Christina T Yuan, Sydney M Dy, Alden Yuanhong Lai, Tyler Oberlander, Susan M Hannum, Elyse C Lasser, JaAlah-Ai Heughan, Vadim Dukhanin, Hadi Kharrazi, Julia M Kim, Ayse P Gurses, Mark Bittle, Sarah H Scholle, Jill A Marsteller
Although most health care occurs in the ambulatory setting, limited research examines how providers and patients think about and enact ambulatory patient safety. This multimethod qualitative study seeks to identify perceived challenges and strategies to improve ambulatory safety from the perspectives of clinicians, staff, and patients. Data included interviews (N = 101), focus groups (N = 65), and observations of safety processes (N = 79) collected from 10 patient-centered medical homes. Key safety issues included the lack of interoperability among health information systems, clinician-patient communication failures, and challenges with medication reconciliation...
April 8, 2022: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality