Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).

From the Department of Public Health Policy and Management, New York University School of Global Public Health, New York City (AYL); Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore (CTY, JAM, ECL, J-AH, APG, HK, SMD); Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG, SIP, SMD); Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore (CTY, JAM, APG); Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore (SMH, ZDB); National Committee for Quality Assurance, Washington DC (TO, SHS); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore (ZDB, SIP, SMD); Division of Health Sciences Informatics, Johns Hopkins School of Medicine, Baltimore (APG, HK).