Patient Safety in the Physician's Office Practice

Provided are a variety of resources focusing on patient safety in the outpatient/office practice setting.

Guidelines/Recommendations

Guide to Infection Prevention in the Outpatient Setting

A guide, developed by the CDC, to assist outpatient healthcare organizations to improve infection prevention. The guide is based on evidence-based guidelines and represents the minimum infection prevention expectations in the outpatient setting.

Screening Tools

I SPEAK Language Flash Card

A language identification flashcard created by the U.S. Census to help healthcare providers allow patients to communicate which language they prefer as their primary. Print this card and keep in treatment areas for quick access.

Policy Templates

Test Results Management Article

Policy statement created by the College of Physicians and Surgeons of Ontario which outlines best practices in follow-up testing in the physician office practice.

Assessment tools

SAFER Guide for Test Results Reporting & Follow-Up

Guide to evaluating the safety and efficiency of your EHR electronic communication and management of diagnostic test results process. This is a self-assessment in which you can evaluate your current process against best practices with EHR technology, then develop action plans for those areas where you find improvement is needed.

Guidelines/Recommendations

CDC Opioid Prescribing Recommendations

These are the recommended practices from the CDC for prescribing opioids for the treatment of chronic pain in the clinical setting. These recommendations are not intended for the use of opioids in treating active cancer, palliative care or end-o- life care.

By following these recommendations, you and your healthcare team may reduce risks associated with long-term opioid therapy.

Checklists

Safety Rounds Checklist

This checklist is designed for regular rounding in the physician office practice to identify potential hazards to safety. It can be used to identify trends that may require PI interventions.

Quality Resources in the Physician's Office Practice

Quality patient care in a physician's office is an important piece of today's healthcare services Provided is a resource focusing on payment structures.

Articles

Examples of Physician Quality Measures for Consumers

Examples of quality measures characterized tby the six domains of health care quality from AHRQ.

Risk Management and Compliance in Physician's Office Practices

It is important to proactively address potential risk and compliance issues in the office practice even though occurance is rare. These resources focus on terminating the physician-patient relationship, closing a medical practice and other risk and compliance issues.

Policy Templates

Sample Termination of Physician-Patient Relationship

A sample to help the office practice develop a policy to follow when the need arises to terminate a relationship with a patient.

Guidelines/Recommendations

Termination of Physician-Patient Relationship

Guidelines to follow when terminating a relationship with a patient as provided by LSMS.

Guidelines/Recommendations

Closing a Medical Practice

A medical-legal guideline to assist a physician to close an active office practice.

Checklists

Top 10 Risk Management Issues for Medical Office Practices

A quick list, with descriptions, of the top 10 concerns for risk management in an office practice setting. This list will help you focus on some of the most high-risk processes in your organization.

Assessment tools

Self Risk Assessment of the Physician Office Practice

A risk assessment for the office practice to use to evaluate risks to patient safety. Space is provided for description of the problem identified and development of a plan for improvement. The items in the risk assessment are based on best practices for risk reduction in the office setting.

Policy Templates

Collaborative Agreement Template

A template of a document that should be used for each collaborative agreement between physicians and APRNs to establish alternative collaborating physicians. Since most “organizational policies” cannot address each specific ACP for every APRN, it is recommended that the document provided be used for each APRN collaborative agreement to designate ACPs. In addition, an organizational policy – including a blank copy of this document or whichever document you chose to use – should be developed by your organization to set forth that this is the approved document that should be used along with each collaborative agreement.

Articles

Liability Risks Associated with the Physician Consult Webinar

A primary treating physician may consult with one or more of his colleagues for a number of reasons. These consults may be formal (which is documented in the patient record) or informal (a quick “second opinion”). The latter are often referred to as “curbside” consults. What are the duties and responsibilities of the physician who has been consulted in terms of patient care and consult documentation? Do “curbside” consults present any unique liability or coverage risks?

This webinar addresses these issues from the perspective of risk management, claims and legal counsel with some actual case histories.