{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T10:25:41Z","timestamp":1793787941543,"version":"4.6.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Western Galilee Academic College"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Risk &amp; Safety in Medicine"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary care accounts for more than half of all adverse events leading to patient harm. Unique patient safety and risk management (PSRM) units have been operating in health maintenance organizations (HMOs) in Israel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore healthcare providers\u2019 perspectives regarding the tasks, accomplishments, and recommendations concerning these PSRM units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In-depth qualitative interviews were conducted with 40 healthcare community providers: 10 family physicians, 10 specialist physicians, 10 nurses, and 10 pharmacists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Interviewees identified two of the unit\u2019s main benefits and roles: learning from adverse events and providing backing in litigation cases. They emphasized four of the unit\u2019s accomplishments: sharing lessons learned from adverse event reports; addressing inquiries regarding clinic practice; instructing physicians on how to improve the accuracy of medical record documentation; and providing a user-friendly reporting procedure. They proposed several practices for promoting the reporting of adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study suggests that embedded PSRM units promote the principles of Just Culture and encourage the reporting and discussion of adverse events. It outlines recommendations for practice and policy to support the optimization of PSRM units in primary care. The Israeli PSRM unit may offer an internationally relevant model for strengthening patient safety culture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09246479261477229","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:44:26Z","timestamp":1786628666000},"page":"529-542","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient safety and risk management units in primary care: A qualitative study of healthcare providers\u2019 perspectives"],"prefix":"10.1177","volume":"37","author":[{"given":"Ariela","family":"Popper-Giveon","sequence":"first","affiliation":[{"name":"David Yellin Academic College of Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Keshet","sequence":"additional","affiliation":[{"name":"Western Galilee Academic College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Adar","sequence":"additional","affiliation":[{"name":"Clalit Health Services HMO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"Patient safety [internet]","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. Patient safety [internet]. World Health Organization, 2019. https:\/\/www.who.int\/news-room\/facts-in-pictures\/detail\/patient-safety"},{"key":"e_1_3_6_3_2","volume-title":"The economics of patient safety in primary and ambulatory care: flying blind","author":"Auraaen A","year":"2018","unstructured":"Auraaen A, Slawomirski L, Klazinga N. The economics of patient safety in primary and ambulatory care: flying blind. OECD Publishing, 2018. https:\/\/doi.org\/10.1787\/baf425ad-en. OECD Health Working Papers."},{"key":"e_1_3_6_4_2","volume-title":"Global patient safety action plan 2021\u20132030: towards eliminating avoidable harm in health care","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. Global patient safety action plan 2021\u20132030: towards eliminating avoidable harm in health care. World Health Organization, 2021. https:\/\/www.who.int\/teams\/integrated-health-services\/patient-safety\/policy\/global-patient-safety-action-plan"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781315251271"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000001349"},{"key":"e_1_3_6_7_2","volume-title":"Patient safety incident response framework","author":"NHS England","year":"2025","unstructured":"NHS England. Patient safety incident response framework. NHS England, 2025. https:\/\/www.england.nhs.uk\/patient-safety\/patient-safety-insight\/incident-response-framework\/"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02476-4"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12111086"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03973-2"},{"issue":"4","key":"e_1_3_6_11_2","first-page":"76","article-title":"One organisation\u2019s experience of implementing the patient safety incident response framework for pressure ulcers","volume":"20","author":"Nichols E","year":"2024","unstructured":"Nichols E. One organisation\u2019s experience of implementing the patient safety incident response framework for pressure ulcers. Wounds 2024; 20(4): 76.","journal-title":"Wounds"},{"key":"e_1_3_6_12_2","volume-title":"Department of care safety and risk management in the health insurance fund: structure and functions. Circular no. 48\/2013","author":"Ministry of Health","year":"2013","unstructured":"Ministry of Health. Department of care safety and risk management in the health insurance fund: structure and functions. Circular no. 48\/2013. Ministry of Health, 2013. Hebrew. https:\/\/www.gov.il\/he\/pages\/mr48-2013"},{"key":"e_1_3_6_13_2","volume-title":"Medical risk management and patient safety: from theory to practice","author":"Niv Y","year":"2025","unstructured":"Niv Y, Tal Y. Medical risk management and patient safety: from theory to practice. Magnes Press, 2025. Hebrew."},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.10.023"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/01419870.2017.1281987"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fgene.2025.1472655"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1201\/9781003531562"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2016.01.018"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/09246479251372328"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/20514158251344467"}],"container-title":["International Journal of Risk &amp; Safety in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09246479261477229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09246479261477229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09246479261477229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T09:37:53Z","timestamp":1793785073000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09246479261477229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/09246479261477229"],"URL":"https:\/\/doi.org\/10.1177\/09246479261477229","relation":{"has-review":[{"id-type":"doi","id":"10.1177\/09246479261477229\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v3\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/09246479261477229\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0924-6479","1878-6847"],"issn-type":[{"value":"0924-6479","type":"print"},{"value":"1878-6847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]}}}