Reducing medical errors in primary care using a pragmatic complex intervention
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 me...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sage Publications
2015
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| Online Access: | http://psasir.upm.edu.my/id/eprint/46107/ http://psasir.upm.edu.my/id/eprint/46107/1/Reducing%20medical%20errors%20in%20primary%20care%20using%20a%20pragmatic%20complex%20intervention.pdf |
| _version_ | 1848850596184981504 |
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| author | Ee, Ming Khoo Sararaks, Sondi Wai, Khew Lee Su, May Liew Cheong, Ai Theng Abdul Samad, Azah Maskon, Kalsom A. Hamid, Maimunah |
| author_facet | Ee, Ming Khoo Sararaks, Sondi Wai, Khew Lee Su, May Liew Cheong, Ai Theng Abdul Samad, Azah Maskon, Kalsom A. Hamid, Maimunah |
| author_sort | Ee, Ming Khoo |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T10:08:48Z |
| format | Article |
| id | upm-46107 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T10:08:48Z |
| publishDate | 2015 |
| publisher | Sage Publications |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-461072018-05-07T01:16:11Z http://psasir.upm.edu.my/id/eprint/46107/ Reducing medical errors in primary care using a pragmatic complex intervention Ee, Ming Khoo Sararaks, Sondi Wai, Khew Lee Su, May Liew Cheong, Ai Theng Abdul Samad, Azah Maskon, Kalsom A. Hamid, Maimunah 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. Sage Publications 2015-09 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46107/1/Reducing%20medical%20errors%20in%20primary%20care%20using%20a%20pragmatic%20complex%20intervention.pdf 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 10.1177/1010539514564007 |
| spellingShingle | Ee, Ming Khoo Sararaks, Sondi Wai, Khew Lee Su, May Liew Cheong, Ai Theng Abdul Samad, Azah Maskon, Kalsom A. Hamid, Maimunah Reducing medical errors in primary care using a pragmatic complex intervention |
| title | Reducing medical errors in primary care using a pragmatic complex intervention |
| title_full | Reducing medical errors in primary care using a pragmatic complex intervention |
| title_fullStr | Reducing medical errors in primary care using a pragmatic complex intervention |
| title_full_unstemmed | Reducing medical errors in primary care using a pragmatic complex intervention |
| title_short | Reducing medical errors in primary care using a pragmatic complex intervention |
| title_sort | reducing medical errors in primary care using a pragmatic complex intervention |
| url | http://psasir.upm.edu.my/id/eprint/46107/ http://psasir.upm.edu.my/id/eprint/46107/ http://psasir.upm.edu.my/id/eprint/46107/1/Reducing%20medical%20errors%20in%20primary%20care%20using%20a%20pragmatic%20complex%20intervention.pdf |