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 (6)

•Diagnostic Errors (35)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (80)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (146)

•Medical Complications (24)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (10)

•Transfusion Complications (2)

•Psychological and Social Complications (15)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (12)

Resource Types

•Clinical Guideline (1)

•Journal Article (224)

•Legislation/Regulation (8)

•Meeting/Conference (6)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (5)

•Special or Theme Issue (7)

•Tools/Toolkit (12)

•Web Resource (9)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (82)

•Active Errors (61)

•Latent Errors (24)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (96)

•Legal and Policy Approaches (37)

•Error Reporting and Analysis (103)

•Communication Improvement (119)

•Human Factors Engineering (29)

•Teamwork (17)

•Specialization of Care (17)

•Logistical Approaches (16)

•Culture of Safety (40)

•Technologic Approaches (83)

•Education and Training (57)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (280)

•Health Care Executives and Administrators (223)

•Non-Health Care Professionals (117)

•Patients (26)

Setting of Care
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Ambulatory Care

•Home Care (18)

•Ambulatory Clinic or Office (86)

•Outpatient Pharmacy (14)

1 - 20 of 338

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BOOK/REPORT classic

Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2001. AHRQ Publication No. 01-E058.

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).

BOOK/REPORT classic

Advances in Patient Safety: From Research to Implementation.

Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).

COMMENTARY

A leadership framework for culture change in health care.

Rose JS, Thomas CS, Tersigni A, Sexton JB, Pryor D. Jt Comm J Qual Patient Saf. 2006;32:433-442.

MULTI-USE WEBSITE

AHRQ Quality Indicators.

Agency for Healthcare Research and Quality.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

COMMENTARY

Understanding medication safety in healthcare settings: a critical review of conceptual models.

Liu W, Manias E, Gerdtz M. Nurs Inq. 2011;18:290-302.

CLINICAL GUIDELINE

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.

Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Ann Intern Med. 2010;153:815-825.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

BOOK/REPORT

Review of Patient Safety for Children and Young People.

London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.

STUDY

Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version.

Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. J Gen Intern Med. 2007;22:1-5.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

PRESS RELEASE/ANNOUNCEMENT

Patient safety: healthcare acquired conditions and serious reportable events.

Washington, DC: National Quality Forum; September 2009.

STUDY

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).

Elder NC, Graham D, Brandt E, Hickner J. J Am Board Fam Med. 2007;20:115-123.

BOOK/REPORT

Improving Communication During Transitions of Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

SPECIAL OR THEME ISSUE

Clinical Handover: Critical Communications.

Med J Aust. 2009;190:S105-S160.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

STUDY

The costs associated with adverse drug events among older adults in the ambulatory setting.

Field TS, Gilman BH, Subramanian S, Fuller JC, Bates DW, Gurwitz JH. Med Care. 2005;43:1171-1176.

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

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