The Safe Tables Collaborative: a statewide experience.

Carol A. Wagner; Diane Cecchettini; John Fletcher

Commentary

The Safe Tables Collaborative: a statewide experience.

May 4, 2011

Wagner CA, Cecchettini D, Fletcher J. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193.

View more articles from the same authors.

The authors, who won the 2010 Eisenberg Award for their work, discuss how their collaborative improved health care safety statewide.

PubMed citation

Available at

Related Resources From the Same Author(s)

Leading your organization to high reliability.

April 22, 2009

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.

October 14, 2009

Medication errors related to product names.

November 9, 2005

Medication errors involving wrong administration technique.

September 14, 2005

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

March 23, 2011

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

January 19, 2011

The Sorry Works! Coalition: making the case for full disclosure.

June 7, 2006

The costs of adverse drug events in community hospitals.

March 7, 2012

Pediatric quality and safety: a nursing perspective.

May 11, 2016

Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED.

October 5, 2005

Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature.

May 13, 2020

Implementing a national strategy for patient safety: lessons from the National Health Service in England.

April 21, 2005

Standardizing hospital discharge planning at the Mayo Clinic.

January 12, 2011

A trigger tool to identify adverse events in the intensive care unit.

October 4, 2006

Nursing home patient safety culture perceptions among US and immigrant nurses.

January 24, 2018

Identifying patient safety problems during team rounds: an ethnographic study.

July 16, 2014

Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis.

July 28, 2010

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

June 8, 2011

Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.

May 15, 2013

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.

November 1, 2006

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

November 25, 2009

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Critical diagnoses (critical values) in anatomic pathology.

August 9, 2006

An innovative approach to the surgical time out: a patient-focused model.

June 29, 2016

Health literacy and quality: focus on chronic illness care and patient safety.

November 18, 2009

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.

May 7, 2008

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

February 8, 2012

Teaching nurses to make clinical judgments that ensure patient safety.

August 14, 2019

What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.

September 4, 2013

Personal formularies of primary care physicians across 4 health care systems.

August 4, 2021

A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative.

October 17, 2012

Impact of vendor computerized physician order entry in community hospitals.

February 22, 2012

Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement?

August 28, 2013

Beyond communication: the role of standardized protocols in a changing health care environment.

January 11, 2012

A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital.

April 27, 2022

Patient safety superheroes in training: using a comic book to teach patient safety to residents.

July 17, 2019

Seeking answers, hearing silence.

August 22, 2018

Drug name confusion: preventing medication errors.

July 27, 2005

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients.

January 17, 2018

The girl who cried pain: a bias against women in the treatment of pain.

January 2, 2001

Prescription for error: process defects in a community retail pharmacy.

December 19, 2007

The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors.

October 17, 2018

The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas.

July 26, 2017

Speaking up for patient safety by hospital-based health care professionals: a literature review.

March 5, 2014

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.

March 17, 2021

Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

September 30, 2020

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals.

October 24, 2012

Evaluation of the contributions of an electronic web-based reporting system: enabling action.

March 18, 2009

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

April 21, 2005

Promoting civility in the OR: an ethical imperative.

March 8, 2017

Patient safety: break the silence.

May 9, 2012

Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.

October 24, 2007

A clinical nurse specialist intervention to facilitate safe transfer from ICU.

November 30, 2011

Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002.

July 6, 2005

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems.

March 12, 2008

Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context.

January 16, 2008

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.

February 22, 2006

Defining patient safety in hospice: principles to guide measurement and public reporting.

June 27, 2012

Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose.

June 28, 2006

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

November 4, 2015

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

December 8, 2010

Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.

March 6, 2005

Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries.

August 13, 2008

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

Assessing adverse events among home care clients in three Canadian provinces using chart review.

November 27, 2013

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?

February 8, 2023

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

Medical line entanglement: the unspoken patient safety hazard of medical devices.

May 3, 2023

An exploratory analysis of the association between hospital quality measures and financial performance.

November 15, 2023

Nurses improve medication safety with medication allergy and adverse drug reports.

October 3, 2007

The effect of a safe zone on nurse interruptions, distractions, and medication administration errors.

April 1, 2015

Work-arounds observed by fourth-year nursing students.

November 19, 2014

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.

June 9, 2010

Elective surgical patients' narratives of hospitalization: the co-construction of safety.

March 5, 2014

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.

May 16, 2012

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

November 30, 2011

Psychometric properties of the perinatal missed care survey and missed care during labor and birth.

January 19, 2022

Checklists to prevent diagnostic errors: a pilot randomized controlled trial.

July 8, 2015

Texting while doctoring: a patient safety hazard.

December 18, 2013

Safe handover.

November 22, 2017

Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model.

September 10, 2014

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.

January 23, 2013

Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea.

August 7, 2013

Reporting near-miss events in nursing homes.

April 19, 2006

Nurses' perceptions of safety culture in long-term care settings.

July 8, 2009

A patient safety curriculum for medical residents based on the perspectives of residents and supervisors.

June 8, 2011

Residents' intentions and actions after patient safety education.

February 9, 2011

The nature and causes of unintended events reported at 10 internal medicine departments.

November 23, 2011

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

March 14, 2007

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.

February 28, 2018

Improving communication in the ICU using daily goals.

March 10, 2010

Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review.

December 7, 2016

Painting a picture of nurse presenteeism: a multi-country integrative review.

July 22, 2020

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

March 20, 2019

A plan for achieving significant improvement in patient safety.

April 4, 2007

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

Quality management and perceptions of teamwork and safety climate in European hospitals.

January 20, 2016

Related Resources

Systems approach to suicide prevention: strengthening culture, practice, and education.

June 28, 2023

VHA's movement for change: implementing high-reliability principles and practices.

May 31, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

A health system that won't learn from its mistakes.

September 21, 2022

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Hospital Compare.

May 13, 2021

Transformational improvement in quality care and health systems: the next decade.

November 25, 2020

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

Reducing the risk of diagnostic error in the COVID-19 era.

May 27, 2020

Harnessing the power of medical malpractice data to improve patient care.

January 8, 2020

An organization-specific and modifiable inpatient safety composite measure.

May 8, 2019

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Patient safety climate strength: a concept that requires more attention.

August 31, 2016

Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.

August 24, 2016

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.

August 24, 2016

Antibiotic Stewardship in Acute Care: A Practical Playbook.

July 13, 2016

Comparing trainee and staff perceptions of patient safety culture.

June 29, 2016

Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report.

May 11, 2016

An organizational learning framework for patient safety.

April 13, 2016

Organisational reporting and learning systems: innovating inside and outside of the box.

March 25, 2015

Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report.

April 23, 2014

Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.

April 16, 2014

Graded autonomy in medical education—managing things that go bump in the night.

March 26, 2014

Learning from every death.

March 5, 2014

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Healthcare personnel attire in non–operating-room settings.

February 12, 2014

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative.

February 5, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

January 29, 2014

How policy makers can smooth the way for communication-and-resolution programs.

January 29, 2014

See More About The Topic

Hospitals

Health Care Executives and Administrators

General Internal Medicine

Hospital Medicine

Benchmarking

The Safe Tables Collaborative: a statewide experience.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The Safe Tables Collaborative: a statewide experience.

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