PATIENT SAFETY IN AMBULATORY CARE SETTING: BUILDING A RE

卫生保健提供系统已经从一个以住院病人为主的、以医院为导向的系统演变为一个日益强调非卧床护理的系统。随着门诊护理服务的数量和种类越来越多，它也变得更容易受到系统故障和程序故障的影响，这些故障和程序故障可能导致医疗差错和降低患者的安全。在医疗差错/患者安全研究文献中，复杂的医疗保健系统和社会、经济、技术和组织因素的整个时间表以及门诊护理环境中的医疗判断和提供者决策如何影响患者安全在很大程度上被忽略了。因此，显然需要对卫生服务提供系统的这一关键组成部分进行研究。医疗集团管理协会(MGMA)研究中心将汇集35-45名跨学科研究人员、卫生政策领导者、医生、主要管理人员和社区资源，以确定患者安全问题的范围，并制定研究议程，以解决其维度和可能的解决方案等重要问题。主要议题领域是：确定门诊护理中患者安全问题的范围、质量改进对患者安全的影响、门诊护理中患者安全的法律和监管因素技术进步改善门诊患者安全研究以帮助创建保护其患者群体安全的门诊护理文化本次会议计划为期两天，将包括几次分组会议和盛大的圆形讨论，以最大限度地提高与会专业人员的有效投入和反馈。信息传播将包括通过互联网访问所有会议报告、所有与会者的会议记录以及在MGMA行业期刊和其他同行评议出版物上发表重要发现。

The health care delivery system has evolved from a largely inpatient, hospital oriented system to one increasingly emphasizing ambulatory care. As ambulatory care takes on a greater volume and variety of services it also becomes more vulnerable to system malfunctions and procedural failures that can result in medical errors and the reduction of patient safety. How patient safety is affected by the interaction of complex health care systems and an entire schedule of social, economic, technological and organizational factors along with medical judgement and provider decisions in ambulatory care settings has been largely overlooked in the medical error/patient safety research literature. Therefore, there is a clear need for research into this pivotal component of the health service delivery system. The Medical Group Management Association (MGMA) Center for Research will bring together 35-45 interdisciplinary researchers, health policy leaders, physicians, key administrators and community resources to define the scope of the patient safety problem and generate a research agenda to address the important questions of its dimensions and possible solutions. Key topic areas are: Defining the scope of the patient safety problem in ambulatory care Quality improvement effects on patient safety Legal and regulatory factors for patient safety in ambulatory care Technological advances to improve ambulatory patient safety Research to help create an ambulatory care culture that protects the safety of its patient population This conference is planned for two days and will include several facilitated breakout sessions and grand round discussions to maximize effective input and feedback from the attending professionals. Information dissemination will include Internet based access to all conference presentations, proceedings to all attendees, and publication of key findings in MGMA trade journals and additional peer reviewed publications.