Narrow Results Clear All
- Communication Improvement 31
- Culture of Safety 17
- Education and Training 22
- Error Reporting and Analysis 26
- Human Factors Engineering 10
- Legal and Policy Approaches 9
- Logistical Approaches 2
- Policies and Operations 1
- Quality Improvement Strategies 26
- Research Directions 4
- Specialization of Care 3
- Teamwork 4
- Technologic Approaches 17
- Transparency and Accountability 1
- Device-related Complications 1
- Diagnostic Errors 4
- Discontinuities, Gaps, and Hand-Off Problems 13
- Drug shortages 2
- Identification Errors 2
- Interruptions and distractions 2
- Medical Complications 10
- Medication Safety 29
- Nonsurgical Procedural Complications 3
- Overtreatment 1
- Psychological and Social Complications 1
- Surgical Complications 3
- Internal Medicine 20
- Primary Care 28
- Surgery 2
- Nursing 2
- Pharmacy 13
- Family Members and Caregivers 2
- Health Care Executives and Administrators 60
Health Care Providers
- Nurses 1
- Physicians 12
- Non-Health Care Professionals 33
- Patients 6
- Australia and New Zealand 2
- Europe 14
- Canada 3
Search results for "Ambulatory Care"
- Ambulatory Care
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
This series, developed in conjunction with the STAAR initiative, provides tactics and resources to improve transitions across various care settings.
Investigating the prevalence and causes of prescribing errors in general practice: The PRACtICe Study.
Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.
Examining prescription errors in general practices in England, this report suggests that information technology and incident reporting could address issues that persist since an earlier study.
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.
Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
Although traditionally the majority of patient safety efforts have focused on inpatient care, the overwhelming bulk of health care actually takes place in the ambulatory setting. Accordingly, the scope of widespread documented adverse events among outpatients is vast. Updating a previous report, this publication analyzes efforts to improve patient safety in ambulatory care over the past decade and identifies gaps that future research should address. Dr. Richard Baron discusses patient safety in the office setting in an AHRQ WebM&M perspective.
Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
This report outlines the complex nature of drug shortages and suggests strategies to augment the FDA's efforts to address them.
Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
Atlanta, GA: Centers for Disease Control and Prevention; 2011.
This report suggests strategies to prevent infections in the outpatient setting and provides links to more detailed infection prevention information.
Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
This book explores patient-centered care and provides strategies to help patients actively participate in their care.
Edmonton, AB, Canada: Canadian Patient Safety Institute; March 2011.
Explaining the importance of hand hygiene in the health care setting, this publication provides strategies for patients and families to prevent spreading health care–associated infections.
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.
Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.
This report analyzed patient safety in Canadian primary care practice to identify themes, priorities, gaps in research, and opportunities for improvement.
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.
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.
This guide discusses the impact of poor communication on care transitions and describes tactics for improvement.
Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council. Washington, DC: National Academies Press; 2010.
This publication summarizes content from a 2009 AHRQ-funded workshop that explored the effect of behavior and human factors on home health care quality and safety.
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.
Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930.
This manual describes various facets of health care quality and tools for quality improvement in obstetric and gynecologic practice.
Oak Brook, IL: Joint Commission Resources; 2009. ISBN: 9781599403670.
This guide offers tools and strategies to ensure that care in the ambulatory setting is safely provided, evidence-based, and aligned with Joint Commission requirements.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
This report analyzed how medication information is shared among UK practices and patients after a hospital stay and found that 81% of general practices thought that patient information given to them from hospitals was incomplete or inaccurate.
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.