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.
two women talking

Sustain and Expand Patient Safety Adoption through Collaboration

The development and deployment of the Ambulatory Safety Net (ASN) has been a truly cooperative experience between CRICO and the members of the Harvard medical community. By developing a Patient Safety Adoption Framework and establishing the ASN Collaborative for the design and implementation phases, 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 and contacted for follow-up treatment.

Colorectal cancer and behavioral health ASNs are already underway at participating institutions. The ASNs for the three other cancers (breast, prostate, and lung) will be rolled out through 2026. Participants are currently focusing on finalizing the initial implementation of the colorectal cancer ASN and implementing the additional cancer safety net focus areas. CRICO has also built the mechanism for receiving the required ASN measurement reports, which are already being received.

Ambulatory Safety Net General Guide

Develop and Implement

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.

ASN Videos

asn video to Board

Hear from physicians on  how the ASN grant is working for them. 

Jon Li

Dr. Jon Li's Harvard Combined Medical Grand Rounds- ASN Presentation

Patient Safety Adoption Framework and Guidance

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