Journal Article

Real time patient safety audits: improving safety every day.

Ursprung R; Gray JE; Edwards WH; Horbar JD; Nickerson J; Plsek P; Shiono PH; Suresh GK; Goldmann DA.

This pilot study evaluated the feasibility of using a safety auditing checklist during daily work in an intensive care unit. Investigators developed a 36-item list focused on errors common to this clinical setting and implemented them into rounds on a regular basis for the 5-week study period. Results suggested the ability to detect a variety of errors while engaging staff in a blame-free fashion to stimulate immediate changes in performance. The authors advocate for greater application of safety and error prevention methods into routine clinical work as a mechanism for ongoing quality improvement.