The focus on patient safety in the ambulatory setting was impacted by the COVID-19 pandemic and appropriately shifting priorities to responding to the pandemic. This piece explores some of the core themes of patient safety in the ambulatory setting, including diagnostic safety and diagnostic errors. Ways to enhance patient safety in the ambulatory care setting and next steps in ambulatory care safety are addressed.
Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186.
A 52-year-old man complaining of intermittent left shoulder pain for several years was diagnosed with a rotator cuff injury and underwent left shoulder surgery. The patient received a routine follow-up X-ray four months later.
Cleghorn E. New York, NY: Dutton; 2021. ISBN: 9780593182956.
Medscape Medical News. May 12, 2021.
Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.
After a breast mass was identified by a physician assistant during a routine visit, a 60-year-old woman received a diagnostic mammogram and ultrasound. The radiology assessment was challenging due to dense breast tissue and ultimately interpreted as “probably benign” findings. When the patient returned for follow-up 5 months later, the mass had increased in size and she was referred for a biopsy.
Nothaft W, Moore G, Le Cam Y. Stat News. August 27, 2020.
Harvey-Jenner C. Cosmopolitan. August 27, 2020.
Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.