3 Why Health Care Is Going Home the aging of the U.S. populationepidemics of chronic diseasestechnological advanceshealth care consumerism, and rapidly escalating health care costs
4 Patient Safety beyond the Hospital safety issues in the ambulatory setting differ from those in the inpatient settingdifferences in the types of errors (treatment errors predominate in inpatient settings, whereas diagnostic errors do in outpatient settings)the provider patient relationship (e.g., adherence is more critical in outpatient settings)
5 Patient Safety beyond the Hospital organizational structure (ambulatory practices tend to lack the infrastructure and expertise to address quality and safety improvement)regulatory and legislative requirements (e.g., there are staffing ratios and accreditation requirements for hospitals that do not exist for private practices)
6 safety of outpatient procedures increasing number of complex procedures are now being performed as day surgery or in nonhospital locationsoutpatient setting is fragmented and disorganized and lacks clear leadership
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