What is the role of patient safety in the implementation of ambulatory care models?A systematic review

Purpose: Ambulatory care services provide animportant model for accessing healthcare withouthospitalization. However, while patient safetyinitiatives have traditionally focused on inpatientsettings, recent research has begun to addressoutpatient care. This study aims to systematicallyexamine the role and importance of patient safety inambulatory care models.Materials and Methods: The study data wereobtained from international studies available throughthe Web of Science, EBSCO Host, and Scopusdatabases, using the keywords "Ambulatory carenursing," "Ambulatory care model and patientsafety," and "Ambulatory care nursing and patientsafety" for the period between 2014 and 2024. Thissystematic review included all English full-textrandomized controlled trials. A total of 1010 recordswere identified through the screening process. Thequality of the studies was assessed using the JBI andomized controlled trial quality assessment tool.Five publications that met the inclusion criteria wereincluded in the study.Results: The results indicated that technologicalmodels are predominantly used in ambulatorysupportive care models. Among the models used instudies, TSN (Technological Support Nursing) hasimproved self-care, while MAP (My Asthma Portal)has strengthened asthma management. PRISMS hasenhanced symptom management, virtual wards havereduced readmissions, and eKidneyCare hasincreased medication adherence. These findingshighlight the positive impacts of technologicalmodels on patient safety.Conclusion: Monitoring patient outcomes is ofcritical importance for ensuring patient safety andenhancing the quality of healthcare services.