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
someone choosing from a shelf of medications
Download the PDF Free of Charge

Nursing leaders reviewed risks in the medication delivery processes in the ambulatory setting.


PDF

Patient Safety Alerts

View the whole library of these 1–2 page AMC PSO findings.



Get up to speed
Patient Safety Alert

AMC PSO

Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
Learn with us
1x1_auto_0038

More AMC PSO Content

Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
    1x1_auto_0033

    Periprocedural Management of Anticoagulation Therapy

    Newsletter
    Patient Safety Alert Issue 24: The AMC PSO recently convened to discuss this high-risk area and important patient safety issue, the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
    casestudy 2023 trip 1x1

    Patient Falls

    Newsletter
    Patient Safety Alert Issue 23: The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
    1x1_auto_0154

    Failure to Rescue

    Newsletter
    Patient Safety Alert Issue 22: The AMC PSO has recently assembled a panel of subject matter experts to review data, literature, and their own experiences with insufficient patient monitoring and failure to rescue.
    1x1_auto_0135

    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.”

    Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice

    News
    CRICO Grants
    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.
    doctor hand writing with a pen on a clipboard

    How Informed Consent Impacts Surgery Malpractice Outcomes

    News
    This article, authored by Hannah Tremont of CRICO, was featured in the Medical Professional Liability Association’s "Inside Medical Liability" publication. It highlights data from Candello's med mal database to discuss liability risks for surgeons and considers how malpractice data can help address the issue.
X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm