Summary of the Emergent Themes from the Interviews of Primary Care Providers
| Theme | Categories and Examples of Corresponding Codes |
|---|---|
| Typology of errors of omission | Patient teaching |
| Health maintenance | |
| Medication education | |
| Review of tests and diagnostics with patient | |
| Diet education | |
| Healthy lifestyle education | |
| Physical activity recommendations | |
| Weight management | |
| Preprocedural education | |
| Patient Followup | |
| Followup about test results | |
| Followup about referrals | |
| Followup on provider recommendations | |
| Emotional support | |
| Family and caregiver support | |
| Review of patient coping mechanisms | |
| Social wellbeing | |
| Mental health needs | |
| Depression screening | |
| “Mental health not part of primary care” | |
| Factors leading to omissions | Time Constraints |
| Overbooking of appointments | |
| Time spent on documentation | |
| Increased complexity of patient visits | |
| Time spent on phone with insurance companies to gain approvals for diagnostic testing | |
| Unplanned patient visits and emergencies | |
| Urgent change in patient medical status | |
| Unstable patient | |
| Patient volume | |
| Unexpected patient emergencies | |
| Open scheduling | |
| Administrative burden | |
| Lack of support staff | |
| Influx of telephone messages to answer | |
| Omission safeguards | Organizational support and infrastructure |
| Designated time allotted for administrative work (eg, answering patient phone calls; paperwork) | |
| Enough patient care resources (eg, exam rooms; support staff) | |
| Adequate staffing | |
| Effective teamwork and communication | |
| Effective team communication | |
| Respect for team members | |
| Preparation for the patient encounter | |
| Easy access to patient history and plan of care | |
| Review of patient care documentation |