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- Communication Improvement 26
- Culture of Safety 1
- Education and Training 10
- Error Reporting and Analysis 29
- Human Factors Engineering 8
- Legal and Policy Approaches 33
- Logistical Approaches 7
- Quality Improvement Strategies 22
- Specialization of Care 2
- Teamwork 1
- Clinical Information Systems 12
- Device-related Complications 3
- Diagnostic Errors 20
- Discontinuities, Gaps, and Hand-Off Problems 10
- Drug shortages 2
- Fatigue and Sleep Deprivation 2
- Medical Complications 3
- Medication Errors/Preventable Adverse Drug Events 38
- Nonsurgical Procedural Complications 2
- Psychological and Social Complications 5
- Surgical Complications 6
- Dentistry 1
- Internal Medicine 22
- Nursing 6
- Palliative Care 1
- Pharmacy 38
- Family Members and Caregivers 1
- Health Care Executives and Administrators 39
Health Care Providers
- Nurses 8
- Pharmacists 21
- Physicians 17
- Non-Health Care Professionals 17
- Patients 53
Search results for "Ambulatory Care"
- Newspaper/Magazine Article
- Ambulatory Care
Hertz BT. Med Econ. 2015;92:40-44.
Communication and response strategies have been shown to improve how organizations, clinicians, and patients and their families recover from adverse incidents. This news article discusses apology laws which protect certain statements regarding disclosure from being admissible in court and highlights how sensitivity to patients and transparent communication about the failure can be beneficial for both clinicians and patients after a medical error.
Fetters A. The Atlantic. August 10, 2018.
Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high-profile accounts that raised awareness of challenges women experience in health care, this magazine article describes challenges to safe care such as lack of physician attention to patient concerns, misdiagnosis, and preconceptions regarding pain intensity.
Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
High-profile failures during office-based procedures have raised awareness of the potential safety hazards of surgery centers and the need for improved oversight. This news article reports on safety events in ambulatory surgical centers and insufficiencies in incident reporting and analysis. Enhanced transparency regarding those failures can enable informed patient decision-making when choosing care providers.
Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018.
Carr S. ImproveDx. February 2018;5:1-4.
Lack of attention to patient context can affect care safety. This newsletter article reports concerns associated with accurate diagnosis that transgender patients may encounter. The author discusses how bias, poor communication, and uncertainty contribute to potential problems and suggests that patient-centered respectful care is key to improving diagnosis.
Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.
Boodman SG. Washington Post. December 9, 2017.
The prevalence of polypharmacy among older patients represents an important concern for health care safety, as unneeded medications can contribute to patient harm. This newspaper article reports on several strategies to reduce inappropriate medication use in older patients, including desprescribing and brown bag medication review.
ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5.
Texting medication orders is convenient for providers, but there are concerns associated with safety and security risks. This newsletter article reviews the results of a national survey on the use of provider text messaging in health care. Participants reported problems such as misidentification of patients, autocorrection errors, and misunderstood abbreviations that can contribute to medication errors.
Aleccia J, Bailey M. Kaiser Health News. October 26, 2017.
Patient safety in ambulatory hospice care is ill defined. Reporting on safety concerns associated with hospice care, including poor coordination and insufficient family education, this news article discusses how citizen complaints led to government investigations into deficiencies of end-of-life home care.
Blank C. Drug Topics. October 13, 2017.
Hobson K. Health Shots. National Public Radio. September 8, 2017.
Medication regimen nonadherence can result in patient harm. This news article reports the results of a national poll, which found that a substantial number of patients under the age of 35 do not take their medication as directed. Patients who stopped taking medications without consulting their doctors cited various reasons, including forgetfulness, feeling better, and belief the medication did not work .
Laposata M. The Pathologist. September 2017;(34):18-27.
Mickle K. Glamour Magazine. August 11, 2017.
Maron DF. Sci Am. July 21, 2017.
ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
Compounding pharmacies prepare medicines for patients that aren't available as commercial products. Reviewing a case involving a pediatric patient who died after receiving a compounded oral liquid suspension that contained the wrong medication, this newsletter article discusses weaknesses in compounding processes that contributed to the incident. Recommendations for pharmacies to reduce opportunities for error include independent double-checks and designated areas for compounding activities.
Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
According to this analysis of more than 1000 reports of errors occurring in community pharmacies, more than half reached the patient. Common error types included wrong drug and wrong dose incidents. Counseling patients on their medications at the point of sale can improve the reliability of outpatient pharmacy practice.
Landi H. Healthcare Informatics. June 1, 2017.
The use of copy and paste is a popular time-saving mechanism to update electronic medical documentation, but this practice can introduce risks. This news article reports on various resources that explore problems associated with the copying and pasting in electronic health records, including a recent study that highlighted how this practice can perpetuate incomplete or wrong information into patient records.
Boodman SG. Washington Post. December 4, 2016.
Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article describes steps patients can take to enable effective diagnosis, including reviewing their medical records, asking questions during discussions with clinicians, and bringing an advocate to appointments.
Furfaro H. Wall Street Journal. September 25, 2016.
Medication errors in pediatric care are common in the hospital and at home. This newspaper article reports on problems associated with medication safety among pediatric patients and highlights several tools both clinicians and parents can use to enhance safety when administering medicine to children, including dosage calculators and pictures depicting medication administration processes.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
Reporting the results of a survey on "as directed" instructions for medications and summarizing cases of misunderstandings resulting from the practice, this newsletter article recommends that physicians should provide explicit directions regarding medication administration steps to patients to ensure medications are used safely and pharmacists are able to provide appropriate patient counseling if required.