Study Building a culture of safety through team training and engagement. Citation Text: Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. Copy Citation Format: Google ScholarDOIPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 6, 2013 Thomas L, Galla C. BMJ Qual Saf. 2013;22(5):425-34. View more articles from the same authors. This report describes how TeamSTEPPS was implemented at a multihospital health system. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. Copy Citation Format: Google ScholarDOIPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Blending evidence and innovation: improving intershift handoffs in a multihospital setting. January 11, 2012 Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. July 19, 2017 Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. December 13, 2017 An innovative approach to the surgical time out: a patient-focused model. June 29, 2016 Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. February 6, 2008 Voluntary electronic reporting of medical errors and adverse events. January 18, 2006 Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Relationship between psychological safety and reporting nonadherence to a safety checklist. April 18, 2018 Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. January 22, 2020 Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019 Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. September 30, 2015 Individual surgeon mortality rates: can outliers be detected? A national utility analysis. November 16, 2016 Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. August 9, 2023 Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. September 13, 2023 The emotional fallout from the culture of blame and shame. October 18, 2017 Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. October 11, 2006 The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. April 13, 2022 John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. March 6, 2005 Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. January 18, 2023 Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. February 15, 2023 Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. October 11, 2006 A scholarly pathway in quality improvement and patient safety. July 1, 2015 Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. July 18, 2012 Adverse events: root causes and latent factors. February 15, 2012 Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. April 25, 2018 Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. April 30, 2014 Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. February 24, 2016 Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016 A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021 Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. November 23, 2016 Patients managing medications and reading their visit notes: a survey of OpenNotes participants. June 5, 2019 Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022 Frequency and types of patient-reported errors in electronic health record ambulatory care notes. July 1, 2020 Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 A lethal hidden curriculum—death of a medical student from opioid use disorder. September 4, 2019 Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. February 24, 2021 Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 Medication errors in community pharmacies: the need for commitment, transparency, and research. February 20, 2019 Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Time out—charting a path for improving performance measurement. April 25, 2018 Clinical handovers between prehospital and hospital staff: literature review. September 24, 2014 Implementing the Safety Thermometer tool in one NHS trust. April 16, 2014 Safety culture and care: a program to prevent surgical errors. May 13, 2015 Evolution of a rapid response system from voluntary to mandatory activation. June 9, 2010 Patient reports of undesirable events during hospitalization. October 12, 2005 Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. October 27, 2021 Association of a web-based handoff tool with rates of medical errors. August 17, 2016 Coaching to improve the quality of communication during briefings and debriefings. October 15, 2014 Barriers and facilitators to nursing handoffs: recommendations for redesign. June 9, 2010 Types and patterns of safety concerns in home care: client and family caregiver perspectives. March 9, 2016 The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. October 22, 2014 Verbal medication orders in the OR. October 24, 2007 From good intentions to successful implementation: the case of patient safety in Canada. February 28, 2007 The Swiss cheese model of safety incidents: are there holes in the metaphor? November 30, 2005 The 80-hour work week: why safer patient care will mean more health care is provided by physician extenders. September 14, 2005 A framework for engaging physicians in quality and safety. August 24, 2011 US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. January 13, 2021 Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. March 11, 2020 Racial bias in cesarean decision-making. May 10, 2023 Interprofessional communication and medical error: a reframing of research questions and approaches. October 29, 2008 End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. June 5, 2019 Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. October 17, 2012 Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. January 9, 2019 The harms of promoting 'Zero Harm'. February 19, 2020 Diagnostic reasoning and cognitive biases of nurse practitioners. April 25, 2018 Why empathy may be the best risk management strategy. March 11, 2015 A 62-year-old woman with skin cancer who experienced wrong-site surgery. July 22, 2009 Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. October 21, 2009 Improving teamwork in healthcare: current approaches and the path forward. January 30, 2005 The neurologist and patient safety. May 11, 2005 Lessons learned: basic evidence-based advice for preventing medication errors in children. October 19, 2005 Physician use of stigmatizing language in patient medical records. July 28, 2021 Types and patterns of safety concerns in home care: staff perspectives. October 31, 2012 No interruptions please: impact of a no interruption zone on medication safety in intensive care units. January 27, 2010 Exploring the concept of medication discrepancy within the context of patient safety to improve population health. December 9, 2009 Therapeutic errors among children in the community setting: nature, causes and outcomes. April 22, 2009 Therapeutic errors involving adults in the community setting: nature, causes and outcomes. September 9, 2009 Use of maternal early warning trigger tool reduces maternal morbidity. April 6, 2016 Electronic health record adoption by children's hospitals in the United States. December 15, 2010 Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. June 8, 2011 How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022 Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018 Managing clinical failure: a complex adaptive system perspective. May 30, 2007 Chemotherapy error: practical approaches to increasing patient safety. May 31, 2006 Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. October 8, 2008 Drill down with root cause analysis. October 26, 2005 Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis, March 10, 2021 Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 A systematic review of clinical outcomes associated with intrahospital transitions December 4, 2019 Association of emotional intelligence with malpractice claims: a review. February 13, 2019 Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. May 2, 2018 Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. March 28, 2018 View More Related Resources Healthcare wants to fly as high as the aviation industry. Can it? November 8, 2023 The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. November 1, 2023 Smart Healthcare Safety. October 4, 2023 Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. October 4, 2023 Adverse Health Events in Minnesota: Annual Reports. September 30, 2023 Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study. September 27, 2023 Effects of work shift or shift length on radiation safety perception. September 27, 2023 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Covering Health: Patient Safety. August 23, 2023 Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. August 16, 2023 Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023 Mitigating bias in AI at the point of care. July 26, 2023 TeamSTEPPS Core Curriculum. July 19, 2023 Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023 Disclosing medical errors: prioritising the needs of patients and families. July 5, 2023 Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023 TeamSTEPPS Master Training Virtual Course. September 7, 2023 - November 2, 2023 Challenge Competition: Impact of Patient Safety Tools. June 14, 2023 Patient Safety Primers Strategies to Improve Organizational Health Literacy. May 31, 2023 Patient Safety Primers Patient Safety Indicators. April 26, 2023 Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. April 12, 2023 How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 National Healthcare Quality and Disparities Reports. November 7, 2022 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. October 5, 2022 Teamwork before and during COVID-19: the good, the same, and the ugly…. August 24, 2022 Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022 A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. May 25, 2022 Physician liability in the age of data reliance and errors. March 16, 2022 Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers. March 9, 2022 A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. January 22, 2022 View More See More About The Topic Hospitals Long-Term Care Ambulatory Care Health Care Executives and Administrators Medicine View More
Blending evidence and innovation: improving intershift handoffs in a multihospital setting. January 11, 2012
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. July 19, 2017
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. December 13, 2017
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019
Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. February 6, 2008
Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020
"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021
Relationship between psychological safety and reporting nonadherence to a safety checklist. April 18, 2018
Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022
Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. January 22, 2020
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. March 6, 2019
Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. September 30, 2015
Individual surgeon mortality rates: can outliers be detected? A national utility analysis. November 16, 2016
Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. August 9, 2023
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. September 13, 2023
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. October 11, 2006
The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. April 13, 2022
John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. March 6, 2005
Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. January 18, 2023
Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. February 15, 2023
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. October 11, 2006
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. July 18, 2012
Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. April 25, 2018
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. February 24, 2016
Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016
A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021
Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. November 23, 2016
Patients managing medications and reading their visit notes: a survey of OpenNotes participants. June 5, 2019
Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022
Frequency and types of patient-reported errors in electronic health record ambulatory care notes. July 1, 2020
Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022
Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. February 24, 2021
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021
Medication errors in community pharmacies: the need for commitment, transparency, and research. February 20, 2019
Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023
Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. October 27, 2021
Types and patterns of safety concerns in home care: client and family caregiver perspectives. March 9, 2016
The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. October 22, 2014
From good intentions to successful implementation: the case of patient safety in Canada. February 28, 2007
The 80-hour work week: why safer patient care will mean more health care is provided by physician extenders. September 14, 2005
US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. January 13, 2021
Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. March 11, 2020
Interprofessional communication and medical error: a reframing of research questions and approaches. October 29, 2008
End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. June 5, 2019
Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. October 17, 2012
Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. January 9, 2019
Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. October 21, 2009
Lessons learned: basic evidence-based advice for preventing medication errors in children. October 19, 2005
No interruptions please: impact of a no interruption zone on medication safety in intensive care units. January 27, 2010
Exploring the concept of medication discrepancy within the context of patient safety to improve population health. December 9, 2009
Therapeutic errors among children in the community setting: nature, causes and outcomes. April 22, 2009
Therapeutic errors involving adults in the community setting: nature, causes and outcomes. September 9, 2009
Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. June 8, 2011
How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022
Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021
Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018
Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. October 8, 2008
Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023
Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis, March 10, 2021
Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020
Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. May 2, 2018
Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. March 28, 2018
Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. October 4, 2023
Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study. September 27, 2023
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023
Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. August 16, 2023
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023
Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. April 12, 2023
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. October 5, 2022
Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022
A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. May 25, 2022
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers. March 9, 2022
A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. January 22, 2022