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Qualitative Health Research
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Making the Case for a Qualitative Study of Medical Errors in Primary Care

Anton J. Kuzel, M.D., M.H.P.E.

Department of Family Practice, Virginia Commonwealth University, Richmond, Virginia.

Steven H. Woolf, M.D., M.P.H.

Department of Family Practice, Virginia Commonwealth University, Richmond, Virginia.

John D. Engel, Ph.D.

Northeastern Ohio University College of Medicine, Rootstown, Ohio.

Valerie J. Gilchrist, M.D

Department of Family Medicine, Northeastern Ohio University College of Medicine, Rootstown, Ohio.

Richard M. Frankel, Ph.D.

Regenstreif Institute, Indiana University School of Medicine, Richard L. Roudebush, Veterans Administration Medical Center, Indianapolis, Indiana.

Thomas A. LaVeist, Ph.D.

Johns Hopkins University, Baltimore, Maryland.

Charles Vincent, Ph.D.

Imperial College of Science, Technology, and Medicine, St. Mary's Hospital, London, England.

In the interest of publicizing examples of funded qualitative health research, the authors share a proposal to the Agency for Healthcare Research and Quality in Washington, D.C., in which they sought to elicit patient stories of preventable problems in their primary health care that were associated with psychological or physical harms. These stories would allow for the construction of a tentative typology of errors and harms as experienced by patients and the contrasting of this with errors and harms reported by primary care physicians in the United States and other countries. The authors make explicit the anticipated concerns of reviewers more accustomed to quantitative research proposals and the arguments and strategies employed to address them.

Key Words: qualitative methods • medical error • patient perspectives • patient harms

Qualitative Health Research, Vol. 13, No. 6, 743-780 (2003)
DOI: 10.1177/1049732303013006002


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