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Skip to main content Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text:

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017.

Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017.

Missed and delayed diagnoses can stem from problems in the outpatient referral process. The Institute for Healthcare Improvement convened an expert panel aimed at addressing safety vulnerabilities in the current referral process. The report delineates nine steps in the referral process, starting from the primary care provider ordering the referral and ending with communication of the treatment plan to patients and families. Recommendations to improve this process include interoperability between primary care and subspecialty electronic health records, standardizing handoffs between providers, clear standards of accountability for patient follow-up, and use of evidence-based communication methods like teach-back with patients and families. The report concludes that prioritizing the safety of the referral process is important to reduce diagnostic errors.

Available at Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text:

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017.

Copy Citation Related Resources From the Same Author(s) Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017 Declaration to Advance Patient Safety. May 25, 2022 A Framework for Safe, Reliable, and Effective Care. February 15, 2017 IHI Framework for Improving Joy in Work. August 9, 2017 Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. March 22, 2017 Safety Is Personal: Partnering With Patients and Families for the Safest Care. November 23, 2016 Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. January 6, 2015 Shining a Light: Safer Health Care Through Transparency. October 3, 2017 Order from Chaos: Accelerating Care Integration. November 7, 2012 View More Related Resources Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Annual Perspective Patient Safety in the Ambulatory Care Setting August 5, 2022 Primary care providers' opening of time-sensitive alerts sent to commercial electronic health record InBaskets. December 22, 2018 Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Exploring situational awareness in diagnostic errors in primary care. December 30, 2014 Electronic health record-based surveillance of diagnostic errors in primary care. January 19, 2012 Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. May 6, 2009 Perspective Patient Safety: A Perspective from Office Practice May 1, 2009 WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure? October 1, 2008 View More See More About The Topic Ambulatory Care Health Care Providers Information Professionals Primary Care Diagnostic Errors
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