.S. adult populations. BMJ Qual Saf 2014;23(9):727-31. doi:10.1136/bmjqs-2013-002627.
  132. Gibson R, Singh JP. Wall of silence: the untold story of the medical mistakes that kill and injure millions of Americans. Washington, DC: LifeLine Press; 2003.
  133. Khoo EM, Sararaks S, Lee WK, et al. Reducing medical errors in primary care using a pragmatic complex intervention. Asia Pac J Public Health 2015;27(6):670-7. doi:10.1177/1010539514564007.
  134. McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med 2013;158(5 Pt 2):381-9. http://annals.org/aim/article/1656430/patient-safety-strategies-targeted-diagnostic-errors-systematic-review. Accessed December 9, 2016.
  135. Schiff GD, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med 173(22):2063-8. http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1741891. Accessed December 9, 2016.
  136. Singh H, Graber M. Reducing diagnostic error through medical home-based primary care reform. JAMA 2010;304(4):463-4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120138/. Accessed December 9, 2016.
  137. Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf 2013;22 Suppl 2(Suppl 2):ii21-7. doi:10.1136/bmjqs-2012-001615.
  138. Ely JW, Kaldjian LC, D’Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med 2012;25(1):87-97. http://www.jabfm.org/content/25/1/87.full. Accessed December 9, 2016.
  139. Zwaan L, Schiff GD, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf 2013;22(Suppl 2):ii52-7. doi:10.1136/bmjqs-2012-001624.
  140. Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf 2012;21(2):93-100. doi:10.1136/bmjqs-2011-000304.
  141. McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf 2013;22(Suppl 2):ii33-9. doi:10.1136/bmjqs-2012-001623.
  142. Goyder CR, Jones CH, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract 2015;65(641):e838-44. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655738/. Accessed December 9, 2016.
  143. Balla J, Heneghan C, Goyder C, et al. Identifying early warning signs for diagnostic errors in primary care: a qualitative study. BMJ Open 2012;2(5). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3467597/. Accessed December 9, 2016.
  144. Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004.
  145. Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med 2013;24(5):411-5. doi:10.1016/j.ejim.2013.01.022.
  146. Be more involved in your health care: tips for patients. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 10(11)-0094-A. http://www.ahrq.gov/sites/default/files/publications/files/beinvolved.pdf. Accessed December 9, 2016.
  147. Légaré F, Stacey D, Turcotte S, et al. Innovations for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev 2014;15(9). http://www.ncbi.nlm.nih.gov/pubmed/25222632.
  148. Légaré F, Turcotte S, Stacy D, et al. Patients’ perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice. Patient 2012;5(1):1-19. http://link.springer.com/article/10.2165%2F11592180-000000000-00000. Accessed December 9, 2016.
  149. Sinsky CA. Improving office practice: working smarter, not harder. Fam Pract Manag 2006;13(10):28-34. http://www.aafp.org/fpm/2006/1100/p28.html. Accessed December 9, 2016.
  150. Sinsky CA, Sinsky TA, Rajcevich E. Putting pre-visit planning into practice. Fam Pract Manag 2015;22(6):30-3. http://www.aafp.org/fpm/2015/1100/p34.html. Accessed December 9, 2016.
  151. Torrey T. Effective Patient-Doctor Communications. VeryWell. November 25, 2014. https://www.verywell.com/effective-patient-doctor-communications-2615472.
  152. Verstappen W, Gaal S, Esmail A, et al. Patient safety improvement programmes for primary care. Review of a Delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21 Suppl:50-55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828596/. Accessed December 9, 2016.
  153. Leong KC, Chen WS, Leong KW, et al. The use of text messaging to improve attendance in primary care: a randomized controlled trial. Fam Pract 2006 Dec;23(6):699-705. Epub 2006 Aug 17. https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cml044. Accessed December 9, 2016.
  154. Hall AK, Cole-Lewis H BJ. Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health 2015;36(20):393-415. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406229/. Accessed December 9, 2016.
  155. Jenssen PB, Mitra N, Shah A, et al. Using digital technology to engage and communicate with patients: a survey of patient attitudes. J Gen Intern Med 2015;31(1):85-92. http://link.springer.com/article/10.1007/s11606-015-3517-x. Accessed December 9, 2016.
  156. Horvath M, Levy J, L’Engle P, et al. Impact of health portal enrollment with email reminders on adherence to clinic appontments: a pilot study. J Med Internet Res 2011 Apr-Jun;13(2):e41. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221371/. Accessed December 9, 2016.
  157. Graber ML, Trowbridge R, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf 2014;40(3):102-10. http://www.ncbi.nlm.nih.gov/pubmed/24730205. Accessed December 9, 2016.
  158. Mazor KM, Smith KM, Fisher KA, et al. Speak up! Addressing the paradox plaguing patient-centered care. Ann Intern Med 2016 May 3;164(9):618-9. doi: 10.7326/M15-2416. Epub 2016 Feb 9.
  159. Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg 2013;258(6):856-71. doi:10.1097/SLA.0000000000000206.
  160. Shoor S, Lorig KR. Self-care and the doctor-patient relationship. Med Care 2002;40(4 Suppl):II40-4. http://www.ncbi.nlm.nih.gov/pubmed/12064580. Accessed December 9, 2016.
  161. Longtin Y, Sax H, Leape LL, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc 2010;85(1):53-62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800278/. Accessesd December 9, 2016.
  162. Splaine Wiggins M. The partnership care delivery model: an examination of the core concept and the need for a new model of care. J Nurs Manag 2008;16(5):629-38. doi:10.1111/j.1365-2834.2008.00900.x.
  163. Stange KC. The problem of fragmentation and the need for integrative solutions. Ann Fam Med 2009 Mar-Apr;7(2):100-3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2653966/. Accessed December 9, 2016.
  164. Jiang HJ, Boutwell AE, Maxwell J, et al. Understanding patient, provider, and system factors related to Medicaid readmissions. Jt Comm J Qual Patient Saf 2016;42(3):115-21. http://www.ncbi.nlm.nih.gov/pubmed/26892700. Accessed December 9, 2016.
  165. Bell BG, Spencer R, Avery AJ, et al. Tools for measuring patient safety in primary care settings using the RAND/UCLA appropriateness method. BMC Fam Pract 2014;15:110. doi:10.1186/1471-2296-15-110.
  166. Légaré F, Stacey D, Turcotte S, et al. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Syst Rev 2014;15(9):1-166. http://www.ncbi.nlm.nih.gov/pubmed/25222632. Accessed December 9, 2016.
  167. Murray E, Charles C, Gafni A. Shared decision-making in primary care: tailoring the Charles et al. model to fit the context of general practice. Patient Educ Couns 2006;62(2):205-11. doi:10.1016/j.pec.2005.07.003.
  168. Coxeter P, Del Mar CB, McGregor L, et al. Interventions to facilitate shared decision making to address antibiotic use for acute respiratory infections in primary care. Cochrane Database Syst Rev 2015;11:CD010907. doi:10.1002/14651858.CD010907.pub2 [doi].
  169. Siebenhofer A, Ulrich LR, Mergenthal K, et al. Primary care management for optimized antithrombotic treatment [PICANT]: study protocol for a cluster-randomized controlled trial. Implement Sci 2012;7:79. doi:10.1186/1748-5908-7-79.
  170. Allaire A-S, Labrecque M, Giguère A, et al. Barriers and facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: a study protocol. Implement Sci 2011;6(1):3. doi:10.1186/1748-5908-6-3.
  171. Buhse S, Heller T, Kasper J, et al. An evidence-based shared decision making programme on the prevention of myocardial infarction in type 2 diabetes: protocol of a randomised-controlled trial. BMC Fam Pract 2013;14:155. doi:10.1186/1471-2296-14-155.
  172. Giguere A, Legare F, Grad R, et al. Developing and user-testing decision boxes to facilitate shared decision making in primary care—a study protocol. BMC Med Inform Decis Mak 2011;11:17. doi:10.1186/1472-6947-11-17.
  173. Giguere AM, Labrecque M, Legare F, et al. Feasibility of a randomized controlled trial to evaluate the impact of decision boxes on shared decision-making processes. BMC Med Informatics Decis Mak 2015;15:13. doi:http://dx.doi.org/10.1186/s12911-015-0134-x.
  174. Leblanc A, Legare F, Labrecque M, et al. Feasibility of a randomised trial of a continuing medical education program in shared decision-making on the use of antibiotics for acute respiratory infections in primary care: the DECISION+ pilot trial. Implement Sci 2011;6(1):5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033351/. Accessed December 9, 2016.
  175. Légaré F, Brière N, Stacey D, et al. Improving Decision making On Location of Care with the frail Elderly and their caregivers (the DOLCE study): study protocol for a cluster randomized controlled trial. Trials 2015;16:50. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337186/. Accessed December 9, 2016.
  176. Yu CH, Ivers NM, Stacey D, et al. Impact of an interprofessional shared decision-making and goal-setting decision aid for patients with diabetes on decisional conflict – study protocol for a randomized controlled trial. Trials 2015;16(1):286. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4486130/. Accessed December 9, 2016.
  177. Lloyd A, Joseph-Williams N, Edwards A, et al. Patchy “coherence”: using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC). Implement Sci 2013;8(1):102. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3848565/. Accessed December 9, 2016.
  178. Légaré F, Labrecque M, Cauchon M, et al. Training family physicians in shared decision-making to reduce the overuse of antibiotics in acute respiratory infections: a cluster randomized trial. CMAJ 2012;184(13):E726-34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447039/. Accessed December 9, 2016.
  179. Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Aff (Millwood) 2011;30(12):2437-48. http://content.healthaffairs.org/content/30/12/2437.long. Accessed December 9, 2016.
  180. Coulter A, Entwistle VA, Eccles A, et al. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev 2015;3:CD010523. doi:10.1002/14651858.CD010523.pub2 [doi].
  181. James J. Health Policy Brief: patient engagement. Health Aff 2013 Feb 24. http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=86. Accessed December 9, 2016.
  182. Mazor KM, Smith KM, Fisher KA, et al. Speak up! Addressing the paradox plaguing patient-centered care. Ann Intern Med 2016 May 3;164(9):618-9. doi: 10.7326/M15-2416. Epub 2016 Feb 9.
  183. Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf 2014;23(11):880-3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4215344/. Accessed December 9, 2016.
  184. Newton WP, Atkinson H, Parker DL, et al. Bringing patients into the patient-centered medical home: lessons learned in a large primary care practice. N C Med J. 2015;76(3):190-3. http://www.ncmedicaljournal.com/content/76/3/190.full#sec-1. Accessed December 9, 2016.
  185. Agency for Healthcare Research and Quality. The SHARE Approach: Essential Steps of Shared Decisionmaking: Quick Reference Guide. Workshop Curriculum: Tool 1. http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-1/share-tool1.pdf. Accessed December 9, 2016.
  186. Légaré F, Moher D, Elwyn G, et al. Instruments to assess the perception of physicians in the decision making process of specific clinical encounters: a systematic review. BMC Med Inform Decis Mak 2007;15(7):1-16. http://www.ncbi.nlm.nih.gov/pubmed/17937801.
  187. Davis K, Schoenbaum SC, Audet A-M. A 2020 vision of patient-centered primary care. J Gen Intern Med 2005;20(10):953-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490238/. Accessed December 9, 2016.
  188. Tai-Seale M, Wilson CJ, Panattoni L, et al. Leveraging electronic health records to develop measurements for processes of care. Health Serv Res 2014;49(2):628-44. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976190/. Accessed December 9, 2016.
  189. Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the development of a customizable checklist for use by patients. J Patient Saf 2015 Jun 10. [ePub ahead of print] doi:10.1097/PTS.0000000000000203.
  190. Aboumatar HJ, Carson KA, Beach MC, et al. The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. J Gen Intern Med 2013;28(11):1469-76. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797328/. Accessed December 9, 2016.
  191. Delbanco T, Walker J, Darer JD, et al. Open notes: doctors and patients signing on. Ann Intern Med 2010;153(2):121-5. doi:10.7326/0003-4819-153-2-201007200-00008.
  192. Mittler JN, Martsolf GR, Telenko SJ, et al. Making sense of "consumer engagement" initiatives to improve health and health care: a conceptual framework to guide policy and practice. Milbank Q 2013;91(1):37-77. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607126/. Accessed December 12, 2016.
  193. Hauser K, Koerfer A, Kuhr K, et al. Outcome-relevant effects of shared decision making. Dtsch Arztebl Int 2015;112(40):665-71. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640070/. Accessed December 12, 2016.
  194. Bailey D, Thygeson M, Anderson R. Studying the clinical encounter with the Adaptive Leadership framework. J Healthc Leadersh 2012;2012(4):83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3883363/. Accessed December 12, 2016.
  195. Safety Net Medical Home Initiative. Schaefer J, Van Borkulo N, Morales L. Patient-centered interactions Part 2: engaging patients in their health and healthcare. In: Burton T, ed. Patient-centered interactions implementation guide.1st ed. Seattle, WA: The MacColl Institute for Healthcare Innovation at the Group Health Research Institute and Qualis Health; December 2010. https://www.anthem.com/provider/noapplication/f1/s0/t0/pw_e192284.pdf.
  196. Conway J, Johnson B, Edgman-Levitan S, et al. Partnering with patients and families to design a patient-and family-centered health care system: a roadmap for the future: a work in progress. Institute for Family-Centered Care and Institute for Healthcare Improvement; unpublished paper; June 2006.
  197. Maurer M, Dardess P, Carman KL, et al. Contract Final Report. Guide to patient and family engagement: environmental scan report. (Prepared by the American Institutes for Research under Contract No. HHSA 290-200-600019.) Rockville, MD: Agency for Healthcare Research and -Quality; 2012. AHRQ Publication No. 12-0042-EF. http://www.ahrq.gov/research/findings/final-reports/ptfamilyscan/index.html. Accessed December 12, 2016..
  198. Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. BMJ Qual Saf 2015 Oct;24(10):620-9 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602250/. Accessed December 12, 2016.
  199. Herborg H, Haugbol le LS, Sorensen L, et al. Developing a generic, individualised adherence programme for chronic medication users. Pharm Pract (Granada) 2008;6(3):148-57. Epub 2008 Sep 15. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4148414/. Accessed December 12, 2016.
  200. Ant Ozok A, Wu H, Garrido M, et al. Usability and perceived usefulness of Personal Health Records for preventive health care: a case study focusing on patients’ and primary care providers' perspectives. Appl Ergon 2014;45(3):613-28. doi:10.1016/j.apergo.2013.09.005.
  201. Gilson L, Hanson K, Sheikh K, et al. Building the field of health policy and systems research: social science matters. PLoS Med 2011;8(8):e1001079. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160340/. Accessed December 12, 2016.
  202. Trier H, Valderas JM, Wensing M, et al. Involving patients in patient safety programmes: a scoping review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015 Sep;21 Supp1:56-61. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828601/. Accessed December 12, 2016.
  203. A Roadmap for Patient + Family Engagement in Healthcare. http://patientfamilyengagement.org/. Accessed December 12, 2016.
  204. Hudson Scholle S, Torda P, Peikes D, et al. Engaging patients and families in the medical home. Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 10-0083-EF. https://pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home. Accesed December 12, 2016.
  205. Conway J, Johnson B, Edgman-Levitan S, et al. Partnering with patients and families to design a patient- and family- centered health care system: a roadmap for the future. Institute for Patient- and Family-Centered Care and Institute for Healthcare Improvement; unpublished paper; June 2006. http://www.ipfcc.org/resources/Roadmap.pdf. Accessed February 24, 2017.
  206. Agency for Healthcare Research and Quality. The SHARE Approach: Putting Shared Decision Making Into Practice: A User’s Guide for Clinical Teams. Workshop Curriculum: Tool 8. http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-8/share-tool8.pdf. Accessed December 12, 2016.
  207. Agency for Healthcare Research and Quality. The SHARE Approach: Achieving Patient-Centered Care With Shared Decision Making: A Brief for Administrators and Practice Leaders. Workshop Curriculum: Tool 9, http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-9/share-tool9.pdf. Accessed December 12, 2016.
  208. Appendix A . Search methodology. Patient safety in ambulatory care. http://www.pharmacist.com/sites/default/files/files/ambulatory-safety-draft-appendixes-151130.pdf. Accessed December 12, 2016.
  209. Genovesi P, Shine C. European strategy on invasive alien species. Strasbourg, France: Convention on the Conservation of European Wildlife and Natural Habitats, Standing Committee; December 2003. http://jncc.defra.gov.uk/pdf/BRAG_NNS_Genovesi&Shine-EuropeanStrategyonInvasiveAlienSpecies.pdf. Accessed December 12, 2016.
  210. Couët N, Labrecque M, Robitaille H, et al. The impact of DECISION+2 on patient intention to engage in shared decision making: secondary analysis of a multicentre clustered randomized trial. Health Expect 2014:2629-37. doi:10.1111/hex.12235.
  211. Fleisher L, Buzaglo J, Collins M, et al. Using health communication best practices to develop a web-based provider-patient communication aid: the CONNECT study. Patient Educ Couns 2008;71(3):378-87. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2509582/. Accessed December 12, 2016.
  212. Légaré F, Labrecque M, Godin G, et al. Training family physicians and residents in family medicine in shared decision making to improve clinical decisions regarding the use of antibiotics for acute respiratory infections: protocol for a clustered randomized controlled trial. BMC Fam Pract 2011;12:3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041682/. Accessed December 12, 2016.
  213. Légaré F, Guerrier M, Nadeau C, et al. Impact of DECISION + 2 on patient and physician assessment of shared decision making implementation in the context of antibiotics use for acute respiratory infections. Implement Sci 2013;8:144. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879432/. Accessed December 12, 2016.
  214. Légaré F, Labrecque M, Leblanc A, et al. Does training family physicians in shared decision making promote optimal use of antibiotics for acute respiratory infections? Study protocol of a pilot clustered randomised controlled trial. BMC Fam Pract 2007;8:65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234396/. Accessed December 12, 2016.
  215. Meropol NJ, Egleston BL, Buzaglo JS, et al. A Web-based communication aid for patients with cancer: the CONNECT Study. Cancer 2013;119(7):1437-45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604078/. Accessed December 12, 2016.
  216. Hofstede SN, van Bodegom-Vos L, Wentink MM, et al. Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients. PLoS One 2014;9(4):e94176. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3978036/. Accessed December 21, 2016.
  217. Billimek J, Guzman H, Angulo MA. Effectiveness and feasibility of a software tool to help patients communicate with doctors about problems they face with their medication regimen (EMPATHy): study protocol for a randomized controlled trial. Trials 2015;16:145-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409752/. Accessed December 21, 2016.
  218. Agency for Healthcare Research and Quality. Online Tutorial and Interactive Workshop Support Physicians in Employing Shared Decisionmaking With Patients, Reducing Antibiotic Use for Acute Respiratory Infections. 2007. https://innovations.ahrq.gov/profiles/online-tutorial-and-interactive-workshop-support-physicians-employing-shared-decisionmaking. Accessed December 12, 2016.
  219. Sinsky CA. Dissatification among Wisconsin physicians is part of serious ational trend. WMJ 2015;11(4):132-3. https://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/114/4/132.pdf. Accessed December 12, 2016.
  220. Willis R, Krichten A, Eldredge K, et al. Creating a Patient and Family Advisory Council at a level 1 trauma center. J Trauma Nurs 20(2):86-8. doi:10.1097/JTN.0b013e3182960078.
  221. Haycock C, Wahl C. Achieving patient and family engagement through the implementation and evolution of advisory councils across a large health care system. Nurs Adm Q 37(3):242-6. doi:10.1097/NAQ.0b013e318295f54c.
  222. Patient and Family Engagement Resource Compendium. Chicago, IL: Health Research & Educational Trust; 2015. http://www.hpoe.org/resources/hpoehretaha-guides/2735. Accessed December 12, 2016.
  223. Concannon TW, Meissner P, Grunbaum JA, et al. A new taxonomy for stakeholder engagement in patient-centered outcomes research. J Gen Intern Med 2012;27(8):985-91. doi:10.1007/s11606-012-2037-1.
  224. Partnering With Patients and Families To Enhance Safety and Quality: A Mini Toolkit. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
  225. Longtin Y, Sax H, Leape LL, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc 2010;85(1):53-62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800278/. Accessed December 12, 2016.
  226. Leonhardt KK, Pagel P, Bonin D, et al. Creating an accurate medication list in the outpatient setting through a patient-centered approach - PubMed - NCBI. In: Advances in Patient Safety: New Directions and Alternative Approaches. Volume 3: Performance and Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2008. https://www.ncbi.nlm.nih.gov/books/NBK43679/. Accessed December 12, 2016.
  227. Leonhardt KK. Partnering with our patients. WMJ 2007;106(8):447-8. https://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/106/8/447.pdf. Accessed December 12, 2016.
  228. Leonhardt KK, Bonin D, Pagel P. Partners in safety: implementing a community-based patient safety advisory council. WMJ 2006;105(8):54-9. https://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/105/8/54.pdf. Accessed December 12, 2016.
  229. Leonhardt KK, Bonin D, Pagel P. Guide for developing a community-based patient safety advisory council. Rockville, MD: Agency for Healthcare Research & Quality; April 2008. AHRQ Publication No. 08-0048. http://www.ahrq.gov/research/findings/final-reports/advisorycouncil/index.html. Accessed December 12, 2016.
  230. Audet A-M, Davis K,Schoenbaum SC. Adoption of patient-centered care practices by physicians, results from a national survey. JAMA Intern Med 2006;166(7):754-9. http://archinte.jamanetwork.com/article.aspx?articleid=410112. Accessed December 12, 2016.
  231. Deering S, Rosen MA, Ludi V, et al. On the front lines of patient safety: implementation and evaluation of team training in Iraq. Jt Comm J Qual Patient Saf 2011;37(8):350-6. http://www.ncbi.nlm.nih.gov/pubmed/21874970. Accessed December 12, 2016.
  232. Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Patient safety in ambulatory settings. (Prepared by RAND Southern California Evidence-based Practice Center under Contract No. 290-2015-00010-I.) Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 16(17)-EHC033-EF. https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=2322. Accessed December 12, 2016.
  233. Godycki-Cwirko M, Esmail A, Dovey S, et al. Patient safety initiatives in Central and Eastern Europe: a mixed methods approach by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21(Dec):62-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828625/. Accessed December 12, 2016.
  234. Physician Leadership Forum. Team-Based health care delivery: lessons from the field. Chicago, IL: American Hospital Association; 2012. http://www.ahaphysicianforum.org/files/pdf/team-delivery-report.pdf. Accessed December 12, 2016.
  235. mHealth Into Action. Fierce Mobile Healthcare; September 2014. https://validic.com/wp-content/uploads/2015/03/mhealth_into_action_final_0.pdf. Accessed December 12, 2016.
  236. Carayon P, Karsh B-T, Gurses AP, et al. Macroergonomics in healthcare quality and patient safety. Rev Hum Factors Ergon 2013;8(1):4-54. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981462/. Accessed December 12, 2016.
  237. Kingston-Riechers J, Opina M, Jonsson E, et al. Patient safety in primary care. Edmonton, AB: Canadian Patient Safety Institute and BC Patient Safety & Quality Council; 2010. http://www.patientsafetyinstitute.ca/en/toolsResources/Research/commissionedResearch/primaryCare/Documents/Primary Care 2010.pdf.
  238. Panagioti M, Stokes J, Esmail A, et al. Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. PLoS One 2015;10(8):e0135947. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552710/. Accessed December 12, 2016.
  239. Campbell DG, Bonner LM, Bolkan CR, et al. Suicide risk management: development and analysis of a telephone-based approach to patient safety. Transl Behav Med 2011;1(3):372-83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717626/.Accessed December 12, 2016.
  240. Verstappen W, Gaal S, Esmail A, et al. Patient safety improvement programmes for primary care. Review of a Delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract 2015;21 Suppl:50-5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828596/. Accessed December 12, 2016.
  241. Gaal S, Laarhoven EV, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care nurses and doctors. J Eval Clin Pract 2010;16(3):639-43. PMID:20438606.
  242. Mold F, de Lusignan S, Sheikh A, et al. Patients’ online access to their electronic health records and linked online services: a systematic review in primary care. Br J Gen Pract 2015;65(632):e141-51. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337302/. Accessed December 12, 2016.
  243. Spencer R, Bell B, Avery AJ, et al. Identification of an updated set of prescribing—safety indicators for GPs. Br J Gen Pract 2014;64(621):e181-90. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964450/. Accessed December 12, 2016.
  244. Hazen AC, Sloeserwij VM, Zwart DL, et al. Design of the POINT study: Pharmacotherapy Optimisation through Integration of a Non-dispensing pharmacist in a primary care Team (POINT). BMC Fam Pract 2015;16:76-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489035/ Accessed December 12, 2016..
  245. Roughead E, Pratt N, Peck R, et al. Improving medication safety: influence of a patient-specific prescriber feedback program on rate of medication reviews performed by Australian general medical practitioners. Pharmacoepidemiol Drug Saf 2007;16(7):797-803. doi:10.1002/pds.1393.
  246. Marchon SG, Mendes Jr WV. Patient safety in primary health care: a systematic review. Cad Saude Publica 2014;30(9):1815-35. http://www.ncbi.nlm.nih.gov/pubmed/25317512. Accessed December 12, 2016.
  247. Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics 2015;135(6):1027-35. http://pediatrics.aappublications.org/content/135/6/1027.long. Accessed December 12, 2016.
  248. Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. J Gen Intern Med 2008;23(4):459-65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359521/. Accessed December 12, 2016.
  249. de Jongh T, Gurol-Urganci I, Vodopivec-Jamsek V, et al. Mobile phone messaging for facilitating self-management of long-term illnesses. Cochrane Database Syst Rev 2012;12:CD007459. doi:10.1002/14651858.CD007459.pub2 [doi].
  250. De Oliveira GS Jr, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Anesth Analg 2013;116(4).
  251. Jenkins RH, Vaida AJ. Simple strategies to avoid medication errors. Fam Pract Manag 2007;14(2):41-7. http://www.aafp.org/fpm/2007/0200/p41.html.
  252. Giles S, Panagioti M, Hernan A, et al. Contributory factors to patient safety incidents in primary care: protocol for a systematic review. Syst Rev 2015;4:63. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425920/. Accessed December 12, 2016.
  253. Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014;21(6):1053-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4215044/. Accessed December 12, 2016.
  254. Kirk S, Parker T, Esmail A, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. BMJ Qual Saf 2007;16:313-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464946/. Accessed December 12, 2016.
  255. Weingart S, McL Wilson R, Gibberd R, et al. Epidemiology of medical error. West J Med 2000;172(6):390-3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070928/. Accessed December 12, 2016.
  256. Carayon P, Wetterneck TB, Rivera-Rodriguez AJ, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon 2014;45(1):14-25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3795965/. Accessed December 12, 2016.
  257. Lussier MT, Richard C, Glaser E, et al. The impact of a primary care e-communication intervention on the participation of chronic disease patients who had not reached guideline suggested treatment goals. Patient Educ Couns 2016 Apr;99(4):530-41. doi: 10.1016/j.pec.2015.11.007. Epub 2015 Nov 12.. http://www.ncbi.nlm.nih.gov/pubmed/26657041. Accessed December 12, 2016.
  258. Using e-health tools to engage patients and caregivers. Washington, DC: National Learning Consortium; May 2013. https://www.healthit.gov/sites/default/files/nlc_using_e-healthtools.pdf. Accessed December 12, 2016.
  259. Davis RE, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect 2007;10(3):259-67. doi:10.1111/j.1369-7625.2007.00450.x.
  260. Weiner SJ, Schwartz A, Cyrus K, et al. Unannounced standardized patient assessment of the roter interaction analysis system: the challenge of measuring patient-centered communication. J Gen Intern Med 2013;28(2):254-60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614126/. Accessed December 12, 2016.
  261. Wachter RM. Is ambulatory patient safety just like hospital safety, only without the “stat”? Ann Intern Med 2006;145(7):547-9. PMID:17015874.
  262. Rea D, Griffiths S. Patient safety in primary care: incident reporting and significant event reviews in British general practice. Health Soc Care Community 2016 Jul;24(4):411-9. doi: 10.1111/hsc.12221. Epub 2015 Mar 25.
  263. McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the “seven pillars.” Qual Saf Health Care 2010;19(6):e11. http://qualitysafety.bmj.com/content/19/6/e11.long. Accessed December 12, 2016.
  264. Thomas EJ, Classen DC. Patient safety: let’s measure what matters. Ann Intern Med 2014;160(9):642-3. doi:10.7326/M13-2528.
  265. Medical Office Survey on Patient Safety Culture.Rockville, MD: Agency for Healthcare Research & Quality. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/. Accessed December 12, 2016.
  266. Hernan AL, Giles SJ, O’Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. BMJ Qual Saf 2016 Apr;25(4):273-80. doi: 10.1136/bmjqs-2015-004268. Epub 2015 Jul 3. http://www.ncbi.nlm.nih.gov/pubmed/26141502. Accessed December 12, 2016.
  267. Giles SJ, Lawton RJ, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843.
  268. Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer’s perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779.
  269. Bishop AC, Baker GR, Boyle TA, et al. Using the Health Belief Model to explain patient involvement in patient safety. Health Expect 2015 Dec;18(6):3019-33. doi: 10.1111/hex.12286. Epub 2014 Oct 10. doi:10.1111/hex.12286.
  270. Graffigna G, Barello S, Bonanomi A, et al. Measuring patient engagement: development and psychometric properties of the Patient Health Engagement (PHE) Scale. Front Psychol 2015;6:274. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376060/. Accessed December 12, 2016.
  271. Hibbard JH, Stockard J, Mahoney ER, et al. Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 2004;39(4 Pt 1):1005-26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361049/. Accessed December 12, 2016.
  272. Nocon RS, Gao Y, Gunter KE, et al. Associations between medical home characteristics and support for patient activation in the safety net: understanding differences by race, ethnicity, and health status. Med Care 2014;52(11 Suppl 4):S48-55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232369/. Accessed December 12, 2016.
  273. Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care Manage Rev 2016 Oct-Dec;41(4):356-67. doi:10.1097/HMR.0000000000000083.
  274. Barr PJ, Elwyn G. Measurement challenges in shared decision making: putting the “patient” in patient-reported measures. Health Expect 2016 Oct;19(5):993-1001. doi: 10.1111/hex.12380. Epub 2015 Jun 25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054852/. Accessed December 12, 2016.
  275. National Patient Safety Foundation. Ask Me 3: Good Questions for Your Good Health. 2016. http://www.npsf.org/?page=askme3. Accessed December 12, 2016.
  276. Hettinger AZ, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. J Healthc Risk Manag 2013;33(2):11-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4786329/. Accessed December 12, 2016.
  277. Baum F, MacDougall C, Smith D. Participatory action research. J Epidemiol Community Health 2006;60(10):854-57. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2566051/. Accessed December 12, 2016.
  278. Arthur HM, Wright DM, Smith KM. Women and heart disease: the treatment may end but the suffering continues. Can J Nurs Res 2001;33(3):17-29. PMID:11845619.
  279. Martin D. Triple aiming higher: dreaming big in pursuit of healthcare transformation. Healthc Pap 2013;13(3):58-63; discussion 85-89. http://www.ncbi.nlm.nih.gov/pubmed/24524573. Accessed December 9, 2016.
  280. 2015 annual progress report to Congress: national strategy for quality improvement in health care. Rockville, MD: U.S. Department of Health and Human Services; 2015. http://www.ahrq.gov/workingforquality/reports/annual-reports/nqs2015annlrpt.htm. Accessed December 12, 2016.
  281. Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Heal Care 2009;18(6):424-8. doi:10.1136/qshc.2009.036954.
Page last reviewed May 2023
Page originally created March 2017

Internet Citation: References. Content last reviewed May 2023. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/patient-safety/reports/engage/references.html

Click to copy citation