Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.

Don K Nakayama; Sally S Lester; Darla R Rich; Bryan C Weidner; Joshua B Glenn; Issam J Shaker

Study

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.

March 7, 2012

Nakayama DK, Lester SS, Rich DR, et al. J Pediatr Surg. 2012;47(1):112-8.

View more articles from the same authors.

This study demonstrated the impact of a checklist to reinforce communication and important points of care, while also providing important feedback on whether system goals were being met.

PubMed citation

Available at

Related Resources From the Same Author(s)

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

A review of current and emerging approaches to address failure-to-rescue.

October 19, 2011

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.

January 10, 2018

The challenges and opportunities for shared decision making highlighted by COVID-19.

August 12, 2020

Opioid-Induced Ventilatory Impairment (OIVI): Time for Change in the Monitoring Strategy for Postoperative PCA Patients.

March 19, 2014

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

March 29, 2006

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.

December 21, 2005

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.

August 10, 2005

Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era.

July 22, 2020

Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study.

October 30, 2019

Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021.

October 5, 2022

Should health care providers be forced to apologise after things go wrong?

January 28, 2015

Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.

May 4, 2005

Prevention of fatal opioid overdose.

November 28, 2012

Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.

April 30, 2008

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Specimen labeling errors in surgical pathology: an 18-month experience.

October 27, 2010

Understanding and responding to health literacy as a social determinant of health.

October 9, 2021

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.

February 1, 2023

Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.

December 17, 2014

Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care.

March 8, 2017

Deciphering harm measurement.

June 20, 2012

Procedural timeout compliance is improved with real-time clinical decision support.

September 12, 2018

Improving end-of-rotation transitions of care among ICU patients

December 4, 2019

Identifying unintended consequences of quality indicators: a qualitative study.

December 14, 2011

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.

May 15, 2019

A novel approach to increase residents' involvement in reporting adverse events.

May 18, 2011

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

Language barriers to health care in the United States.

August 2, 2006

Five system barriers to achieving ultrasafe health care.

May 11, 2005

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.

October 25, 2017

Quality of handoffs in community pharmacies.

May 10, 2017

Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.

April 27, 2011

Extraneous tissue a potential source for diagnostic error in surgical pathology.

January 4, 2012

Evaluation of patient safety culture in community pharmacies.

February 7, 2018

Teamwork in obstetric critical care.

September 10, 2008

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

Medication accuracy in electronic health records for microbial keratitis.

June 12, 2019

Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.

July 27, 2016

Implementing safety hotlines: Stamford Health's experience and future opportunities.

September 19, 2018

Are quality improvement collaboratives effective? A systematic review.

January 10, 2018

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

January 18, 2006

Impact of computerized physician order entry alerts on prescribing in older patients.

March 25, 2015

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.

February 25, 2009

Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs.

May 23, 2012

The increased incidence of anesthetic adverse events in late afternoon surgeries.

July 30, 2008

A patient safety objective structured clinical examination.

June 3, 2009

Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.

May 11, 2016

A piece of my mind. Changing the narrative.

July 27, 2016

Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.

August 22, 2007

Implementing SBAR across a large multihospital health system.

May 30, 2012

Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.

May 1, 2019

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Safety skills for clinicians: an essential component of patient safety.

August 20, 2008

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.

March 31, 2021

Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions.

August 31, 2022

Sent home to die.

September 16, 2020

National pediatric anesthesia safety quality improvement program in the United States.

October 1, 2014

How U.S. teams advanced communication and resolution program adoption at local, state and national levels.

January 13, 2021

Quality and safety in medical care: what does the future hold?

November 23, 2011

Addressing the nursing work environment to promote patient safety.

February 7, 2007

Communication failure in the operating room.

November 3, 2010

Half-life of a printed handoff document.

May 11, 2016

Cardiac surgical ICU care: eliminating "preventable" complications.

September 11, 2013

Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.

February 3, 2016

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

January 3, 2007

Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study.

October 24, 2007

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.

December 7, 2005

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

October 27, 2021

Saying "I'm sorry": error disclosure for ophthalmologists.

October 22, 2014

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

March 3, 2010

Surgical team training: the Northwestern Memorial Hospital experience.

February 25, 2009

Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.

April 30, 2014

Using an advanced practice nursing model for a rapid response team.

December 3, 2008

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.

March 29, 2017

Developing a patient measure of safety (PMOS).

March 20, 2013

Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.

June 19, 2013

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams.

March 16, 2022

Trends in survival after in-hospital cardiac arrest during nights and weekends.

February 7, 2018

Medication errors associated with transition from insulin pens to insulin vials.

March 8, 2017

Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters.

April 25, 2012

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

January 11, 2006

Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review.

September 16, 2020

Increasing vigilance on the medical/surgical floor to improve patient safety.

February 21, 2007

Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.

May 21, 2008

My brother's keeper: must a physician disclose another's medical error and potential negligence?

January 2, 2008

The meaning of justice in safety incident reporting.

November 7, 2007

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

February 7, 2007

Decision support tools, systems, and artificial intelligence in cardiac imaging.

October 3, 2018

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

December 8, 2010

Evaluating teamwork in a simulated obstetric environment.

May 9, 2007

Relationship between occurrence of surgical complications and hospital finances.

April 24, 2013

The practical implementation of artificial intelligence technologies in medicine.

January 30, 2019

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.

May 9, 2018

Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital.

April 29, 2015

Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making.

May 20, 2020

The problem with medication reconciliation.

August 31, 2016

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies.

July 15, 2020

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.

November 2, 2011

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

February 17, 2016

Related Resources

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.

August 23, 2023

WebM&M Cases

Critical Echocardiogram Result Lost to Follow-up.

June 14, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.

April 5, 2023

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

National Healthcare Quality and Disparities Reports.

November 7, 2022

WebM&M Cases

False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.

October 27, 2022

WebM&M Cases

Miscommunication During the Interhospital Transport of a Critically Ill Child

August 31, 2022

WebM&M Cases

Check Twice, Transport Once

May 16, 2022

What are we missing? The quality of intraoperative handover before and after introduction of a checklist.

April 6, 2022

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

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

September 22, 2021

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

March 10, 2021

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

February 12, 2020

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.

February 8, 2017

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.

June 22, 2016

Improving Weekend Out Of Hours Surgical Handover (WOOSH).

May 25, 2016

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.

February 3, 2016

Effectiveness of interventions to improve patient handover in surgery: a systematic review.

June 17, 2015

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

April 22, 2015

Improving resident handoffs for children transitioning from the intensive care unit.

April 8, 2015

An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.

February 11, 2015

Optimizing the patient handoff between EMS and the emergency department.

September 17, 2014

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

Decreasing handoff-related care failures in children's hospitals.

August 13, 2014

The limits of checklists: handoff and narrative thinking.

June 25, 2014

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

May 14, 2014

Shift change handovers and subsequent interruptions: potential impacts on quality of care.

March 12, 2014

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

See More About The Topic

Patient Transport

Hospitals

Health Care Providers

General Internal Medicine

Hospital Medicine

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.

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