Download the PDF Free of Charge
Nursing leaders reviewed risks in the medication delivery processes in the ambulatory setting.
Newsletter
Medication Administration in the Ambulatory Setting
Dec 22, 2016
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
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
Learn with us
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Patient & Visitor De-escalation
Newsletter
Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Electronic Health Record Risks in the Emergency Department
Newsletter
Patient Safety Alert Issue 27: The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department
Patient ID Risks & the Intersection of Electronic Health Records
Newsletter
Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
Neonatal encephalopathy continues to be a significant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could benefit from quality improvement projects.
The Safety of Outpatient Health Care
News
Although most care occurs in the outpatient setting, knowledge of outpatient adverse events (AEs) remains limited. This study looks at adverse events in outpatient settings.
Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis
News
CRICO Grants
This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because “Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions.”
Ambulatory Safety Nets: Protecting Providers and Promoting Safety with Systems to Reduce Delayed Cancer Diagnoses
News
CRICO Grants
Ambulatory safety nets (ASNs) are person-centered programs that provide a highly reliable backup system for following up on abnormal test results when the standard follow-up process fails. Co-authored by CRICO’s Pat Folcarelli RN, MA, PhD, and Luke Sato, MD, this article about ASNs was featured in Inside Medical liability Online.