AHRQ Patient Safety Network

The Collection > Ambulatory Care

PATIENT SAFETY PRIMERS
Patient Safety in Ambulatory Care

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (69)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (132)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (375)

•Medical Complications (49)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (25)

•Transfusion Complications (2)

•Psychological and Social Complications (21)

Origin/Sponsor

•Asia (11)

•Australia and New Zealand (20)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (548)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (60)

•Press Release/Announcement (10)

•Special or Theme Issue (8)

•Tools/Toolkit (21)

•Web Resource (16)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (209)

•Active Errors (154)

•Latent Errors (54)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (178)

•Legal and Policy Approaches (79)

•Error Reporting and Analysis (186)

•Communication Improvement (242)

•Human Factors Engineering (70)

•Teamwork (33)

•Specialization of Care (24)

•Logistical Approaches (50)

•Culture of Safety (71)

•Technologic Approaches (190)

•Education and Training (117)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (584)

•Health Care Executives and Administrators (427)

•Non-Health Care Professionals (250)

•Patients (75)

Setting of Care
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Ambulatory Care

•Home Care (71)

•Ambulatory Clinic or Office (288)

•Outpatient Pharmacy (105)

1 - 20 of 747

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STUDY

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

BOOK/REPORT classic

Research in Ambulatory Patient Safety 2000–2010: A 10-Year Review.

Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.

REVIEW

Failure to follow-up test results for ambulatory patients: a systematic review.

Callen JL, Westbrook JI, Georgiou A, Li J. J Gen Intern Med. 2012;27:1334-1348.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Errors associated with outpatient computerized prescribing systems.

Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.

STUDY

Adverse drug events in U.S. adult ambulatory medical care.

Sarkar U, López A, Maselli JH, Gonzales R. Health Serv Res. 2011;46:1517-1533.

REVIEW

The benefits of health information technology: a review of the recent literature shows predominantly positive results.

Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. Health Aff (Millwood). 2011;30:464-471.

STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

Contextual errors and failures in individualizing patient care: a multicenter study.

Weiner SJ, Schwartz A, Weaver F, et al. Ann Intern Med. 2010;153:69-75.

STUDY

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

Singh H, Thomas EJ, Sittig DF, et al. Am J Med. 2010;123:238-244.

STUDY

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

Singh H, Thomas EJ, Mani S, et al. Arch Intern Med. 2009;169:1578-1586.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

STUDY

Medical error disclosure among pediatricians: choosing carefully what we might say to parents.

Loren DJ, Klein EJ, Garbutt J, et al. Arch Pediatr Adolesc Med. 2008;162:922-927.

STUDY

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

BOOK/REPORT classic

Advances in Patient Safety: New Directions and Alternative Approaches.

Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).

STUDY

Electronic health records in ambulatory care—a national survey of physicians.

DesRoches CM, Campbell EG, Rao SR, et al. N Engl J Med. 2008;359:50-60.

STUDY

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.

Matheny ME, Sequist TD, Seger AC, et al. J Am Med Inform Assoc. 2008;15:424-429.

REVIEW

Interruptions and distractions in healthcare: review and reappraisal.

Rivera-Rodriguez AJ, Karsh BT. Qual Saf Health Care. 2010;19:304-312.

STUDY

What do medical records tell us about potentially harmful co-prescribing?

Elston Lafata J, Simpkins J, Kaatz S, et al. Jt Comm J Qual Patient Saf. 2007;33:395-400.

REVIEW

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

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