Patient safety: the synergy of technology and behavior.

Newspaper/Magazine Article

Patient safety: the synergy of technology and behavior.

February 27, 2008

Yarbrough C, Rypkema S. Patient Saf Qual Healthc. January/February 2008.

View more articles from the same authors.

This article describes how one Veterans Affairs hospital employed teamwork, checklists, and technology and successfully reduced hospital-acquired infections.

Free full text

Related Resources From the Same Author(s)

Is incivility an underlying threat to safety in obstetrics?

February 18, 2015

Connectivity to improve patient safety.

February 24, 2010

Looking to the future of patient safety.

August 27, 2014

An interdisciplinary approach to safer blood transfusion.

April 2, 2008

Identifying and reducing complications after emergency room discharge.

March 15, 2017

Debriefing for patient safety.

November 26, 2008

Heparin: improving treatment and reducing risk of harm.

February 18, 2009

Are second victims getting the help they need?

June 20, 2018

Lessons learned from a death outside a hospital's doorstep.

June 26, 2019

Patient and family advisory councils. The Massachusetts experience.

January 6, 2016

Using clinical decision support to improve medication reconciliation.

December 13, 2006

Naval aviation safety and its application to medicine.

April 5, 2006

Optimizing patient safety through system strategies and patient engagement.

July 8, 2020

Noah's story: please listen.

May 2, 2012

Alarm management: first things first: using reliable data to eliminate unnecessary alarms.

December 10, 2014

Leadership practices to advance patient safety.

May 27, 2009

Common cause analysis.

June 16, 2010

Patient engagement in patient safety: barriers and facilitators.

April 21, 2010

MRI safety 10 years later.

December 7, 2011

Engaging as partners in patient safety: the experience of librarians.

April 8, 2009

Simulation techniques for teaching time-outs: a controlled trial.

June 1, 2016

A system-based approach to managing patient safety in ambulatory care (and beyond).

January 10, 2018

Navigating risks in breast cancer diagnosis and treatment.

October 28, 2015

Medication safety technologies: what is and is not working.

July 29, 2009

Ensuring medication reconciliation.

December 19, 2007

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

Hospitals collaborate to prevent wrong-site surgery.

October 20, 2010

Rapid response teams and continuous quality improvement.

November 25, 2009

Effective use of medication-related decision support in CPOE.

October 1, 2008

The Leapfrog Group's CPOE standard and evaluation tool.

July 30, 2008

Using Six Sigma to improve patient safety in the perioperative process.

August 28, 2013

To err is human; the need for trauma support is, too.

March 6, 2005

Report focuses on risk to patients from ED errors.

October 30, 2019

Becoming a high-reliability organization through shared learning of safety events

January 22, 2020

AHRQ patient safety project reduces bloodstream infections by 40 percent.

September 19, 2012

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

February 27, 2008

When machine learning goes off the rails. A guide to managing the risks.

March 3, 2021

Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.

April 9, 2008

How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project.

May 21, 2014

The 2016 John M. Eisenberg Patient Safety and Quality Awards.

June 28, 2017

Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.

March 11, 2015

Risk and Event Assessment.

August 4, 2010

2017 John M. Eisenberg Patient Safety and Quality Awards.

July 18, 2018

The 2015 John M. Eisenberg Patient Safety and Quality Awards.

May 25, 2016

2018 John M. Eisenberg Patient Safety and Quality Awards.

July 17, 2019

2012 John M. Eisenberg Patient Safety and Quality Awards.

May 29, 2013

2011 John M. Eisenberg Patient Safety and Quality Awards.

June 27, 2012

The 2013 John M. Eisenberg Patient Safety and Quality Awards.

April 30, 2014

The 2020 John M. Eisenberg Patient Safety and Quality Awards.

August 4, 2021

2009 John M. Eisenberg Patient Safety and Quality Awards.

November 25, 2009

2008 John M. Eisenberg Patient Safety and Quality Awards.

October 8, 2008

2010 John M. Eisenberg Patient Safety and Quality Awards.

May 4, 2011

2007 John M. Eisenberg Patient Safety and Quality Awards.

December 12, 2007

American Hospital Association-McKesson Quest for Quality Prize.

October 11, 2006

American Hospital Association-McKesson Quest for Quality Prize.

October 10, 2007

The 2021 John M. Eisenberg Patient Safety and Quality Awards.

August 3, 2022

2022 John M. Eisenberg Patient Safety and Quality Awards.

August 30, 2023

Using Twitter to assess patient takes on patient experience.

November 11, 2020

The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety.

May 4, 2022

Spreading a medication administration intervention organizationwide in six hospitals.

February 15, 2012

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.

August 4, 2010

Communicating Critical Test Results.

March 6, 2005

Perioperative Handoffs.

August 2, 2023

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Keeping track of aging patients’ medications.

February 13, 2008

Hospitals to tear up bills for medical mistakes.

February 13, 2008

Battling hospital-acquired infections.

January 23, 2008

No pay for "never event" errors becoming standard.

January 9, 2008

ADC survey shows some improvements, but unnecessary risks still exist.

February 6, 2008

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation.

January 12, 2022

USA Today news series: clarifying the issues and embracing community pharmacy safety.

March 12, 2008

Keeping patients safe from iatrogenic methadone overdoses.

February 27, 2008

Reducing preventable harm in hospitals.

February 3, 2016

Anesthesiology patient handoff education interventions: a systematic review.

March 29, 2023

Reducing surgical specimen errors through multidisciplinary quality improvement.

June 16, 2021

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 2023

Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture of Safety" conference proceedings.

June 20, 2007

Health Literacy Practices in Primary Care Settings: Examples from the Field.

February 6, 2008

Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.

September 15, 2021

Time to take hearing loss seriously.

February 19, 2020

An infrastructure to provide safer, higher quality, and more equitable telehealth.

March 1, 2023

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

Speaking up for safety—it’s not simple.

October 3, 2018

Managing patient access and flow in the emergency department to improve patient safety.

December 15, 2010

Lessons from the war on cancer: the need for basic research on safety.

May 11, 2005

Important Warnings and Instructions for Heparin Sodium Injection (Baxter).

February 20, 2008

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.

October 27, 2021

How to mitigate the effects of cognitive biases during patient safety incident investigations.

September 28, 2022

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

Considering the safety and quality of artificial intelligence in health care.

September 16, 2020

Lessons from walking the medical distancing tightrope.

July 22, 2020

Medication reconciliation in ambulatory oncology.

December 5, 2007

Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors.

October 27, 2021

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

November 30, 2022

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.

November 3, 2021

Medication errors: when pharmacy is closed.

March 14, 2012

Applying the Universal Protocol to improve patient safety in radiology services.

June 22, 2011

Patients taking their own medications while in the hospital.

June 20, 2012

Beyond the count: preventing the retention of foreign objects.

July 15, 2009

Related Resources

Pediatric Diagnostic Safety: State of the Science and Future Directions.

September 13, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

March 15, 2023

Interprofessional team collaboration and work environment health in 68 US intensive care units.

November 30, 2022

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.

October 6, 2021

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

June 16, 2021

COVID-19 exposes potential gaps in PPE training, effectiveness.

April 22, 2020

WebM&M Cases

The Safety Challenges of Supervision and Night Coverage in Academic Residency

October 30, 2019

CUSP Toolkit.

September 26, 2019

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

Technology and error-prevention strategies: why are we still overlooking the IV room?

January 28, 2015

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.

August 20, 2014

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

July 23, 2014

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.

July 2, 2014

Often overlooked problems with handoffs: from the intensive care unit to the operating room.

May 14, 2014

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study.

April 30, 2014

Failure events in transition of care for surgical patients.

March 5, 2014

The effects of safety checklists in medicine: a systematic review.

December 4, 2013

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.

November 6, 2013

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.

October 23, 2013

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.

September 18, 2013

Explaining Matching Michigan: an ethnographic study of a patient safety program.

August 21, 2013

A considerative checklist to ensure safe daily patient review.

August 14, 2013

Building collaborative teams in neonatal intensive care.

April 10, 2013

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

January 30, 2013

Speaking up and sharing information improves trainee neonatal resuscitations.

December 12, 2012

Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.

December 5, 2012

Checklists change communication about key elements of patient care.

October 10, 2012

Why patients need leaders: introducing a ward safety checklist.

September 26, 2012

See More About The Topic

Intensive Care Units

Health Care Providers

Quality and Safety Professionals

Critical Care

General Internal Medicine