While much is known about human factors and ergonomic (HFE) issues relevant to inpatient safety, less is known about the HFE issues relevant to ambulatory care safety. Panelists will present data from ambulatory patient safety studies of primary care, care transitions, ambulatory procedural units, and emergency departments and will then discuss the human factors and ergonomic concerns that uniquely or differently present in ambulatory settings.
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References
1.
BeasleyJ. W.HankeyT. H.EricksonR.StangeK.MundtM.ElliottM. (2004). How many problems do family physicians manage at each encounter? a WReN study. Annals of Family Medicine, 2, 405–410.
2.
CarayonP.HundtA. S.AlvaradoC. J.AyoubP.SpringmanS. (2006). Patient safety in outpatient surgery: The viewpoint of the healthcare providers. Ergonomics, 49 (5/6), 470–485.
3.
ChapanisA.SafrenM. (1960). Of misses and medicines. Journal fo Chronic Diseases, 12(4), 403–408.
4.
DoveyS. M.MeyersD. S.PhillipsR. L.Jr.GreenL. A.FryerG. E.GalliherJ. M. (2002). A preliminary taxonomy of medical errors in family practice. Quality & Safety in Health Care, 11(3), 233–238.
5.
ElderN. C.GrahamD.BrandtE.DoveyS.PhillipsR.LedwithJ. (2006). The Testing Process in Family Medicine: Problems, Solutions and Barriers as Seen by Physicians and their Staff. A study of the American Academy of Family Physicians' National Research Network. Journal of Patient Safety, 2(1), 25–32.
6.
GandhiT. K.BurstinH. R.CookE. F.PuopoloA. L.HaasJ. S.BrennanT. A. (2000). Drug complications in outpatients. Journal of General Internal Medicine, 15(3), 149–154.
7.
GandhiT. K.SittigD. F.FranklinM.SussmanA. J.FairchildD. G.BatesD. W. (2000). Communication breakdown in the outpatient referral process. [see comment]. Journal of General Internal Medicine, 15(9), 626–631.
8.
GandhiT. K.WeingartS. N.BorusJ.SegerA. C.PetersonJ.BurdickE. (2003). Adverse drug events in ambulatory care. [see comment]. New England Journal of Medicine, 348(16), 1556–1564.
9.
GouldingM. R. (2004). Inappropriate medication prescribing for elderly ambulatory care patients. Archives of Internal Medicine, 164, 305–312.
10.
GriffithsF.ByrneD. (1998). General practice and the new science emerging from the theories of ‘chaos’ and complexity. [see comment]. British Journal of General Practice, 48(435), 1697–1699.
11.
GrumbachK.BodenheimerT. (2004). Can health care teams improve primary care practice? JAMA, 291(10), 1246–1251.
12.
GurwitzJ. H.FieldT. S.HarroldL. R.RothschildJ.DebellisK.SegerA. C. (2003). Incidence and preventability of adverse drug events among older persons in the ambulatory setting. [see comment]. JAMA, 289(9), 1107–1116.
13.
HallockM. L.AlperS. J.KarshB. (2006). A macroergonomic work system analysis of the diagnostic testing process in an outpatient health care facility for process improvement and patient safety. Ergonomics, 49 (5–6), 544–566.
14.
HuangB.BachmannK. A.HeX.ChenR.McAllisterJ. S.WangT. (2002). Inappropriate prescriptions for the aging population of the United States: An analysis of the National Ambulatory Medical Care Survey, 1997. Pharmacoepidemiology & Drug Safety, 11(2), 127–134.
15.
Institute of Medicine. (2007). Preventing Medication Errors. Washington DC: National Academy Press.
16.
Institute of Medicine (2000). To Err is Human: Building a Safer Health System. Washington DC: National Academy Press.
17.
Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: National Academy Press.
18.
KarshB.BeasleyJ. W.HagenauerM. E. (2004). Are electronic medical records associated with improved perceptions of the quality of medical records, working conditions, or quality of working life? Behaviour and Information Technology, 23(5), 327–335.
19.
KarshB.EscotoK. H.BeasleyJ. W.HoldenR. J. (2006). Toward a theoretical approach to medical error reporting system research and design. Applied Ergonomics, 37(3), 283–295.
20.
OrzanoA. J.GregoryP. M.NuttingP. A.WernerJ. J.FlockeS. A.StangeK. C. (2001). Care of the secondary patient in family practice. A report from the Ambulatory Sentinel Practice Network. Journal of Family Practice, 50(2), 113–116.
21.
RoyalS.SmeatonL.AveryA. J.HurwitzB.SheikhA. (2006). Interventions in primary care to reduce medication related adverse events and hospital admissions: Systematic review and meta-analysis. Quality & Safety in Health Care, 15(1), 23–31.
22.
SafrenM.ChapanisA. (1960). A critical incident study of hospital medication errors. Hospitals, 34, 53–68.
23.
TierneyW. M. (2003). Adverse outpatient drug events–a problem and an opportunity.[see comment][comment]. New England Journal of Medicine, 348(16), 1587–1589.
24.
WeingartS. N.PriceJ.DuncombeD.ConnorM.SommerK.ConleyK. A. (2007). Patient reported safety and quality of care in outpatient oncology. Journal on Quality and Patient Safety, 33(2), 83–94.