Patient Safety Alert 26: Medication Administration in the Ambulatory Setting (PDF)

The nature of ambulatory health care often creates scenarios where providers and their staff are confronted with tensions inherent to these settings, including high patient volumes coupled with a need for operational expediency. It is in these scenarios that gaps or safety vulnerabilities become evident. This is particularly true for medication-related processes where system and process failures can result in medication errors and potential harm. To further examine these risks, the AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.

Risk Mitigation Strategies

  • Standardize medication verification
  • Protect medication preparation areas with physical barriers
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