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Search results for "Ambulatory Care"
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.
Falls are a major source of preventable morbidity and mortality for elderly patients in both the ambulatory care and hospital setting. However, efforts to prevent falls have been limited by a lack of high quality evidence supporting specific prevention strategies. This AHRQ-funded systematic review identified several focused interventions, including physical therapy, exercise, and vitamin D supplementation, that appeared to reduce the risk of falls in outpatients. The evidence base in this area has also been strengthened by recent studies showing that patient education and individualized interventions can prevent falls in hospitalized patients.
Journal Article > Review
Masotti P, McColl MA, Green M. Int J Qual Health Care. 2010;22:115-125.
Early efforts in patient safety have focused on error reduction in hospitalized patients, and the ambulatory setting is rapidly emerging with its own body of research. However, patients enrolled in hospice, nursing homes, and homecare settings are underrepresented in the safety literature. This study analyzed more than 160 studies to develop a taxonomy for adverse events in the homecare setting. Categories included adverse drug events and line-related problems as well as the expected focus on wounds and falls. Investigators reported that adverse event rates ranged from 3%–15%, with few intervention trials addressing these opportunities for improvement. The authors advocate for standardized definitions of common homecare–setting events that can foster necessary efforts to improve care for patients in this environment. A related editorial [see link below] discusses the opportunities to advance our understanding of patient safety in the homecare setting.
Journal Article > Review
Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.
This review examines numerous safety issues relevant to outpatient dermatology practice, including medication errors, diagnostic errors, office-based surgery, wrong-site procedures, and laser safety.