Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

Saul N. Weingart; Jessica Price; Deborah Duncombe; Maureen Connor; Karen Conley; Genevieve J. Conlin; Amy M. Sullivan; Mark Powell; Patricia Reid Ponte; Barbara E. Bierer

Study

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

February 11, 2009

Weingart SN, Price J, Duncombe D, et al. J Nurs Care Qual. 2009;24(3):203-10.

View more articles from the same authors.

This study reports on a patient safety rounding program implemented in an outpatient setting to boost reporting of near misses, adverse events, and unsafe conditions.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient-reported safety and quality of care in outpatient oncology.

February 7, 2007

Creating a fair and just culture: one institution's path toward organizational change.

October 10, 2007

Multidisciplinary approaches to reducing error and risk in a patient care setting.

March 6, 2005

Medication errors involving oral chemotherapy.

March 24, 2010

Confidential clinician-reported surveillance of adverse events among medical inpatients.

March 27, 2005

Oral chemotherapy safety practices at US cancer centres: questionnaire survey.

January 24, 2007

Medication errors in the home: a multisite study of children with cancer.

May 15, 2013

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

April 13, 2011

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

November 18, 2009

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

September 8, 2010

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

Chemotherapy medication errors.

April 11, 2018

Racial and ethnic disparities in patient safety.

August 27, 2014

Process of care failures in breast cancer diagnosis.

May 13, 2009

Medication reconciliation in ambulatory oncology.

December 5, 2007

Patient safety knowledge and its determinants in medical trainees.

June 20, 2007

Implementation and evaluation of a prototype consumer reporting system for patient safety events.

June 14, 2017

Assessment of teamwork during structured interdisciplinary rounds on medical units.

October 31, 2012

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

June 1, 2011

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.

June 1, 2011

Patient-reported service quality on a medicine unit.

November 30, 2005

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.

August 17, 2005

High performance teamwork training and systems redesign in outpatient oncology.

April 3, 2013

Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing.

January 24, 2024

The association of hospital quality ratings with adverse events.

February 26, 2014

Patient safety: through the eyes of your peers.

July 5, 2006

Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events.

October 16, 2013

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?

July 17, 2013

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.

March 20, 2013

Can we rely on patients' reports of adverse events?

June 22, 2011

Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.

March 11, 2009

Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.

March 2, 2016

Adverse events during hospitalization: results of a patient survey.

October 1, 2008

Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data.

January 29, 2020

Association between cancer-specific adverse event triggers and mortality: a validation study.

May 20, 2020

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?

April 8, 2009

Implementing a distraction-free practice with the Red Zone Medication Safety initiative.

June 8, 2016

Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures.

January 18, 2017

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

May 20, 2009

An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?

June 24, 2015

Registration-associated patient misidentification in an academic medical center: causes and corrections.

January 10, 2007

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.

November 1, 2017

Overrides of medication alerts in ambulatory care.

February 18, 2009

Medication safety messages for patients via the web portal: the MedCheck intervention.

July 11, 2007

Interprofessional learning for medication safety.

July 9, 2014

Injury and death associated with incidents reported to the Patient Safety Net.

September 23, 2009

Medication errors in pediatrics—the octopus evading defeat.

March 6, 2005

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Excess mortality caused by medical injury.

November 8, 2006

What is the value and impact of quality and safety teams? A scoping review.

November 16, 2011

Hospitalized patients' participation and its impact on quality of care and patient safety.

January 30, 2005

An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.

October 6, 2010

Transferring aviation practices into clinical medicine for the promotion of high reliability.

July 26, 2017

The struggle to improve patient care in the face of professional boundaries.

November 14, 2012

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.

June 4, 2014

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

September 23, 2009

Novel approach to cardiac alarm management on telemetry units.

February 19, 2014

Cognitive bias in clinical medicine.

November 7, 2018

Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015).

January 20, 2016

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

April 28, 2010

Creating a fellowship curriculum in patient safety and quality.

September 17, 2014

Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests.

May 13, 2020

The You CAN campaign: teamwork training for patients and families in ambulatory oncology.

February 4, 2009

Outpatient prescribing errors and the impact of computerized prescribing.

August 31, 2005

Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center.

April 9, 2014

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

January 30, 2005

It's always something: hospital nurses managing risk.

January 30, 2013

Communication failure in the operating room.

November 3, 2010

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.

July 7, 2021

How real-time data can change the patient safety game.

July 22, 2020

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

Risk factors for adverse events in patients with breast, colorectal, and lung cancer.

May 23, 2018

Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.

September 6, 2017

Performance of a trigger tool for identifying adverse events in oncology.

July 19, 2017

Nurse decision making in the prearrest period.

January 6, 2010

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.

April 19, 2017

Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants.

December 12, 2018

Effective surgical safety checklist implementation.

January 30, 2005

Uncharted territory: measuring costs of diagnostic errors outside the medical record.

July 25, 2012

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.

November 12, 2014

An acetaminophen icon helps reduce medication decision errors in an experimental setting.

August 17, 2016

Nursing home safety: does financial performance matter?

May 18, 2011

Surgical checklists: the human factor.

July 24, 2013

Surgeons' disclosures of clinical adverse events.

July 27, 2016

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Clinical reasoning as a core competency.

October 30, 2019

System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.

January 20, 2016

Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter?

March 29, 2017

Prevalence of adverse events in pediatric intensive care units in the United States.

October 13, 2010

Operational failures detected by frontline acute care nurses.

March 29, 2017

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Parent willingness to remind health care workers to perform hand hygiene.

August 14, 2013

Advancing the next generation of handover research and practice with cognitive load theory.

January 27, 2016

Effects of learning climate and registered nurse staffing on medication errors.

January 5, 2011

Related Resources

Journal Article

Study

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

April 10, 2024

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system.

January 24, 2024

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy.

December 13, 2023

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention.

November 15, 2023

Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.

September 27, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

The impact of COVID-19 workflow changes on radiation oncology incident reporting.

November 2, 2022

Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.

September 14, 2022

Toolkit for Preventing CLABSI and CAUTI in ICUs.

April 27, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study.

December 16, 2020

Missing the near miss: recognizing valuable learning opportunities in radiation oncology.

December 16, 2020

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology.

November 18, 2020

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”.

June 3, 2020

Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center.

September 25, 2019

Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.

July 17, 2019

Failure to report poor care as a breach of moral and professional expectation.

June 19, 2019

Impact of oncology drug shortages on chemotherapy treatment.

May 1, 2019

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.

March 13, 2019

Perception of patient safety culture in pediatric long-term care settings.

February 13, 2019

The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.

December 5, 2018

A factorial survey on safety behavior providing opportunities to improve safety.

December 5, 2018

Performance of a trigger tool for identifying adverse events in oncology.

July 19, 2017

Improving safety for hospitalized patients: much progress but many challenges remain.

August 17, 2016

Do physicians clean their hands? Insights from a covert observational study.

July 27, 2016

Staying silent about safety issues: conceptualizing and measuring safety silence motives.

July 20, 2016

See More About The Topic

Ambulatory Clinic or Office

Health Care Executives and Administrators

Organizational Behaviorists

Medical Oncology

Audit and Feedback

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site