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November/December 2011 Annals of Family Medicine Tip Sheet

eports as opportunities for improvement from which people can gain a better understanding of why, when and how medical errors occur so they can be avoided and managed.

Complaints Against Family Physicians Submitted to Disciplinary Tribunals in the Netherlands: Lessons for Patient Safety

Sander Gaal, MD, et al

Radboud University, the Netherlands

When Lightning Strikes

By Richard G. Roberts, MD, JD

University of Wisconsin, Madison

Medical Home Transformation Brings Modest Improvements in Quality and Patient Satisfaction

As the U.S. health care system moves rapidly to encourage the transformation of traditional primary care practices into patient-centered medical homes, researchers find reasons for avoiding unrealistic expectations about the rate of improvement in health or patient experience that will result. Describing trends in quality and patient satisfaction in 21 Minnesota primary care clinics as they worked toward level III recognition as medical homes by the National Committee for Quality Assurance, researchers find a 1 percent to 3 percent increase per year in patient satisfaction and a 1 percent to 4 percent increase per year in performance on quality measures. When compared with the average for other medical groups in the region, the rates of increase were greater for satisfaction, but similar for quality measures. They conclude that national policy makers' expectations for large and rapid change are probably unrealistic.

Trends in Quality During Medical Home Transformation

By Leif I. Solberg, MD, et al

HealthPartners Research Foundation, Minneapolis, Minn.

E-Health Tools Produce Mixed Results in Improving Adherence to Cholesterol Guidelines

A multimodal approach to improving guideline implementation for cholesterol screening and management in primary care using a PDA-based physician decision support tool and patient activation kiosks in waiting rooms showed no benefit in an inte

Contact: Angela Sharma
American Academy of Family Physicians

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