The ambulatory care setting is an increasingly important component of the patient safety conversation. Inpatient safety is the primary focus of the vast majority of safety research and interventions, but the ambulatory setting is actually where most medical care is administered. Recent attention has shifted toward examining ambulatory care in order to implement better health care quality and sa...

BACKGROUND AND OBJECTIVES The TOPIC model conceptualizes the work of family physicians as five prototypical visits (new problem, checkup, chronic illness, psychosocial problem, and behavioral change) and four major processes (physician information processing, patient-physician relationship development, integration of information and relationship, and lifelong learning). This paper describes met...

BACKGROUND AND OBJECTIVES Investigations of teaching quality in ambulatory clinics have generally focused on faculty and medical student perspectives. We investigated the association of learning and organizational environment variables with faculty, resident, and nursing staff perceptions of quality of teaching and with a measure of resident learning in ambulatory residency clinics. METHODS A...

While the signing of the Patient Protection and Affordable Care Act was a historical event marking the beginning of health care reform in the United States, it signaled the start of a golden age for ambulatory care nursing. Ambulatory care RNs are well-positioned to fully participate in health care reform initiatives. RNs are well-positioned to lead, facilitate, and/or participate in all patien...

Objective: We aimed to determine the effectiveness of team-based reporting, systems analysis, and redesign to address medical errors in pediatric ambulatory care. Methods: Voluntary, anonymous, nonpunitive reporting, paired with a team-based system analysis and change implementation, was established in an outpatient pediatric department of an urban teaching hospital. Results: In the first year,...

PURPOSE To describe the residents who chose to train in teaching health centers (THCs), which are community-based ambulatory patient care sites that sponsor primary care residencies, and their intentions to practice in underserved settings. METHOD The authors surveyed all THC residents training in academic years 2013-2014, 2014-2015, and 2015-2016, comparing their demographic characteristics ...

HYPOTHESIS We created an ambulatory resident clinic in a community teaching hospital to improve the continuity of care in a surgery residency program. DESIGN A retrospective chart review analysis. SETTING A community hospital, general surgery residency training program, and its ambulatory practice. INTERVENTIONS Providence Hospital, Southfield, Mich, has established a new model, the Surgi...

1 IN 2011, the American Aca demy of Ambulatory Care Nursing (AAACN) published the first-ever position statement regarding the role of the registered nurse (RN) in ambulatory care. Since that time, tre mendous changes have occurred in health care, especially in ambulatory care. Healthcare reform, the Afford able Care Act, the implementation of care coordination as a strategy to improve health an...

OBJECTIVE To determine the cost-effectiveness of nurse practitioners delivering primary and specialised ambulatory care. DESIGN A systematic review of randomised controlled trials reported since 1980. DATA SOURCES 10 electronic bibliographic databases, handsearches, contact with authors, bibliographies and websites. INCLUDED STUDIES Randomised controlled trials that evaluated nurse practi...