How to deliver safer and effective patient care: tips for team leaders and educators.

Brijen J. Shah

Commentary

How to deliver safer and effective patient care: tips for team leaders and educators.

April 17, 2019

Shah BJ. Gastroenterology. 2019;156(4):852-855.

View more articles from the same authors.

Teamwork is a key element of safe medical care. This commentary examines teamwork in gastroenterology and offers a developmental framework of high-performing teams. The author spotlights the role of experiential learning and formal educational programs in this setting and notes the importance of psychological safety, trainee observation, and organizational culture.

Available at

PubMed citation

Related Resources From the Same Author(s)

No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.

October 1, 2008

Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015.

March 29, 2017

Medical and nursing staff highly value clinical pharmacists in the emergency department.

December 19, 2007

Usability study of two common defibrillators reveals hazards.

January 2, 2008

Drone delivery of medications: review of the landscape and legal considerations.

February 21, 2018

Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience.

September 26, 2018

Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?

December 12, 2012

2010 Annual National Patient Safety Foundation Congress: conference proceedings.

September 8, 2010

Antibiotic prescribing in ambulatory pediatrics in the United States.

January 11, 2012

Out-of-hospital medication errors: a 6-year analysis of the national poison data system.

September 2, 2009

Tort claims and adverse events in emergency medical services.

May 7, 2008

From guideline to order set to patient harm.

April 4, 2018

Sleepy nurses: are we willing to accept the challenge today?

June 20, 2007

Recalls and safety alerts affecting automated external defibrillators.

August 23, 2006

Cognitive error in an academic emergency department.

October 10, 2018

Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study.

April 18, 2018

Surgical data recording technology: a solution to address medical errors?

September 18, 2019

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy.

March 24, 2021

Making the business case for quality and safety.

March 23, 2022

Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs.

March 2, 2022

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

May 6, 2009

What this computer needs is a physician: humanism and artificial intelligence.

January 17, 2018

Impact of the unit-based patient safety officer.

September 19, 2012

Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.

August 1, 2018

How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?

July 25, 2018

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy.

May 21, 2014

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety.

June 23, 2021

Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility.

July 1, 2020

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?

February 8, 2017

Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care.

January 6, 2016

Embedding quality and safety in otolaryngology–head and neck surgery education.

January 21, 2015

Errors and adverse events in otolaryngology.

June 14, 2006

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.

February 27, 2019

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Physician burnout and medical errors: exploring the relationship, cost, and solutions received.

August 9, 2023

A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States.

April 12, 2023

Errors with concentrated epinephrine in otolaryngology.

September 3, 2008

Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals.

June 11, 2008

Pharmacovigilance using clinical notes.

May 1, 2013

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.

July 16, 2008

Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study.

August 29, 2018

Impact of a national QI programme on reducing electronic health record notifications to clinicians.

March 21, 2018

Errors in otolaryngology revisited.

July 30, 2014

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.

December 8, 2021

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

August 31, 2011

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.

December 16, 2020

Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study.

January 24, 2024

A quality improvement initiative to improve patient safety event reporting by residents.

February 9, 2022

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

August 11, 2010

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use.

October 25, 2017

Variation in surgical time-out and site marking within pediatric otolaryngology.

January 26, 2011

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

Improving acceptance of computerized prescribing alerts in ambulatory care.

November 9, 2005

Role of computerized physician order entry usability in the reduction of prescribing errors.

August 21, 2013

Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods.

May 24, 2017

Observational study of drug formulation manipulation in pediatric versus adult inpatients.

January 13, 2021

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.

May 20, 2020

Developing team cognition: a role for simulation.

May 31, 2017

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.

December 14, 2022

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.

December 2, 2020

Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate.

November 1, 2016

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.

July 2, 2008

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

October 27, 2010

Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study.

November 6, 2019

Sources of medication omissions among hospitalized older adults with polypharmacy.

March 9, 2022

Apparent cause analysis: a safety tool.

May 20, 2020

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.

May 16, 2007

Otolaryngologists' responses to errors and adverse events.

July 26, 2006

Wrong-site sinus surgery in otolaryngology.

August 11, 2010

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know.

April 13, 2016

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.

June 26, 2019

A customized triggers program: a children's hospital's experience in improving trigger usability.

February 8, 2023

Reducing pediatric emergency department prescription errors.

June 22, 2022

Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit.

January 17, 2024

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme.

December 21, 2022

A human factors curriculum for surgical clerkship students.

January 5, 2011

Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center.

February 1, 2017

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.

December 3, 2014

An institution-wide handoff task force to standardise and improve physician handoffs.

June 27, 2012

Critical care simulation education program during the COVID-19 pandemic.

November 10, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.

July 20, 2022

Adherence to black box warnings for prescription medications in outpatients.

February 22, 2006

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications.

April 10, 2024

10,000 good catches: increasing safety event reporting in a pediatric health care system.

June 27, 2018

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

March 6, 2005

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study.

March 16, 2022

Early cost and safety benefits of an inpatient electronic health record.

February 23, 2011

The need for risk profiling in patient safety.

September 15, 2010

The quest to eliminate intrathecal vincristine errors: a 40-year journey.

March 31, 2010

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.

February 17, 2010

Reducing hospital errors: interventions that build safety culture.

February 6, 2013

Creating highly reliable accountable care organizations.

September 27, 2017

Disclosing medical errors: views from the United States and the United Kingdom.

May 21, 2014

March 6, 2005

Adverse events in hospitals: the patient's point of view.

April 14, 2010

Standards for patient monitoring during general anesthesia at Harvard Medical School.

March 6, 2005

Bad stars or guiding lights? Learning from disasters to improve patient safety.

May 12, 2010

Related Resources

The time is now: addressing implicit bias in obstetrics and gynecology education.

May 17, 2023

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.

February 8, 2023

Bad things can happen: are medical students aware of patient centered care and safety?

January 25, 2023

“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.

December 21, 2022

Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.

November 16, 2022

WebM&M Cases

Delayed Diagnosis of Mesenteric Ischemia

August 31, 2022

Resident physicians' advice seeking and error making: a social networks approach.

May 25, 2022

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room.

July 28, 2021

Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning.

May 5, 2021

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces.

April 8, 2020

The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment.

September 25, 2019

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum.

September 1, 2019

Professionalism lapses and adverse childhood experiences: reflections from the island of last resort.

August 14, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

Exposure to incivility hinders clinical performance in a simulated operative crisis.

June 26, 2019

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.

June 12, 2019

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.

June 12, 2019

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.

June 12, 2019

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

Perspective

Safety in the Prehospital Emergency Medical Services Setting

May 1, 2019

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.

April 17, 2019

Patient safety outcomes under flexible and standard resident duty-hour rules.

March 13, 2019

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations.

February 20, 2019

Patient Safety and Quality Improvement.

January 23, 2019

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.

January 23, 2019

Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.

January 16, 2019

Supervision, autonomy, and medical error in the teaching clinic.

January 9, 2019

See More About The Topic

Physicians

Educators

Gastroenterology

Epidemiology of Errors and Adverse Events

How to deliver safer and effective patient care: tips for team leaders and educators.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

How to deliver safer and effective patient care: tips for team leaders and educators.

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