BACKGROUND Idiosyncratic terminology and frameworks in the study of patient safety have been tolerated but are increasingly problematic. Agreement on standard language and frameworks is needed for optimal improvement and dissemination of knowledge about patient safety. METHODS Patient safety events were assessed using critical incident analysis, a method used to classify risks that has been m...

has no one to drive her home and no one to care for her at home after surgery. How would nurses in your ambulatory surgery facility handle this situation? It’s an increasingly important question as the population ages and more surgery is performed on an outpatient basis. “It can be challenging to meet the needs of this age group,” says Donna DeFazio Quinn, RN, BSN, MBA, CPAN, CAPA. “They’re fro...

Ambulatory care is an underdeveloped concept in the setting of emergency surgery, however it is recognised that many institutions will need to develop this service to cope with increased time and financial pressures.[1] There is increased emphasis on ambulatory care pathways for a variety of medical conditions.[2] Risk management is important in managing patients with acute abdominal pain in an...

OBJECTIVE to determine the cost of institutional and familial care for patients with chronic kidney disease replacement therapy with continuous ambulatory peritoneal dialysis. METHODS a study of the cost of care for patients with chronic kidney disease treated with continuous ambulatory peritoneal dialysis was undertaken. The sample size (151) was calculated with the formula of the averages f...

Little is known about how health care organizations are developing tools for identifying/addressing patients' social determinants of health (SDH). We describe the processes recently used by 6 organizations to develop SDH screening tools for ambulatory care and the barriers they faced during those efforts. Common processes included reviewing literature and consulting primary care staff. The orga...

BACKGROUND The United States is aiming to achieve nationwide adoption of electronic health records (EHRs) but lacks robust empirical evidence to anticipate the effect on health care costs. OBJECTIVE To assess short-term cost savings from community-wide adoption of ambulatory EHRs. DESIGN Longitudinal trial with parallel control group. SETTING Natural experiment in which 806 ambulatory cli...

CONTEXT Despite increased emphasis on primary care in the United States, most care continues to be provided by specialists. The extent to which specialists incorporate elements of primary care in their approach to ambulatory patients is unknown. OBJECTIVES To examine the extent to which selected medical and surgical subspecialties provide generalist care to Medicare patients, and to compare p...

OBJECTIVE To determine if an intervention consisting of telemonitoring and supervision by usual primary care clinicians of home self measured blood pressure and optional patient decision support leads to clinically important reductions in daytime systolic and diastolic ambulatory blood pressure in patients with uncontrolled blood pressure. DESIGN Multicentre randomised controlled trial. SET...

CONTEXT Many ambulatory care facilities do not have resources to provide same-day care for all walk-in patients. Yet, there are few guidelines that identify patients for whom care can be safely deferred. OBJECTIVE To describe the development and implementation of deferred-care guidelines for adults with musculoskeletal complaints. DESIGN Consensus process and field test. GUIDELINE DEVELOPME...

. One of the most important tasks of general physicians is the management of outpatients in health centers and clinics. Bedside teaching and ambulatory traiing are however, limited to hospital clinics in short courses without enough supervision. This study aimed to evaluate the attitude of general practitioners working in health centers of Guilan University of medical sciences toward ambulatory...