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 (11)

•Diagnostic Errors (48)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (91)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (282)

•Medical Complications (31)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (17)

•Transfusion Complications (2)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (11)

Resource Types

•Clinical Guideline (1)

•Journal Article (345)

•Legislation/Regulation (9)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (41)

•Press Release/Announcement (4)

•Special or Theme Issue (6)

•Tools/Toolkit (10)

•Web Resource (10)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (185)

•Active Errors (93)

•Latent Errors (27)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (112)

•Legal and Policy Approaches (49)

•Error Reporting and Analysis (135)

•Communication Improvement (156)

•Human Factors Engineering (38)

•Teamwork (12)

•Specialization of Care (16)

•Logistical Approaches (33)

•Culture of Safety (34)

•Technologic Approaches (135)

•Education and Training (63)

Clinical Areas

•Allied Health Services (6)

•Medicine (305)

•Nursing (18)

•Pharmacy (125)

Target Audience

•Health Care Providers (375)

•Health Care Executives and Administrators (271)

•Non-Health Care Professionals (151)

•Patients (46)

Setting of Care
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Ambulatory Care

•Home Care (33)

•Ambulatory Clinic or Office (127)

•Outpatient Pharmacy (60)

1 - 20 of 479

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STUDY

Diagnostic inaccuracy of smartphone applications for melanoma detection.

Wolf JA, Moreau J, Akilov O, et al. JAMA Dermatol. 2013 Jan 16; [Epub ahead of print].

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

STUDY

Adverse drug events in ambulatory care.

Gandhi TK, Weingart SN, Borus J, et al. N Engl J Med. 2003;348:1556-1564.

STUDY

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Patient safety and telephone medicine: some lessons from closed claim case review.

Katz HP, Kaltsounis D, Halloran L, Mondor M. J Gen Intern Med. 2008;23:517-522.

STUDY

Risk of unintentional overdose with non-prescription acetaminophen products.

Wolf MS, King J, Jacobson K, et al. J Gen Intern Med. 2012;27:1587-1593.

STUDY

Patient perceptions of mistakes in ambulatory care.

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

STUDY

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

Woods DM, Thomas EJ, Holl JL, Weiss KB, Brennan TA. Qual Saf Health Care. 2007;16:127-131.

STUDY

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

Zhan C, Smith SR, Keyes MA, Hicks RW, Cousins DD, Clancy CM. Jt Comm J Qual Patient Saf. 2008;34:36-45.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2013;28:184-192.

STUDY

Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate.

Durani P, Dias J, Singh HP, Taub N. BMJ Qual Saf. 2013;22:65-71.

COMMENTARY

Improving care transitions: current practice and future opportunities for pharmacists.

American College of Clinical Pharmacy, Hume AL, Kirwin J, et al. Pharmacotherapy. 2012;32:e326-e337.

STUDY

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Fam Pract. 2013;30:56-63.

STUDY

Risk factors in preventable adverse drug events in pediatric outpatients.

Zandieh SO, Goldmann DA, Keohane CA, Yoon C, Bates DW, Kaushal R. J Pediatr. 2008;152:225-231.

NEWSPAPER/MAGAZINE ARTICLE

Medical malpractice: why is it so hard for doctors to apologize?

Sanghavi D. Boston Globe Magazine. January 27, 2013.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:498-499.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

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