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 (10)

•Diagnostic Errors (46)

•Identification Errors (12)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (288)

•Medical Complications (39)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (20)

•Transfusion Complications (1)

•Psychological and Social Complications (13)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (13)

Resource Types

•Clinical Guideline (1)

•Journal Article (422)

•Legislation/Regulation (8)

•Meeting/Conference (5)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (37)

•Press Release/Announcement (5)

•Special or Theme Issue (6)

•Tools/Toolkit (9)

•Web Resource (12)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (195)

•Active Errors (99)

•Latent Errors (29)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (123)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (149)

•Communication Improvement (175)

•Human Factors Engineering (48)

•Teamwork (22)

•Specialization of Care (19)

•Logistical Approaches (36)

•Culture of Safety (43)

•Technologic Approaches (162)

•Education and Training (78)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (455)

•Health Care Executives and Administrators (348)

•Non-Health Care Professionals (195)

•Patients (33)

Setting of Care
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Ambulatory Care

•Home Care (36)

•Ambulatory Clinic or Office (196)

•Outpatient Pharmacy (51)

1 - 20 of 548

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STUDY

Patient-specific electronic decision support reduces prescription of excessive doses.

Seidling HM, Schmitt SPW, Bruckner T, et al. Qual Saf Health Care. 2010;19:e15.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

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

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

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

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-968.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

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

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

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

Electronic prescribing improves medication safety in community-based office practices.

Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. J Gen Intern Med. 2010;25:530-536.

STUDY

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

Dainty KN, Adhikari NK, Kiss A, Quan S, Zwarenstein M. J Eval Clin Pract. 2012;18:761-767.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

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

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

STUDY

Medication discrepancies in integrated electronic health records.

Linsky A, Simon SR. BMJ Qual Saf. 2013;22:103-109.

STUDY

Exploring situational awareness in diagnostic errors in primary care.

Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.

NEWSPAPER/MAGAZINE ARTICLE

Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.

ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.

STUDY

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.

STUDY

Adherence to black box warnings for prescription medications in outpatients.

Lasser KE, Seger DL, Yu DT, et al. Arch Intern Med. 2006;166:338-344.

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