A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errors.

abstract：PURPOSE:Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection;...

journal_title：Annals of family medicine

authors： Hay AD,Sterne JA,Hood K,Little P,Delaney B,Hollingworth W,Wootton M,Howe R,MacGowan A,Lawton M,Busby J,Pickles T,Birnie K,O'Brien K,Waldron CA,Dudley J,Van Der Voort J,Downing H,Thomas-Jones E,Harman K,Lisles C,

更新日期：2016-07-01 00:00:00

abstract：:Translational research seeks to improve health care by promoting action and change in real-world health care settings. Although translational research advocates a break from the traditional researcher-initiated approach to science, strategies to successfully engage clinicians and leaders of health care delivery organi...

journal_title：Annals of family medicine

authors： Schmittdiel JA,Grumbach K,Selby JV

更新日期：2010-05-01 00:00:00

abstract：PURPOSE:Most new mothers return to work soon after childbirth. A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding. METHODS:Using a prospective cohort design, we recruited Minnesota wom...

journal_title：Annals of family medicine

authors： McGovern P,Dowd B,Gjerdingen D,Gross CR,Kenney S,Ukestad L,McCaffrey D,Lundberg U

更新日期：2006-03-01 00:00:00

abstract：PURPOSE:Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS:We report a substudy of a large pragmatic trial of early PPD screenin...

journal_title：Annals of family medicine

authors： Yawn BP,Bertram S,Kurland M,Wollan PC

更新日期：2015-05-01 00:00:00

abstract：PURPOSE:In a primary care context favoring group practices, we assessed the validity of 2 new continuity measures (both versions of known provider continuity, KPC) that capture the concentration of care over time from multiple physicians (multiple provider continuity, KPC-MP) or from the physician seen most often (pers...

journal_title：Annals of family medicine

authors： Tousignant P,Diop M,Fournier M,Roy Y,Haggerty J,Hogg W,Beaulieu MD

更新日期：2014-11-01 00:00:00

abstract：:Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...

journal_title：Annals of family medicine

authors： Margolius D,Gunzler D,Hopkins M,Teng K

更新日期：2018-11-01 00:00:00

abstract：PURPOSE:In this study, we aimed to assess (1) the agreement between patient self-reports and general practitioner (GP) reports of the chronic conditions affecting the patients and (2) the agreement between patients and GPs on health priorities in a primary care setting. METHOD:Patients were recruited in the Parisian a...

journal_title：Annals of family medicine

authors： Sidorkiewicz S,Malmartel A,Prevost L,Partouche H,Pinot J,Grangé-Cabane A,du Vaure CB,Gilberg S

更新日期：2019-09-01 00:00:00

abstract：PURPOSE:Little is known about the impact of pay-for-performance incentives on health care disparities. We examined ethnic disparities in the management of hypertension among patients with and without cardiovascular comorbidities after the implementation of a major pay-for-performance incentive scheme in UK primary care...

journal_title：Annals of family medicine

authors： Millett C,Gray J,Bottle A,Majeed A

更新日期：2008-11-01 00:00:00

abstract：PURPOSE:Hearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes. METHODS:A multiple baseline design was implemented to assess a screening paradigm for identifying and referring patien...

journal_title：Annals of family medicine

authors： Zazove P,Plegue MA,McKee MM,DeJonckheere M,Kileny PR,Schleicher LS,Green LA,Sen A,Rapai ME,Mulhem E

更新日期：2020-11-01 00:00:00

abstract：:In the United States, stable health insurance coverage is associated with improved health outcomes. A lack of insurance is associated with premature death from preventable causes. Although primary care clinicians are often in a position to see firsthand the impact that being uninsured has on patients, most ambulatory ...

journal_title：Annals of family medicine

authors： Devoe JE

更新日期：2013-09-01 00:00:00

abstract：PURPOSE:Peer health coaches offer a potential model for extending the capacity of primary care practices to provide self-management support for patients with diabetes. We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for lo...

journal_title：Annals of family medicine

authors： Thom DH,Ghorob A,Hessler D,De Vore D,Chen E,Bodenheimer TA

更新日期：2013-03-01 00:00:00

abstract：PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

journal_title：Annals of family medicine

authors： Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

更新日期：2013-07-01 00:00:00

abstract：PURPOSE:Potentially inappropriate prescribing (PIP) is a common yet preventable medical error among older persons in primary care. It is uncertain whether PIP produces adverse outcomes in this population, however. We conducted a systematic review with meta-analysis to pool the adverse outcomes of PIP specific to primar...

journal_title：Annals of family medicine

authors： Liew TM,Lee CS,Goh Shawn KL,Chang ZY

更新日期：2019-05-01 00:00:00

abstract：PURPOSE:We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS:We created recorded ...

journal_title：Annals of family medicine

authors： Saver BG,Mazor KM,Luckmann R,Cutrona SL,Hayes M,Gorodetsky T,Esparza N,Bacigalupe G

更新日期：2017-01-01 00:00:00

abstract：PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...

journal_title：Annals of family medicine

authors： Heyworth L,Rozenblum R,Burgess JF Jr,Baker E,Meterko M,Prescott D,Neuwirth Z,Simon SR

更新日期：2014-07-01 00:00:00

abstract：PURPOSE:Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care. METHODS:Using telephone survey data from a national sample of 1,479 whites, 1,189 African Americans, and 983 Latinos, we explored patients' beliefs about racism, their prefe...

journal_title：Annals of family medicine

authors： Chen FM,Fryer GE Jr,Phillips RL Jr,Wilson E,Pathman DE

更新日期：2005-03-01 00:00:00

abstract：PURPOSE:Knowledge about the ways patients perceive their vulnerability to disease is important for communication with patients about risk and preventive health measures. This interview study aimed to explore how patients with a diagnosis of heterozygous familial hypercholesterolemia understand and perceive their vulner...

journal_title：Annals of family medicine

authors： Frich JC,Ose L,Malterud K,Fugelli P

更新日期：2006-05-01 00:00:00

abstract：PURPOSE:The distinction between physiologic (innocent) and pathologic (organic) heart murmurs is not always easy in routine practice, leading too often to unnecessary cardiology referrals and expensive investigations. We aimed to test the hypothesis that the complete disappearance of murmur on standing can exclude card...

journal_title：Annals of family medicine

authors： Lefort B,Cheyssac E,Soulé N,Poinsot J,Vaillant MC,Nassimi A,Chantepie A

更新日期：2017-11-01 00:00:00

abstract：:When I began experiencing chest pain that was different from my usual heartburn symptoms, I denied I could possibly be having a heart attack, but chewed 4 baby aspirin just in case. Despite years of community education about the need to call 911 and seek immediate emergency care when experiencing signs and symptoms of...

journal_title：Annals of family medicine

authors： Stausmire JM,Greenbaum MG,Morelli-Greenbaum M

更新日期：2018-01-01 00:00:00

abstract：PURPOSE:Persons with multiple chronic diseases must integrate self-management tasks for potentially interacting conditions to attain desired clinical outcomes. Our goal was to identify barriers to self-management that were associated with lower perceived health status and, secondarily, with lower reported physical func...

journal_title：Annals of family medicine

authors： Bayliss EA,Ellis JL,Steiner JF

更新日期：2007-09-01 00:00:00

abstract：PURPOSE:We wanted to compare 2 screening instruments for problem drinking, the CAGE and a single question, assessing frequency of use, patient and clinician comfort, and patient engagement in change. METHODS:The study was a crossover, cluster-randomized clinical trial with 31 clinicians in Missouri and 13 in the Ameri...

journal_title：Annals of family medicine

authors： Vinson DC,Galliher JM,Reidinger C,Kappus JA

更新日期：2004-09-01 00:00:00

abstract：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...

journal_title：Annals of family medicine

authors： Pluye P,Grad RM,Johnson-Lafleur J,Granikov V,Shulha M,Marlow B,Ricarte IL

更新日期：2013-11-01 00:00:00

abstract：PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...

journal_title：Annals of family medicine

authors： Do BT,Hootman JM,Helmick CG,Brady TJ

更新日期：2011-03-01 00:00:00

abstract：:The exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavi...

journal_title：Annals of family medicine

authors： de Oliveira Vidal EI,Silva Vdos S,Santos MF,Jacinto AF,Boas PJ,Fukushima FB

更新日期：2015-03-01 00:00:00

abstract：:As a family physician, I have become increasingly uncomfortable being associated with the US health care system. While shiny, new buildings go up each day, there is still little movement toward a model that will shore up the crumbling foundation. The current delivery system and financing structures are unsustainable. ...

journal_title：Annals of family medicine

authors： DeVoe J

更新日期：2008-05-01 00:00:00

abstract：:Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this essay, the author shares his recent encounter with a life-threatening disease, emphasizi...

journal_title：Annals of family medicine

authors： Rosenblatt RA

更新日期：2004-03-01 00:00:00

abstract：:POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify PO...

journal_title：Annals of family medicine

authors： Ebell MH,Barry HC,Shaughnessy AF,Slawson DC,Kulkarni N,Speer L

更新日期：2018-09-01 00:00:00

abstract：PURPOSE:Despite the benefits of well-child care visits, up to one-half of these visits are missed. Little is known about why children miss them, so we undertook a qualitative study to elucidate these factors. METHODS:We interviewed 17 caregivers whose children had missed well-child visits and 6 clinicians, focusing on...

journal_title：Annals of family medicine

authors： Wolf ER,O'Neil J,Pecsok J,Etz RS,Opel DJ,Wasserman R,Krist AH

更新日期：2020-01-01 00:00:00

abstract：PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...

journal_title：Annals of family medicine

authors： Khanna N,Gritzer L,Klyushnenkova E,Montgomery R,Dark M,Shah S,Shaya F

更新日期：2019-08-12 00:00:00

abstract：PURPOSE:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...

journal_title：Annals of family medicine

authors： Stevens GD,Shi L,Cooper LA

更新日期：2003-07-01 00:00:00