UPM Institutional Repository

Reducing medical errors in primary care using a pragmatic complex intervention


Citation

Ee, Ming Khoo and Sararaks, Sondi and Wai, Khew Lee and Su, May Liew and Cheong, Ai Theng and Abdul Samad, Azah and Maskon, Kalsom and A. Hamid, Maimunah (2015) Reducing medical errors in primary care using a pragmatic complex intervention. Asia-Pacific Journal of Public Health, 27 (6). pp. 670-677. ISSN 1010-5395; ESSN: 1941-2479

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.


Download File

[img]
Preview
Text (Abstract)
Reducing medical errors in primary care using a pragmatic complex intervention.pdf

Download (5kB) | Preview

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1177/1010539514564007
Publisher: Sage Publications
Keywords: Diagnostic errors; Medical errors; Medication errors; Nurse practitioners; Primary health care
Depositing User: Nida Hidayati Ghazali
Date Deposited: 07 May 2018 01:16
Last Modified: 07 May 2018 01:16
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1177/1010539514564007
URI: http://psasir.upm.edu.my/id/eprint/46107
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item