Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 4
- Error Reporting and Analysis 4
- Human Factors Engineering 2
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies 3
- Research Directions 1
- Technologic Approaches 3
- Transparency and Accountability 1
Search results for "Ambulatory Clinic or Office"
Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.
This report highlights how working conditions can affect health care workers and recommends seven strategies for organizations to improve workplace safety.
Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3.
This report analyzes communication practices between emergency and primary care physicians and provides suggestions to improve and encourage meaningful communication.
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF.
Programs are in place to address hospital discharge process gaps that contribute to readmissions. This report summarizes research on primary care perspectives on reducing readmissions. Interventions identified include automated alerting to primary care providers when patients are hospitalized and the patient-centered medical home model.
Boston, MA: Institute for Healthcare Improvement; 2019.
Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain management: prioritization, education, patient- and family-centeredness, and effective systems of care. Recommended steps for leadership to successfully implement safe pain management include obtaining commitment, convening a multidisciplinary working group, developing a plan, and executing the plan.
Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF.
A vibrant culture of safety is critical to achieving high reliability in health care. Organizations with stronger safety culture boast lower in-hospital mortality and fewer surgical site infections. The AHRQ Medical Office Survey on Patient Safety Culture was designed to evaluate safety culture in outpatient clinics. The 2018 comparative database report assessed 10 safety culture domains in nearly 2500 ambulatory care practices. Respondents reported high rates of teamwork and strong systems for patient follow-up. Many practices identified productivity pressures and work pace as safety hazards. Although the practices surveyed are not nationally representative, they do allow leaders and scientists to compare safety culture across practices and time. A past WebM&M commentary examined safety hazards associated with productivity pressures in health care.
Washington, DC: Commission on Care; June 2016.
The Veterans Affairs health system has recently faced challenges associated with access and quality. Providing an assessment of the current and future state of the Veterans Health Administration, this report determined that care quality often meets or exceeds expectations but that quality varies from location to location. The authors outline recommendations for system improvements to ensure the safety of care delivery.
London, UK: Parliamentary and Health Service Ombudsman; November 26, 2014.
The National Health Service broadly reports the results of system-level analyses and investigations into trust-specific failures. This publication is the first in a series that will provide information about complaints submitted to trusts (from 2013 to 2014 and in the first half of 2014 to 2015) to track complaints received and responded to, identify common themes, and uncover recurring problems in an effort to enable organizations to improve processes for managing complaints.
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF.
The growing interest in patient safety in ambulatory care led to the development of the AHRQ Medical Office Survey on Patient Safety Culture, which is designed to assess safety culture in outpatient clinics. This second comparative database report—a prior report was published in 2012—provides descriptive results and benchmarking data derived from more than 27,000 respondents (including clinical and support staff) from 935 clinics. The report identifies several areas of strength: 83% of offices reported having fully implemented electronic medical records, and respondents described high levels of teamwork as well as reliable patient tracking and test follow-up systems. However, as was also found in the 2012 report, many offices reported safety concerns relating to production pressures. The database is freely available from AHRQ for benchmarking and comparison purposes.
Ottawa, ON: Canadian Institute for Health Information; January 23, 2014.
This report compared the quality of care in Canada with 34 other countries to identify areas in which it performed well and where it needed improvement. The country has strong measures of community care such as avoidable admissions and influenza vaccinations, but is behind in efforts to reduce patient safety incidents, including trauma in obstetric care and retained foreign objects.
Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0052.
The Agency for Healthcare Research and Quality's (AHRQ) Medical Office Survey on Patient Safety Culture is designed to assess safety culture in outpatient clinics. This inaugural database describes survey results from more than 23,000 respondents (including both clinical and administrative staff) from 934 participating offices. Notable results include generally positive perceptions of teamwork and patient tracking, but the majority of respondents felt that production pressures adversely affected safety. The database is freely available from AHRQ for benchmarking and comparison purposes, as is the Hospital Survey on Patient Safety Culture database.
Retford, Notts, UK: NHS Alliance; 2011.
This publication discusses an initiative to monitor errors and near misses in after-hours care in the United Kingdom and reviews lessons learned during its first year of implementation.
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).
Berns SD, ed. White Plains, NY: March of Dimes; December 2010.
This report discusses efforts to enhance safety in obstetrics care and provides recommendations to improve clinical and system processes.
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.
Carayon P, Karsh B-T, Cartmill RS, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2010. AHRQ Publication No. 10-0098-EF.
The report summarizes evidence related to the impact of health information technology on workflow in outpatient settings.
The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
This publication summarizes the results of a United Kingdom hospital survey that identified strengths and weaknesses in National Health Service efforts to support organizational patient safety commitment and improvement. The report closes with suggestions to support board-level engagement in this work.