{"id":"https://openalex.org/W2258328159","doi":null,"title":"Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies","display_name":"Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies","publication_year":2008,"publication_date":"2008-01-01","ids":{"openalex":"https://openalex.org/W2258328159","mag":"2258328159"},"language":"en","primary_location":{"id":"mag:2258328159","doi":null,"is_oa":false,"landing_page_url":"https://www.ahrq.gov/downloads/pub/advances2/vol3/Advances-Webster_76.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031735342","display_name":"John S. Webster","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John S. Webster","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113791042","display_name":"Heidi B. King","orcid":"https://orcid.org/0009-0001-8480-7535","observed_orcids":["https://orcid.org/0009-0001-8480-7535"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Heidi B. King","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004028249","display_name":"Lauren M. Toomey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lauren Toomey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014261280","display_name":"Mary L. Salisbury","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mary Salisbury","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112772097","display_name":"Stephen M. Powell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stephen M. Powell","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075670538","display_name":"Brigetta Craft","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brigetta Craft","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"David P. Baker","orcid":"https://orcid.org/0000-0001-9967-8249","observed_orcids":["https://orcid.org/0000-0001-9967-8249"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David P. Baker","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9967-8249","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5083649982","display_name":"Eduardo Salas","orcid":"https://orcid.org/0000-0002-6837-2471","observed_orcids":["https://orcid.org/0000-0002-6837-2471","https://orcid.org/0000-0002-5448-4958","https://orcid.org/0009-0009-2964-2035"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Eduardo Salas","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6837-2471","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.7007,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.83890168,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":99},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.9409999847412109},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.7979999780654907},{"id":"https://openalex.org/keywords/medical-errors","display_name":"medical errors","score":0.8510000109672546},{"id":"https://openalex.org/keywords/teamwork","display_name":"teamwork","score":0.6600000262260437},{"id":"https://openalex.org/keywords/teamstepps","display_name":"TeamSTEPPS","score":0.9440000057220459},{"id":"https://openalex.org/keywords/communication","display_name":"communication","score":0.6579999923706055},{"id":"https://openalex.org/keywords/medication-errors","display_name":"medication errors","score":0.75},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":0.9240000247955322},{"id":"https://openalex.org/keywords/missed-diagnosis","display_name":"missed diagnosis","score":0.7850000262260437},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.6570000052452087},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.7300000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7615615129470825},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.6964986324310303},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6654298901557922},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.642991304397583},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.6014214158058167},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.5361672639846802},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5290005803108215},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5205653309822083},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.49787068367004395},{"id":"https://openalex.org/C2778872837","wikidata":"https://www.wikidata.org/wiki/Q7113614","display_name":"Overcrowding","level":2,"score":0.45238614082336426},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.34566396474838257},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.27062004804611206},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.10347616672515869},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.10242563486099243},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.07906872034072876},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2258328159","doi":null,"is_oa":false,"landing_page_url":"https://www.ahrq.gov/downloads/pub/advances2/vol3/Advances-Webster_76.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":63,"referenced_works":["https://openalex.org/W30834922","https://openalex.org/W45736112","https://openalex.org/W47128094","https://openalex.org/W73810666","https://openalex.org/W79484447","https://openalex.org/W144985383","https://openalex.org/W157509639","https://openalex.org/W163381512","https://openalex.org/W170953322","https://openalex.org/W1483986077","https://openalex.org/W1522271398","https://openalex.org/W1539674893","https://openalex.org/W1574797091","https://openalex.org/W1745080294","https://openalex.org/W1879520689","https://openalex.org/W1936863929","https://openalex.org/W1964800337","https://openalex.org/W1965838180","https://openalex.org/W1967291734","https://openalex.org/W1967876343","https://openalex.org/W1994256263","https://openalex.org/W1998406337","https://openalex.org/W2013795407","https://openalex.org/W2015447563","https://openalex.org/W2022909531","https://openalex.org/W2033026182","https://openalex.org/W2038146701","https://openalex.org/W2041854656","https://openalex.org/W2049716650","https://openalex.org/W2050713156","https://openalex.org/W2059851477","https://openalex.org/W2062960482","https://openalex.org/W2072438037","https://openalex.org/W2089551183","https://openalex.org/W2098525963","https://openalex.org/W2100673063","https://openalex.org/W2104198823","https://openalex.org/W2105814725","https://openalex.org/W2108157144","https://openalex.org/W2113907183","https://openalex.org/W2115203492","https://openalex.org/W2128347581","https://openalex.org/W2129114356","https://openalex.org/W2137227806","https://openalex.org/W2138848349","https://openalex.org/W2141769612","https://openalex.org/W2145785529","https://openalex.org/W2146851588","https://openalex.org/W2148260399","https://openalex.org/W2153627323","https://openalex.org/W2155054443","https://openalex.org/W2155282505","https://openalex.org/W2161436956","https://openalex.org/W2168534256","https://openalex.org/W2264862395","https://openalex.org/W2340586908","https://openalex.org/W2399971137","https://openalex.org/W2411220248","https://openalex.org/W2440443682","https://openalex.org/W2474330454","https://openalex.org/W2530605791","https://openalex.org/W2899107504","https://openalex.org/W4243992257"],"related_works":["https://openalex.org/W111063635","https://openalex.org/W3157520580","https://openalex.org/W3083472708","https://openalex.org/W2942039695","https://openalex.org/W2740756007","https://openalex.org/W1965838180","https://openalex.org/W1988706522","https://openalex.org/W1963652875","https://openalex.org/W2443015130","https://openalex.org/W2509302472"],"abstract_inverted_index":{"Despite":[0],"1.2":[1,219],"billion":[2,220],"ambulatory":[3,16,43,122,186,259],"visits":[4,221,235,245],"in":[5,120,142,165,184,229,258,265],"2005,":[6,230],"from":[7],"a":[8,231],"health":[9,149],"care":[10,132,150,182,208,250,292],"quality":[11,127],"and":[12,24,34,37,49,66,69,87,109,112,128,136,140,148,159,175,192,198,226,248,279,293],"safety":[13,129],"perspective,":[14],"the":[15,38,77,97,101,104,121,126,143,176,185,210,252,272],"setting":[17,123,187],"has":[18,188],"been":[19],"less":[20,190],"subject":[21],"to":[22,27,47,94,124,222,268],"research":[23],"scrutiny,":[25],"compared":[26],"high-risk":[28,166],"inpatient":[29,167,269],"areas":[30],"like":[31],"surgery,":[32,170],"perioperative":[33],"perinatal":[35,171],"care,":[36,172,174,271],"emergency":[39,177,227],"department":[40,178],"(ED).":[41,179],"The":[42,205],"environment":[44,274],"is":[45,74,193,216,276],"prone":[46],"problems":[48,161,288],"errors":[50],"that":[51],"include":[52],"missed/delayed":[53],"diagnoses,":[54],"delay":[55],"of":[56,79,96,103,130,156,207,233,243,291],"proper":[57],"treatment":[58],"or":[59],"preventive":[60],"services,":[61],"medication":[62],"errors/adverse":[63],"drug":[64],"events,":[65],"ineffective":[67],"communication":[68],"information":[70],"flow.":[71],"Once":[72],"there":[73],"clarity":[75],"about":[76],"nature":[78],"outpatient":[80,214,244,273],"errors,":[81],"evidence-based":[82,110],"teamwork":[83,135],"tools,":[84],"strategies,":[85],"behaviors,":[86],"principles":[88],"can":[89],"be":[90],"implemented":[91],"as":[92,196],"countermeasures":[93],"elements":[95],"error":[98,158],"chain.":[99],"From":[100],"resources":[102],"TeamSTEPPSTM":[105],"initiative,":[106],"six":[107],"effective":[108],"tools":[111],"strategies":[113],"are":[114],"offered":[115],"for":[116,213,246],"use":[117],"by":[118,133],"clinicians":[119],"improve":[125],"patient":[131],"improving":[134],"communication.":[137],"Introduction:":[138],"Realities":[139],"Harm":[141],"Ambulatory":[144],"Care":[145],"Setting":[146],"Patients":[147],"providers":[151],"have":[152],"become":[153],"increasingly":[154],"aware":[155],"medical":[157],"system":[160],"causing":[162],"poor":[163],"outcomes":[164],"environments,":[168],"including":[169],"intensive":[173],"In":[180],"contrast,":[181],"provided":[183],"received":[189],"scrutiny":[191],"often":[194,275],"perceived":[195],"safe":[197],"routine,":[199],"focusing":[200],"on":[201],"relatively":[202],"healthy":[203],"patients.":[204],"volume":[206],"within":[209],"United":[211],"States":[212],"services":[215],"estimated":[217],"at":[218],"physician":[223],"offices,":[224],"clinics,":[225],"rooms":[228],"rate":[232],"four":[234],"per":[236],"person":[237],"annually.":[238],"Trends":[239],"indicate":[240],"increasing":[241],"numbers":[242],"primary":[247],"specialty":[249],"over":[251],"past":[253],"decade,":[254],"with":[255,289],"similar":[256],"trends":[257],"procedures,":[260],"which":[261],"numbered":[262],"31.5":[263],"million":[264],"1996.":[266],"Compared":[267],"hospital":[270],"dispersed":[277],"geographically":[278],"lacks":[280],"infrastructure":[281],"support.":[282],"For":[283],"patients,":[284],"this":[285],"potentially":[286],"creates":[287],"continuity":[290],"confusion.":[294]},"counts_by_year":[{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":3},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}
