Senior staff safety rounds: a commitment to ensure safety is the top priority.

Commentary

Senior staff safety rounds: a commitment to ensure safety is the top priority.

May 16, 2018

O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018.

View more articles from the same authors.

Leadership participation at the front lines can drive safety improvement work. This commentary describes how one organization used a Safety Attitudes Questionnaire to structure an executive rounding initiative and reports the positive impact of the program. Face-to-face interaction with leaders contributed to real-time improvements.

Available at

Related Resources From the Same Author(s)

Physician resiliency and wellness for transforming a health system.

May 30, 2018

Leadership and vision for a culture of safety.

February 21, 2018

Achieving zero inequity: lessons learned from patient safety.

May 27, 2021

Leadership Survey: Immunization Against Burnout: Insights Report.

May 9, 2018

Lessons from health care leaders: rethinking and reinvesting in patient safety.

April 19, 2023

Health care management during Covid-19: insights from complexity science.

October 21, 2020

Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.

December 20, 2017

New evidence on stemming low-value prescribing.

May 1, 2019

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Rating the raters: an evaluation of publicly reported hospital quality rating systems.

September 4, 2019

Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.

January 18, 2023

Emergency department crowding: the canary in the health care system.

November 3, 2021

Zero harm in health care.

March 18, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Development and expression of a high-reliability organization.

December 1, 2021

Targeting zero harm: a stretch goal that risks breaking the spring.

August 12, 2020

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.

February 23, 2022

People, processes, health IT and accurate patient identification.

October 10, 2018

When mistakes happen.

December 19, 2018

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.

February 17, 2021

U.S. to delete data on life-threatening mistakes from website.

May 15, 2013

Piecing together medication administration.

May 27, 2009

Petty, dangerous, disruptive doctors: watch out!

August 12, 2015

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

June 1, 2011

Improving the Emergency Department Discharge Process.

January 7, 2015

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

December 15, 2010

Disclosure after adverse medical outcomes: a multidimensional challenge.

November 13, 2019

Surgical fires: decreasing incidence relies on continued prevention efforts.

July 18, 2018

Heart Failure: The Decline of a Historic Transplant Program.

January 30, 2019

Report faults Children's Hospital for medication errors.

June 6, 2018

The burnout crisis in American medicine.

May 30, 2018

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

Are second victims getting the help they need?

June 20, 2018

Surgical checklists save lives—but once in a while, they don't. Why?

May 23, 2018

How health care changes when algorithms start making diagnoses.

May 23, 2018

Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.

July 11, 2018

Health care worker fatigue and patient safety.

January 30, 2005

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.

June 13, 2018

Hospital-acquired infections.

May 25, 2011

Reaching the summit of discharge summaries: a quality improvement project.

March 3, 2021

The Impact of Skin Color and Ethnicity on Clinical Diagnosis and Research.

October 28, 2020

Special Issue on Medication Safety.

July 31, 2019

Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.

January 27, 2010

Near-miss events detected using the emergency department trigger tool.

March 15, 2023

The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.

January 2, 2008

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

State Patient Safety Centers: A New Approach to Promote Patient Safety.

March 27, 2005

Patient-Centered Care Improvement Guide.

November 12, 2008

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.

July 14, 2021

2014 Guide to State Adverse Event Reporting Systems.

July 8, 2015

2007 Guide to State Adverse Event Reporting Systems.

March 12, 2008

The second victim: a contested term?

December 1, 2021

Artificial intelligence will improve medical treatments.

June 20, 2018

Saying Sorry.

March 26, 2014

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Adverse events present on arrival to the emergency department: the ED as a dual safety net.

March 11, 2020

A surgeon so bad it was criminal.

October 10, 2018

The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.

May 2, 2018

Patient Safety/Quality Improvement Primer.

September 27, 2022

A Patient-Safe Future.

November 14, 2018

Why doctors hate their computers.

November 14, 2018

Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit.

November 14, 2018

Losing Laura.

November 14, 2018

How to prevent the top 4 medication errors.

October 17, 2018

Improving Diagnosis in Medicine Change Package.

November 21, 2018

The doctor doesn't listen to her. But the media is starting to.

August 22, 2018

No Place Like Home: Advancing the Safety of Care in the Home.

July 18, 2018

Fail-safe patient ID matching remains just out of reach.

July 25, 2018

Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital.

March 21, 2018

Preventing newborn falls and drops.

April 11, 2018

Supporting second victims.

February 21, 2018

Electronic medicine can send you test results quickly. But what if they're scary?

April 11, 2018

Guidelines for Design and Construction.

August 2, 2006

Medicare cuts payments to nursing homes whose patients keep ending up in hospital.

December 12, 2018

2 MSO programs show value of safety position.

November 21, 2018

My human doctor.

October 17, 2018

ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.

December 5, 2018

Malnutrition in the hospital: the pharmacist’s role in prevention and treatment.

September 26, 2018

Still Failing the Frail.

November 28, 2018

AI can't replace doctors. But it can make them better.

October 31, 2018

The Case for Medication Safety Officers (MSO).

August 22, 2018

The Joint Commission Big Book of Checklists. 2nd Edition.

September 7, 2016

Medicare takes aim at boomerang hospitalizations of nursing home patients.

June 27, 2018

The Future of NHS Patient Safety Investigation.

April 4, 2018

The other opioid crisis: hospital shortages lead to patient pain, medical errors.

March 28, 2018

Ireland investigates cervical cancer screening scandal.

May 16, 2018

Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

January 17, 2018

High-Alert Medication Learning Guides for Consumers.

December 5, 2012

ISMP Survey on High-Alert Medications in Acute Care Settings.

May 21, 2014

Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.

November 29, 2006

ISMP's List of High-Alert Medications in Acute Care Settings.

August 23, 2018

National Quality Measures Clearinghouse (NQMC).

March 6, 2005

Nurses' experiences of organizational learning.

August 19, 2020

Racial and ethnic disparities in the treatment of chronic pain.

December 29, 2020

Opening the Door to Change. NHS Safety Culture and the Need for Transformation.

January 23, 2019

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Related Resources

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

Imagining the future of diagnostic performance feedback.

April 12, 2023

On Patient Safety.

January 28, 2023

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

Hospital- and system-wide interventions for health care-associated infections: a systematic review.

September 16, 2020

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records.

September 11, 2019

Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety.

August 21, 2019

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework.

May 29, 2019

Impact of oncology drug shortages on chemotherapy treatment.

May 1, 2019

Perspective

Building a Safety Program in a Vast Health Care Network

March 1, 2019

Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.

January 30, 2019

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.

January 9, 2019

Ethical duty of health care systems to address interfacility medical error discovery.

October 17, 2018

Active-shooter response at a health care facility.

September 19, 2018

Implementing Optimal Team-Based Care to Reduce Clinician Burnout.

September 19, 2018

What 'just culture' doesn't understand about just punishment.

September 12, 2018

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study.

September 12, 2018

Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare.

September 5, 2018

Using medicolegal data to support safe medical care: a contributing factor coding framework.

September 5, 2018

The role of the patient in patient safety: what can we learn from healthcare's history?

August 29, 2018

Partnership for Health IT Patient Safety.

August 22, 2018

Building the Case for Health Literacy: Proceedings of a Workshop.

August 8, 2018

Midwest Alliance for Patient Safety.

August 8, 2018

Moving patient safety into ambulatory settings and beyond.

July 11, 2018

Center of Excellence for Improving Diagnosis.

July 11, 2018

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.

July 11, 2018

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.

July 11, 2018

Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012.

June 6, 2018

Resolving the productivity paradox of health information technology: a time for optimism.

June 6, 2018

See More About The Topic

Hospitals

Physicians

Facility and Group Administrators

Medicine

Epidemiology of Errors and Adverse Events

Senior staff safety rounds: a commitment to ensure safety is the top priority.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Senior staff safety rounds: a commitment to ensure safety is the top priority.

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