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07/01/22

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

Bell, Sigall K; Bourgeois, Fabienne; DesRoches, Catherine M; Dong, Joe; Harcourt, Kendall; Liu, Stephen K; Lowe, Elizabeth; McGaffigan, Patricia; Ngo, Long H; Novack, Sandy A; Ralston, James D; Salmi, Liz; Schrandt, Suz; Sheridan, Sue; Sokol-Hessner, Lauge; Thomas, Glenda; Thomas, Eric J. BMJ Qual Saf.

Collection Topics
Communication Culture, Work System, and Implementation Measurement, Monitoring, and Event Analysis Patients and Families as Partners Foundations of Diagnostic Excellence
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Summary

Engaging patients and families in their own care can improve outcomes, safety, and satisfaction. This study brought patients, families, clinicians and experts together to identify patient-reported diagnostic process-related breakdowns. The group identified seven categories, 40 subcategories, 19 contributing factors, and 11 patient-reported impacts. Breakdowns were identified in each step of the diagnostic process. 

The PSNet collection materials were developed with funding under multiple contracts from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

Read the paper
Bell SK, Bourgeois F, DesRoches CM, et al. Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. BMJ Qual Saf. 2022;31(7):526-540.