There and Home Again, Safely.

Book/Report

There and Home Again, Safely.

February 20, 2013

Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association; February 2013.

View more articles from the same authors.

This report proposes five responsibilities for ambulatory care practices to ensure safe care transitions and describes principles to guide staff in performing these tasks.

Free full text (PDF)

Related news article

Related Resources From the Same Author(s)

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

January 4, 2012

Reducing the Risk by Designing a Safer, Shame-free Health Care Environment.

September 26, 2007

Cybersecurity for the Clinician.

October 18, 2023

Physician's Guide to Patient Safety Organizations.

August 4, 2010

AMA Prior Authorization (PA) Physician Survey.

March 15, 2023

Stem the Tide: Addressing the Opioid Epidemic.

November 8, 2017

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

December 8, 2010

Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders.

April 15, 2021 - April 15, 2021

Patient safety leader reflects on ‘To Err is Human’ report

December 11, 2019

A Guide to Patient Safety in the Medical Practice.

February 20, 2008

Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.

September 5, 2007

Eliminating Catheter-Associated Urinary Tract Infections.

July 31, 2013

Building a Culture of Safety in Health Care.

June 28, 2023

Checklists to Improve Patient Safety.

July 17, 2013

Pathways for Patient Safety.

February 11, 2009

Lewis Blackman Patient Safety Award.

February 8, 2023

Antimicrobial Stewardship Toolkit.

July 16, 2014

Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm.

May 25, 2016

Leading a Strategic Planning Effort.

March 6, 2005

Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report.

October 19, 2016

Disclosure: what works now and what can work even better (part 3 of 3).

March 6, 2005

Risk Management Pearls for Medication Safety: Part I and Part II.

February 19, 2014

2015 Patient Safety Core Topics and Tips.

March 27, 2013

Root Cause Analysis Playbook.

February 17, 2016

Patient Safety Risk Management Playbook.

February 10, 2016

The growing role of the Patient Safety Officer: implications for risk managers.

March 6, 2005

Strategies and tips for maximizing failure mode and effect analysis in your organization.

March 27, 2005

Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development.

November 9, 2022

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.

October 8, 2014

TeamSTEPPS Video Toolkit.

July 21, 2021

Risk Management Pearls on Disclosure of Adverse Events.

July 26, 2006

Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being.

April 14, 2021

Optimal Resources for Surgical Quality and Safety.

August 16, 2017

Serious Safety Events: Getting to Zero. Second Edition.

October 17, 2012

Surgical Patient Safety Essential Information for Surgeons in Today's Environment.

August 24, 2005

Leading a Culture of Safety: a Blueprint for Success.

May 24, 2017

Building the Future for Patient Safety.

July 18, 2007

Improving Diagnosis in Medicine Change Package.

November 21, 2018

Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors.

April 8, 2015

Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient.

July 22, 2009

National Report of Findings 2016: Issue Brief No. 2: Patient Safety.

December 14, 2016

The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.

March 27, 2005

Demanding Medical Excellence. Doctors and Accountability in the Information Age.

March 6, 2005

Patient Stories 2013: Time for Change.

December 11, 2013

The Color of Care.

May 11, 2022

Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.

October 26, 2016

Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.

July 1, 2015

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

May 4, 2011

Americans' Experiences With Medical Errors and Views on Patient Safety.

October 11, 2017

Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).

March 27, 2005

Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving Satisfaction.

June 18, 2008

Five Steps to Safer Health Care.

March 27, 2005

NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.

November 24, 2021

505: Use only as directed.

October 9, 2013

The Patient Safety Leadership WalkRounds Guide.

November 19, 2008

A Tale of Two Stories: Contrasting Views of Patient Safety.

March 27, 2005

Eliminating Harm, Improving Patient Care: A Trustee Guide. 2018 Update.

September 9, 2015

Achieving Safe and Reliable Healthcare: Strategies and Solutions.

March 6, 2005

Enhancing Patient Safety and Reducing Errors in Health Care.

March 6, 2005

CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas.

April 28, 2021

The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety.

October 18, 2017

Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.

June 23, 2010

July 2011 Author in the Room Teleconference.

January 30, 2005

American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

August 16, 2023

Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections.

November 6, 2013

Better Health for Mothers and Babies.

May 29, 2019

SAFER Guides: What You Need to Know.

November 19, 2014

Looking Collectively at Risk.

March 6, 2005

The Guide for Hospital and Health System Leaders for Diagnostic Quality and Safety.

September 16, 2020

Patient and Family Advisory Council Leader's Guide for Diagnostic Quality and Safety.

September 9, 2020

Graduate Programs in Healthcare Quality and Patient Safety.

May 24, 2006

Council on Surgical and Perioperative Safety.

March 25, 2009

Things You Should Know Before Entering the Hospital.

November 2, 2005

Forgive and Remember: Managing Medical Failure. 2nd ed.

March 6, 2005

Patient Safety.

October 29, 2008

ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative.

November 18, 2020

Eliminating Dangerous Abbreviations, Acronyms and Symbols.

July 6, 2005

Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit.

November 14, 2018

Patient safety: it takes a team.

February 19, 2014

ANA CAUTI Prevention Tool.

April 8, 2015

Investigation: dangers of medical recovery rooms.

February 20, 2013

The Essential Guide for Patient Safety Officers, Second Edition.

September 22, 2010

Center for Patient Safety.

July 13, 2005

Consumers Advancing Patient Safety.

March 6, 2005

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Addressing nurse fatigue to promote safety and health: joint responsibilities of registered nurses and employers to reduce risks.

September 14, 2016

American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

June 12, 2019

Afraid to speak up to medical power.

February 27, 2013

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.

November 13, 2013

Lessons in Patient Safety.

August 24, 2005

Medication Errors. 2nd ed.

November 1, 2006

Computerized medication order errors studied.

May 5, 2010

Disrespectful behavior in healthcare...have we made any progress in the last decade?

July 17, 2013

Why even radiologists can miss a gorilla hiding in plain sight.

February 20, 2013

Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.

February 6, 2013

Evidence-based Recommendations for Best Practices in Weight Loss Surgery.

March 27, 2005

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.

October 31, 2012

Creating a culture of accountability promotes safe medical care.

November 21, 2018

2005 Quest for Quality Prize.

October 5, 2005

Safe Handover: Safe Patients.

January 24, 2007

Related Resources

Adverse Health Events in Minnesota: Annual Reports.

September 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Interview

In conversation with Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS

December 14, 2022

Perspective

Resilient Healthcare and the Safety-I and Safety-II Frameworks

December 14, 2022

Guiding Principles to Achieve Continuity in Medication Management.

December 1, 2022

Advancing Anticoagulation Stewardship: A Playbook.

September 7, 2022

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.

May 20, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

Managing the risks of direct oral anticoagulants.

August 7, 2019

Independent double checks: worth the effort if used judiciously and properly.

June 19, 2019

A mismatch made in America.

June 19, 2019

Reducing avoidable medication-related harm: what will it take?

May 8, 2019

Advancing the Safety of Acute Pain Management.

March 27, 2019

A Crisis in Health Care: A Call to Action on Physician Burnout.

January 30, 2019

Examining medical office owners and clinicians perceptions on patient safety climate.

November 7, 2018

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.

November 7, 2018

ASHP guidelines on managing drug product shortages.

August 15, 2018

Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.

July 18, 2018

Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns.

April 4, 2018

Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.

January 10, 2018

Patient Safety in the Office-Based Practice Setting.

November 15, 2017

RxAwareness.

October 25, 2017

The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety.

October 18, 2017

Americans' Experiences With Medical Errors and Views on Patient Safety.

October 11, 2017

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.

October 4, 2017

Physician Burnout.

August 2, 2017

Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.

July 19, 2017

Improving care teams' functioning: recommendations from team science.

June 14, 2017

See More About The Topic

Ambulatory Care

Health Care Providers

Facility and Group Administrators

Medicine

Discontinuities, Gaps, and Hand-Off Problems