PT - JOURNAL ARTICLE AU - Alden Yuanhong Lai AU - Christina T. Yuan AU - Jill A. Marsteller AU - Susan M. Hannum AU - Elyse C. Lasser AU - JaAlah-Ai Heughan AU - Tyler Oberlander AU - Zackary D. Berger AU - Ayse P. Gurses AU - Hadi Kharrazi AU - Samantha I. Pitts AU - Sarah H. Scholle AU - Sydney M. Dy TI - Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients AID - 10.3122/jabfm.2020.05.200042 DP - 2020 Sep 01 TA - The Journal of the American Board of Family Medicine PG - 754--764 VI - 33 IP - 5 4099 - http://www.jabfm.org/content/33/5/754.short 4100 - http://www.jabfm.org/content/33/5/754.full SO - J Am Board Fam Med2020 Sep 01; 33 AB - Introduction: Patient safety in primary care is an emerging priority, and experts have highlighted medications, diagnoses, transitions, referrals, and testing as key safety domains. This study aimed to (1) describe how frontline clinicians, administrators, and staff conceptualize patient safety in primary care; and (2) compare and contrast these conceptual meanings from the patient's perspective.Methods: We conducted interviews with 101 frontline clinicians, administrators and staff, and focus groups with 65 adult patients at 10 patient-centered medical homes. We used thematic analysis to approach coding.Results: Findings indicate that frontline personnel conceptualized patient safety more in terms of work functions, which reflect the grouping of tasks or responsibilities to guide how care is being delivered. Frontline personnel and patients conceptualized patient safety in largely consistent ways.Discussion: Function-based conceptualizations of patient safety in primary care may better reflect frontline personnel and patients' experiences than domain-based conceptualizations, which are favored by experts.