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)

2010 John M. Eisenberg Patient Safety and Quality Awards.

May 4, 2011

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

October 14, 2009

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

April 21, 2005

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

November 25, 2009

Leading your organization to high reliability.

April 22, 2009

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

November 1, 2006

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

July 16, 2014

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

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

May 7, 2008

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

January 24, 2018

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

June 28, 2006

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

January 17, 2018

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

July 17, 2019

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

December 7, 2016

Medication errors related to product names.

November 9, 2005

Medication errors involving wrong administration technique.

September 14, 2005

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

November 30, 2011

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

October 24, 2012

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

March 5, 2014

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.

February 2, 2011

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

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

June 9, 2010

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

July 26, 2017

The costs of adverse drug events in community hospitals.

March 7, 2012

Systematic review: effects of resident work hours on patient safety.

September 28, 2005

Residents' intentions and actions after patient safety education.

February 9, 2011

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

July 8, 2009

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

January 23, 2013

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

June 8, 2011

Reporting near-miss events in nursing homes.

April 19, 2006

Effects of work hour reduction on residents' lives: a systematic review.

September 28, 2005

Relationship between nursing home safety culture and Joint Commission accreditation.

May 2, 2012

Safe handover.

November 22, 2017

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

February 8, 2012

Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents.

July 2, 2008

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

January 30, 2011

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

November 23, 2011

Barriers and facilitators to communicating nursing errors in long-term care settings.

October 31, 2012

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

February 29, 2012

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

August 7, 2013

Hand hygiene deficiency citations in nursing homes.

September 26, 2012

Assessing patient safety culture in hospitals across countries.

May 15, 2013

A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.

March 14, 2012

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

September 10, 2014

Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.

August 4, 2010

Safety culture of nursing homes: opinions of top managers.

April 6, 2011

Scale, nature, preventability and causes of adverse events in hospitalised older patients.

February 27, 2013

Quantifying nursing workflow in medication administration.

January 9, 2008

Healthcare professionals' views on feedback of a patient safety culture assessment.

September 7, 2016

Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study.

September 16, 2015

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.

January 8, 2014

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?

June 4, 2008

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

January 18, 2017

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

April 21, 2005

Establishing a global learning community for incident-reporting systems.

November 10, 2010

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

May 13, 2020

ASHP guidelines on perioperative pharmacy services.

August 28, 2019

Quality management and patient safety: survey results from 102 Hungarian hospitals.

December 10, 2008

Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities.

August 1, 2012

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

October 4, 2006

Implementation of crew resource management: a qualitative study in 3 intensive care units.

January 7, 2015

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

January 7, 2009

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

July 28, 2010

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

December 2, 2009

How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time.

July 22, 2015

Nature, causes and consequences of unintended events in surgical units.

December 1, 2010

Improving patient safety culture in primary care: a systematic review.

September 7, 2016

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.

June 17, 2015

Unit-based incident reporting and root cause analysis: variation at three hospital unit types.

August 17, 2016

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

October 5, 2005

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

January 20, 2016

Possible solutions for barriers in incident reporting by residents.

December 8, 2010

The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution.

June 23, 2010

The nature and causes of unintended events reported at ten emergency departments.

October 14, 2009

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

July 2, 2014

Relating faults in diagnostic reasoning with diagnostic errors and patient harm.

February 8, 2012

Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.

February 10, 2016

Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.

August 26, 2009

Critical diagnoses (critical values) in anatomic pathology.

August 9, 2006

The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.

January 21, 2009

Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?

April 4, 2018

Controlled trial to improve resident sign-out in a medical intensive care unit.

August 30, 2017

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.

June 14, 2017

Language barriers and patient safety risks in hospital care. A mixed methods study.

April 29, 2015

Inpatient housestaff discontinuity of care and patient adverse events.

April 27, 2016

Exploring perinatal shift-to-shift handover communication and process: an observational study.

May 28, 2014

Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study.

May 18, 2016

Crew resource management training in the intensive care unit. A multisite controlled before-after study.

April 6, 2016

Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands.

August 13, 2014

The role of patient safety culture in the causation of unintended events in hospitals.

February 20, 2013

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

October 17, 2018

Is culture associated with patient safety in the emergency department? A study of staff perspectives.

April 23, 2014

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes.

July 8, 2009

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.

May 24, 2017

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

March 15, 2023

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

January 11, 2012

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?

January 30, 2005

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.

March 14, 2007

Related Resources

Patient Safety Authority Annual Reports.

May 1, 2023

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

October 26, 2022

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

September 21, 2022

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

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

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

August 31, 2016

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

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

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

November 4, 2015

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

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.

March 27, 2013

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

January 9, 2013

Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration.

January 9, 2013

Patient Safety as an Exercise in Behavioral Change.

October 24, 2012

The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?

June 27, 2012

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

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

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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