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What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

Sharma AE, Yang J, Del Rosario JB, et al for the Stakeholder Research Advisory C. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patient Saf.  Epub 2020 Sept 28. doi: 10.1016/j.jcjq.2020.08.010

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October 21, 2020
Sharma AE, Yang J, Del Rosario JB, et al. Jt Comm J Qual Patient Saf. 2021;47(1):5-14.

Ambulatory care settings are receiving increased attention as a focus for patient safety improvements. Using data from a multistate patient safety organization (PSO) database, the researchers sought to characterize patterns and characteristics of patient safety incidents reported in ambulatory care settings. Analyses found that 5.9% of events resulted in severe harm and 1.9% resulted in patient death. Over half of the events were from outpatient subspecialty care; fewer events occurred in home/community (5.2%), primary care (2.1%), or dialysis (2.0%) settings. Medication-related events were most common, followed by clinical deterioration and falls. Predictors of higher harm included diagnostic errors, patient/caregiver challenges, and events occurring in home/community or psychiatric settings. These results can help ambulatory care settings target safety events and develop systems-level prevention strategies.  

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Sharma AE, Yang J, Del Rosario JB, et al for the Stakeholder Research Advisory C. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patient Saf.  Epub 2020 Sept 28. doi: 10.1016/j.jcjq.2020.08.010