Ambulatory Safety Nets
In 2021, the CRICO Board agreed to support the development and implementation of Ambulatory Safety Nets (ASNs) for top-occurring cancers and selected behavioral health issues.
Sustain and Expand Patient Safety Adoption through Collaboration
By developing a Patient Safety Adoption Framework for project success and engaging a robust collaborative of members for the design and implementation phases, the development and deployment of the Ambulatory Safety Net (ASN) has been a truly cooperative experience. As a result, patients who previously fell through the cracks after a concerning clinical finding related to breast, colorectal, prostate, or lung cancer will now be systematically identified for follow-up treatment and closure.
Colorectal cancer and behavioral health ASNs are already underway for all participants, with those for the three other cancers (breast, prostate, and lung) to follow in 2023. In the coming months, participants will focus on finalizing the initial implementation of the colorectal cancer ASN and begin implementation of the additional cancer safety net focus areas. In addition, CRICO has built the mechanism for, and has begun to receive, required ASN measurement reports.
Research Publications
Journal of Patient Safety
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do GapPSNet (AHRQ.gov)
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
Blog Post
Good Catch! Building the Framework for Ambulatory Safety Nets
Related To: Ambulatory, Diagnosis, Documentation, EHR, Patient Safety Awareness
Patient Safety Adoption Framework Patient Safety Adoption Framework
Effectively integrating patient safety initiatives into the day-to-day work of a hospital or office practice requires a clear, simple, and structured implementation approach supported by leadership and the necessary resources. To address this gap, we created the Patient Safety Adoption framework, identifying and providing guidance for achieving the key elements of implementation. Each triangle represents a specific element of implementation (called a domain), with the smaller, nested triangles representing subdomains. The framework is grounded in the principles of human-centered design and evidence from a literature review and qualitative interviews as well as extensive stakeholder engagement in face validity testing.
