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Web Resource > Multi-use Website
Massachusetts Department of Public Health.
The majority of early patient safety interventions focused on the hospital setting, but there is a growing determination to improve safety practices across the ambulatory sphere as well. This AHRQ-funded project, Proactive Reduction of Outpatient Malpractice: Improving Safety, Efficiency, and Satisfaction (PROMISES), created a collaborative learning network of Massachusetts primary care practices and patient safety leaders. Program coaches visited 16 pilot primary care offices and worked directly with improvement teams to implement safe practices. The project also includes a report from physicians, malpractice insurers, and policy experts translating the hospital-based consensus statement, "When Things Go Wrong," into clear recommendations for ambulatory adverse events. The Web site provides various materials, including recorded lectures, case study videos, and tools to assist individuals and teams with enhancing outpatient safety. A past AHRQ WebM&M perspective explored patient safety in the office setting.
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.
Tools/Toolkit > Government Resource
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality.
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital admissions data to screen for potential quality lapses on conditions that generally don't require hospitalization if managed effectively at the primary care level.