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PSNet: Patient Safety Network
Journal Article
Commentary

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

Williams EA, Nikolai DA, Ladwig L, et al. Joint Commission journal on quality and patient safety. 2015;41:508-13.

Rapid teamwork has been highlighted as a mechanism to enhance response to patient deterioration, assess incidents, improve team feedback, and support high reliability. This commentary discusses the development and implementation of the SWARM tool—a unit-based mechanism to rapidly analyze problems and develop solutions—in a pediatric intensive care unit. The authors detail the results of the initiative and provide materials to enable organizations to implement a similar program.