Patient safety checklist: keys to successful implementation.

Philip Fracica; Mohamed Lafeer; Marie Minnich; Raymond Fabius

Newspaper/Magazine Article

Patient safety checklist: keys to successful implementation.

August 9, 2006

Fracica P, Lafeer M, Minnich M, et al. Physician executive. 2006;32(4):46-53.

View more articles from the same authors.

The authors share lessons learned from implementing patient safety programs and outline the steps for successful implementation.

PubMed citation

Related Resources From the Same Author(s)

Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer.

July 19, 2023

Barriers to incident reporting among nurses: a qualitative systematic review.

March 31, 2021

Early access to a neurologist reduces the rate of missed diagnosis in young strokes.

January 15, 2014

High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review.

March 29, 2023

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.

July 25, 2018

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

January 16, 2019

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

April 17, 2013

Roundtable on public policy affecting patient safety.

March 16, 2011

Infusion medication error reduction by two-person verification: a quality improvement initiative.

February 1, 2017

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

Injury and death associated with incidents reported to the Patient Safety Net.

September 23, 2009

The business case for patient safety.

February 14, 2007

Content analysis of nurses' reflections on medication errors in a regional hospital.

July 26, 2023

Bar-code verification: reducing but not eliminating medication errors.

December 12, 2012

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

August 16, 2006

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.

March 3, 2021

Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription.

October 12, 2011

What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.

August 11, 2021

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

April 17, 2013

Harm caused by adverse events in primary care: a clinical observational study.

April 15, 2009

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

July 23, 2008

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.

July 29, 2009

Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes.

August 5, 2015

Workforce planning and safe workload in sterile compounding hospital pharmacy services.

November 24, 2021

The impact of technology on safe medicines use and pharmacy practice in the US.

January 30, 2019

Zero preventable deaths after traumatic injury: an achievable goal.

July 12, 2017

Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals.

April 4, 2012

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review

December 11, 2019

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

September 16, 2009

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

June 16, 2010

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers.

January 27, 2021

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

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

December 14, 2022

The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts.

January 25, 2017

Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.

April 13, 2016

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.

November 18, 2020

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel.

July 30, 2008

Hospital medication errors: a cross sectional study.

December 23, 2020

Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.

May 26, 2010

Analysis and prioritization of near-miss adverse events in a radiology department.

May 11, 2011

Failure to report poor care as a breach of moral and professional expectation.

June 19, 2019

The debrief imperative: building teaming competencies and team effectiveness.

November 16, 2022

The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.

August 21, 2019

No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety.

January 25, 2006

Reducing errors in emergency surgery.

May 15, 2013

Simulation for ward processes of surgical care.

April 17, 2013

Surgical ward round quality and impact on variable patient outcomes.

March 19, 2014

Current challenges and future perspectives for patient safety in surgery.

March 12, 2014

Availability of Spanish prescription labels.

March 1, 2006

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis.

April 19, 2023

Night-time communication at Stanford University Hospital: perceptions, reality and solutions.

November 15, 2017

Overlapping surgery in arthroplasty - a systematic review and meta-analysis.

July 5, 2023

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.

April 20, 2022

In situ simulation: identification of systems issues.

July 10, 2013

The heart of health care: parents' perspectives on patient safety.

November 28, 2012

Governance of quality of care: a qualitative study of health service boards in Victoria, Australia.

May 28, 2014

Through and beyond anaesthesia awareness.

July 28, 2010

The justification for strike action in healthcare: a systematic critical interpretive synthesis.

April 27, 2022

Teamwork in obstetric critical care.

September 10, 2008

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).

June 17, 2015

Using improvement science methods to increase accuracy of surgical consents.

September 17, 2014

Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.

March 21, 2018

Oncology medication safety: a 3D status report 2008.

November 5, 2008

Improving the accuracy of patient identification in the medication-use process.

February 8, 2006

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.

January 18, 2017

Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm.

July 25, 2018

Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology.

June 14, 2017

Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living.

November 27, 2013

Understanding medication safety in healthcare settings: a critical review of conceptual models.

November 23, 2011

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.

December 9, 2015

The effects of physical environments in medical wards on medication communication processes affecting patient safety.

February 26, 2014

Auto identification technology and its impact on patient safety in the operating room of the future.

May 9, 2007

National survey on the effect of oncology drug shortages on cancer care.

April 10, 2013

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Utilising improvement science methods to optimise medication reconciliation.

April 13, 2011

Critical laboratory value notification: a failure mode effects and criticality analysis.

January 31, 2006

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.

October 27, 2010

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015.

September 14, 2016

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.

October 31, 2018

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.

September 20, 2017

Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture.

June 28, 2017

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010.

June 6, 2012

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.

June 13, 2012

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

May 9, 2012

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014.

August 12, 2015

Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification.

February 17, 2016

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013.

July 23, 2014

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.

May 20, 2009

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.

June 4, 2008

Interrater agreement with a standard scheme for classifying medication errors.

January 24, 2007

Utility of an online medication-error-reporting system.

November 23, 2005

Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine.

July 5, 2023

Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?

February 15, 2017

Medical malpractice lawsuits involving surgical residents.

September 20, 2017

Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients.

July 22, 2015

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

November 10, 2021

Related Resources

A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.

October 6, 2021

Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.

September 22, 2021

Crisis checklists in emergency medicine: another step forward for cognitive aids.

April 7, 2021

How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland.

March 24, 2021

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.

March 10, 2021

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist.

December 23, 2020

Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

September 30, 2020

Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist.

September 2, 2020

Clinical efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical trial.

June 3, 2020

WebM&M Cases

Complications of ECMO During Transport

April 29, 2020

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board.

April 1, 2020

Eleven basic procedures/practices for dental patient safety.

April 1, 2020

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Development and implementation of a suicide prevention checklist to create a safe environment.

March 4, 2020

Association of overlapping cardiac surgery with short-term patient outcomes.

March 3, 2020

Adverse events during intrahospital transport of critically ill children: a systematic review.

February 12, 2020

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

The surgical ward round checklist: improving patient safety and clinical documentation.

November 20, 2019

Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.

September 25, 2019

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.

August 14, 2019

Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.

June 19, 2019

Impact of the World Health Organization surgical safety checklist on patient safety.

June 12, 2019

How one health system overcame resistance to a surgical checklist.

May 29, 2019

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.

March 27, 2019

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.

Patient safety checklist: keys to successful implementation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Patient safety checklist: keys to successful implementation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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