Rapid response teams and continuous quality improvement.

Study

Rapid response teams and continuous quality improvement.

November 25, 2009

Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

View more articles from the same authors.

This study discusses how analysis of rapid response team calls identified a recurrent pattern of medication errors, and describes the steps taken to prevent such errors.

Free full text

Related Resources From the Same Author(s)

Engaging as partners in patient safety: the experience of librarians.

April 8, 2009

A system-based approach to managing patient safety in ambulatory care (and beyond).

January 10, 2018

Obstetric Quality and Safety.

October 28, 2009

Leadership practices to advance patient safety.

May 27, 2009

Improving patient care through improved caregiver support.

September 13, 2017

Lessons learned from a death outside a hospital's doorstep.

June 26, 2019

Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.

November 4, 2009

Daily check-in for safety: from best practice to common practice.

October 26, 2011

Medication safety technologies: what is and is not working.

July 29, 2009

Patient safety: the synergy of technology and behavior.

February 27, 2008

An interdisciplinary approach to safer blood transfusion.

April 2, 2008

Looking to the future of patient safety.

August 27, 2014

Simulation techniques for teaching time-outs: a controlled trial.

June 1, 2016

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Patient and family advisory councils. The Massachusetts experience.

January 6, 2016

Naval aviation safety and its application to medicine.

April 5, 2006

Using clinical decision support to improve medication reconciliation.

December 13, 2006

Wounded care: failure at one Indian Health Service hospital reveals a system in crisis.

December 14, 2016

Identifying and reducing complications after emergency room discharge.

March 15, 2017

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 2019

Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV.

December 17, 2008

Noah's story: please listen.

May 2, 2012

Is incivility an underlying threat to safety in obstetrics?

February 18, 2015

Guide to Reducing Unintended Consequences of Electronic Health Records.

October 5, 2011

Misadventures in Health Care: Inside Stories.

August 24, 2005

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

Knowledge-based information to improve the quality of patient care.

February 25, 2009

Patient engagement in patient safety: barriers and facilitators.

April 21, 2010

Connectivity to improve patient safety.

February 24, 2010

Common cause analysis.

June 16, 2010

Reducing alarm hazards: selection and implementation of alarm notification systems.

May 4, 2011

Sound the alarm.

June 25, 2014

IHI Framework for Improving Joy in Work.

August 9, 2017

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.

December 17, 2008

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

February 27, 2019

Alarm management: first things first: using reliable data to eliminate unnecessary alarms.

December 10, 2014

Debriefing for patient safety.

November 26, 2008

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.

July 28, 2021

Using Six Sigma to improve patient safety in the perioperative process.

August 28, 2013

MRI safety 10 years later.

December 7, 2011

Ensuring medication reconciliation.

December 19, 2007

Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health.

May 4, 2005

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report.

May 25, 2016

The problem with making Safety-II work in healthcare.

April 13, 2022

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Expert consensus on currently accepted measures of harm.

September 9, 2020

Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.

June 19, 2019

Hospitals collaborate to prevent wrong-site surgery.

October 20, 2010

Navigating risks in breast cancer diagnosis and treatment.

October 28, 2015

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

2009 John M. Eisenberg Patient Safety and Quality Awards.

November 25, 2009

Are second victims getting the help they need?

June 20, 2018

The Leapfrog Group's CPOE standard and evaluation tool.

July 30, 2008

Achieving Safe and Reliable Healthcare: Strategies and Solutions.

March 6, 2005

From tragedy to advocacy.

September 30, 2009

Towards an International Classification for Patient Safety.

February 4, 2009

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

April 5, 2023

Heparin: improving treatment and reducing risk of harm.

February 18, 2009

Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.

March 14, 2012

Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.

November 5, 2008

Operating at the sharp end: the complexity of human error.

March 6, 2005

Perioperative safety determinants in ethnic patient groups.

April 5, 2023

Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study.

January 27, 2021

Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.

June 4, 2008

Meeting the Challenge of Patient Safety in the Ambulatory Care Setting.

September 2, 2009

Hospital at Home: setting a regulatory course to ensure safe, high-quality care.

February 2, 2022

Patient Safety Papers 4.

September 2, 2009

Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review.

February 22, 2023

Re-Engineered Discharge (RED) Toolkit.

March 27, 2013

To Err Is Human: Building a Safer Health System.

March 27, 2005

The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries.

August 1, 2018

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.

February 1, 2023

Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings.

October 4, 2006

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

How a change in hospital policy saved thousands of lives.

November 8, 2017

Implementing and validating a comprehensive unit-based safety program.

May 11, 2005

Special Issue: Progress at the Intersection of Patient Safety and Medical Liability.

December 14, 2016

Healthcare-Associated Infections.

July 22, 2009

Engagement of leadership in quality improvement initiatives: executive quality improvement survey results.

July 11, 2007

Indication alerts to improve problem list documentation.

January 26, 2022

2017 John M. Eisenberg Patient Safety and Quality Awards.

July 18, 2018

Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project.

March 11, 2009

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

December 16, 2020

Preventing adverse drug events.

March 22, 2006

2011 John M. Eisenberg Patient Safety and Quality Awards.

June 27, 2012

National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide.

June 1, 2022

Emotional harm in the radiology department: analysis of an underrecognized preventable error.

February 9, 2022

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

Anesthesiology patient handoff education interventions: a systematic review.

March 29, 2023

Effective use of medication-related decision support in CPOE.

October 1, 2008

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Communicating Critical Test Results.

March 6, 2005

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care.

March 6, 2005

Optimizing patient safety through system strategies and patient engagement.

July 8, 2020

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.

August 24, 2022

Patient-Centered Care Improvement Guide.

November 12, 2008

Implementing a human factors approach to RCA(2) : tools, processes and strategies.

March 10, 2021

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity.

July 6, 2022

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

January 21, 2015

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

June 13, 2012

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

November 2, 2011

Implementation of Condition Help: family teaching and evaluation of family understanding.

October 26, 2011

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

October 19, 2011

A review of current and emerging approaches to address failure-to-rescue.

October 19, 2011

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

September 28, 2011

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

September 21, 2011

Development of a modified early warning score using the electronic medical record.

August 31, 2011

Rapid-response teams.

July 27, 2011

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

June 1, 2011

Rolling out the rapid response team.

June 1, 2011

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

May 11, 2011

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

April 13, 2011

Weekend and night outcomes in a statewide trauma system.

April 13, 2011

Using prospective clinical surveillance to identify adverse events in hospital.

March 30, 2011

Patterns of unexpected in-hospital deaths: a root cause analysis.

March 16, 2011

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

March 9, 2011

Rapid response systems in the Netherlands.

March 9, 2011

Trauma resuscitation errors and computer-assisted decision support.

March 2, 2011

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

February 23, 2011

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

February 23, 2011

See More About The Topic

General Hospitals

Quality and Safety Professionals

Critical Care

Emergency Medicine

Medication Errors/Preventable Adverse Drug Events