Improving patient safety with team coordination: challenges and strategies of implementation.

Commentary

Improving patient safety with team coordination: challenges and strategies of implementation.

August 9, 2006

Harris KT; Treanor CM; Salisbury ML.

View more articles from the same authors.

The authors discuss the implementation of a teamwork training initiative in labor and delivery units and provide specific strategies used to overcome challenges.

PubMed citation

Related Resources From the Same Author(s)

Naval aviation safety and its application to medicine.

April 5, 2006

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

Serious Reportable Events in Massachusetts.

May 22, 2023

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

December 15, 2010

Responding to health information technology reported safety events: insights from patient safety event reports.

June 12, 2019

How to Make an Emergency Department Visit a Safe One.

September 16, 2009

Evidence shows cost and patient safety benefits of emergency pharmacists.

July 9, 2008

Suit filed over Virginia Mason Medical Center's error.

April 3, 2005

Training health care professionals for patient safety.

November 2, 2005

Man falls off surgical table; St. Joseph's Hospital sued.

August 4, 2010

Demanding Medical Excellence. Doctors and Accountability in the Information Age.

March 6, 2005

Hospitals to tear up bills for medical mistakes.

February 13, 2008

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

July 5, 2006

"Near injury" alters procedures at Virginia Mason.

June 1, 2005

Settlement to be used for hospital training in labeling medicines.

September 21, 2005

Getting rid of "never events" in hospitals.

October 28, 2015

The Agency for Healthcare Research and Quality's Patient Safety Network.

November 30, 2005

Reducing patient risk from prescription instruction errors—a six sigma approach.

June 18, 2008

New evidence on stemming low-value prescribing.

May 1, 2019

The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.

March 4, 2009

Recent Evidence That Health IT Improves Patient Safety: Issue Brief.

May 13, 2015

Classifying laboratory incident reports to identify problems that jeopardize patient safety.

September 7, 2005

Medication Safety Officer's Handbook.

July 23, 2014

Report on the Safe Use of Pick Lists in Ambulatory Care Settings.

December 7, 2016

Diagnosis: Interpreting the Shadows.

July 26, 2017

Cognitive Systems Engineering in Health Care.

February 11, 2015

Impact of a successful speaking up program on health-care worker hand hygiene behavior.

September 13, 2017

October 3, 2018

Diagnostic experiences of children with attention-deficit/hyperactivity disorder.

September 30, 2015

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.

June 29, 2016

Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.

March 14, 2018

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.

September 28, 2005

Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits.

May 11, 2016

Diagnostic Error: Is Overconfidence the Problem.

May 14, 2008

Safety events in children's hospitals during the COVID-19 pandemic.

May 26, 2021

January 11, 2017

Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.

February 27, 2019

The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety.

October 18, 2017

Diagnostic Error in Medicine.

October 7, 2009

4 actions to reduce medical errors in U.S. hospitals.

May 25, 2022

Improving Diagnosis in Radiology—Progress and Proposals.

September 13, 2017

U.S. inaction lets look-alike tubes kill patients.

September 1, 2010

WebM&M Cases

Empiric Steroids: the Good, the Bad, and the Ugly

September 1, 2008

Nurse staffing and inpatient hospital mortality.

March 23, 2011

Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.

August 26, 2020

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

The lurking danger in the “business case” for patient safety

December 18, 2019

To expand the evidence base about harms from tests and treatments.

September 15, 2021

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.

September 21, 2022

To Err Is Human: Building a Safer Health System.

March 27, 2005

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

December 14, 2016

Drug shortages amid the COVID-19 pandemic.

February 24, 2021

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations.

March 6, 2005

Special Issue on Prescription Drug Misuse.

September 25, 2019

Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.

October 28, 2020

Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.

July 10, 2019

Improving Telediagnosis--a Call to Action: Final Project Findings.

October 13, 2021

Exploring the intersection of structural racism and ageism in healthcare.

December 7, 2022

The hidden risk of wheelchair use.

September 28, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Improving Education—A Key to Better Diagnostic Outcomes.

March 30, 2022

Diagnosis.

January 22, 2014

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).

February 12, 2020

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.

May 12, 2021

Directed peer review in surgical pathology.

September 1, 2012

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.

August 10, 2022

Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.

December 16, 2020

Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.

August 19, 2020

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.

January 25, 2023

Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study.

September 8, 2021

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

Working conditions that support patient safety.

October 12, 2005

Diagnostic error in pediatrics: a narrative review.

March 23, 2022

Why July matters.

May 11, 2016

Patient mortality during unannounced accreditation surveys at US hospitals.

April 5, 2017

A systems approach to morbidity and mortality conference.

July 28, 2010

Adverse event reporting priorities: an integrative review.

June 29, 2022

Racial disparities in child abuse medicine.

November 3, 2021

Medication errors reported in a pediatric intensive care unit for oncologic patients.

September 14, 2011

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.

July 26, 2023

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Errors in breast imaging: how to reduce errors and promote a safety environment.

July 7, 2021

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

AHRQ's Quality Challenge.

April 21, 2005

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.

July 28, 2021

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.

September 26, 2007

Supporting recovery after adverse events: an essential component of surgeon well-being.

February 10, 2021

Inappropriate prescribing of opioids for patients undergoing surgery.

December 21, 2022

Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.

November 17, 2021

The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.

March 7, 2012

Adverse events and emergency department opioid prescriptions in adolescents.

June 30, 2021

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

Related Resources

The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center.

February 1, 2023

Patient Safety Innovations

A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries

July 8, 2022

Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach.

April 13, 2022

Prevention of failure to rescue in obstetric patients: a realist review.

November 10, 2021

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.

October 13, 2021

Racial/ethnic inequities in pregnancy-related morbidity and mortality.

March 10, 2021

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance

February 17, 2021

WebM&M Cases

Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.

November 25, 2020

Improving Diagnosis and Treatment of Maternal Sepsis.

April 1, 2020

Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.

October 30, 2019

PC standards for maternal safety.

September 11, 2019

Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.

July 10, 2019

Maternal sleepiness and risk of infant drops in the postpartum period.

June 12, 2019

In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.

May 22, 2019

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

April 17, 2019

The impact of patient–physician alliance on trust following an adverse event.

April 10, 2019

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care.

March 27, 2019

Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.

March 20, 2019

New mother number 14.

March 20, 2019

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.

January 23, 2019

Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial.

December 12, 2018

What we can do about maternal mortality—and how to do it quickly.

November 14, 2018

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

August 30, 2017

Nurses' knowledge and teaching of possible postpartum complications.

August 30, 2017

Implementation of a modified bedside handoff for a postpartum unit.

June 21, 2017

How communication among members of the health care team affects maternal morbidity and mortality.

January 18, 2017

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?

July 23, 2014

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees.

May 7, 2014

Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.

April 30, 2014

See More About The Topic

Quality and Safety Professionals