The authors describe how the use of statistical process control charts facilitated rapid identification of a cluster of unplanned extubations in a neonatal intensive care unit. They advocate for the use of continuous monitoring tools to help alert teams to possible safety events and improvement opportunities.

… Commission journal on quality and patient safety … Jt Comm J Qual Patient Saf … This secret-shopper style observational …

A tertiary care hospital successfully improved adherence to a surgical safety checklist by implementing an electronic whiteboard in the operating room (OR) that tracked completion of checklist items and was visible to all OR personnel.

This study found an overall positive safety culture in intensive care units, based on a survey of providers at all levels.

… American journal of surgery … Am J Surg … This follow-up study directly observed surgical …

… of the American Society of Health-System Pharmacists … Am J Health Syst Pharm … This observational study found that …

This study evaluated the impact of a newly designed children's hospital on patient safety and job function. The investigators begin with a detailed discussion of the contextual factors involved in their hospital redesign, drawing on human factors approaches in safety interventions. They follow by presenting their hospital design process, sharing both unit and floor layouts aimed to ensure family-centered ideals. Results from the 270 clinical faculty and staff surveys suggested that the majority reported a better overall new facility, more efficient information and patient flow, and high ratings for work environment factors such as lighting and equipment availability. However, providers in intensive care settings expressed concern about the negative impact new designs played in team communications, rates of interruptions, and work processes. As perhaps expected, the findings demonstrated many benefits and some unanticipated consequences of the redesign efforts but ultimately reinforced the need for human factors expertise.

… AORN J … This article provides background on  crew resource … responded to its implementation at one medical center. … France DJ; Stiles R; Gaffney EA; Seddon MR; Grogan EL; Nixon WR Jr; Speroff T. …