| Near Miss Event | Number of Near Miss Events (% of Reports, by Site) | |||||||
|---|---|---|---|---|---|---|---|---|
| All Practices (n=632) | Practice A (n=43) | Practice B (n=177) | Practice C (n=80) | Practice D (n=139) | Practice E (n=69) | Practice F (n=43) | Practice G (n=81) | |
| Office Process Problem | ||||||||
| Filinga | 160 (25.3) | 7 (16.3) | 72 (40.7) | 25 (31.3) | 18 (13.0) | 7 (10.1) | 15 (34.9) | 16 (19.8) |
| Chart dataa | 95 (15.0) | 6 (14.0) | 20 (11.3) | 12 (15.0) | 14 (10.1) | 10 (14.5) | 4 (9.3) | 29 (35.8) |
| Patient flow | 14 (2.2) | 1 (2.3) | 2 (1.1) | 3 (3.8) | 5 (3.6) | 1 (1.5) | 1 (2.3) | 1 (1.2) |
| Appointment or referral | 30 (4.8) | 1 (2.3) | 4 (2.3) | 3 (3.8) | 14 (10.1) | 7 (10.1) | 1 (2.3) | — |
| Equipment or Building Problem | ||||||||
| Equipment and physical building/surroundings/practice site | 8 (1.3) | — | 2 (1.1) | 1 (1.3) | 3 (2.2) | 2 (2.9) | — | — |
| Other specific problems with computer | 8 (1.3) | — | 1 (0.6) | — | 4 (2.9) | 3 (4.4) | — | — |
| Investigations | ||||||||
| Ordering investigations | 39 (6.2) | 8 (18.6) | 6 (3.4) | 5 (6.3) | 4 (2.9) | 8 (11.6) | 5 (11.6) | 3 (3.7) |
| Implementing investigations | 45 (7.1) | 2 (4.7) | 9 (5.1) | 14 (17.5) | 13 (9.4) | 4 (5.8) | — | 3 (3.7) |
| Reporting investigations | 77 (12.2) | 1 (2.3) | 16 (9.0) | 4 (5.0) | 12 (8.6) | 8 (11.6) | 12 (27.9) | 24 (29.6) |
| Medications or Other Treatments | ||||||||
| Ordering medications or treatmentsa | 55 (8.7) | 8 (18.6) | 22 (12.4) | — | 18 (13.0) | 2 (2.9) | 3 (7.0) | 2 (2.5) |
| Dispensing medications or implementing treatments | 36 (5.7) | 4 (9.3) | 14 (7.9) | 1 (1.3) | 11 (7.9) | 6 (8.7) | — | — |
| Communication | ||||||||
| Communication with patients | 30 (4.8) | 1 (2.3) | 6 (3.4) | 8 (10.0) | 8 (5.8) | 5 (7.3) | 2 (4.7) | — |
| Communication with other healthcare providers sharing patient carea | 23 (3.6) | 3 (7.0) | 2 (1.1) | 2 (2.5) | 10 (7.2) | 3 (4.4) | — | 3 (3.7) |
| Clinical Knowledge or Performance | ||||||||
| Failure to follow standard or recommended practice | 12 (1.9) | 1 (2.3) | 1 (0.6) | 2 (2.5) | 5 (3.6) | 3 (4.4) | — | — |
↵a Across all practices, 21.9% (filing), 28.4% (chart data), 40.0% (ordering medications or treatments), and 4.3% (communication with other healthcare providers sharing patient care) of these near misses were secondarily attributable to an EMR-related problem.