Examining medication safety challenges unique to the United States military patient population, this report advocates for strengthening policy and medication reconciliation to address concerns, including accidental overdose and misuse of prescription drugs.

This toolkit provides a checklist, a planning guide, and other tools to help address disruptive staff behavior.

This award recognizes outstanding high reliability improvement work in the Military Health System related to themes of healthcare quality, patient safety, improved access, and patient engagement. The process for submitting applications for the 2018 awards is now closed.

This study describes nurses' reasons for medication errors and the barriers to reporting them and then shares experiences with an anonymous shift-based reporting system. The authors advocate for accurate and timely systems to identify medication errors and discuss the importance of a positive safety culture.

This Web site includes information on several initiatives within the US Military Health System to support its culture of safety and reduce medical error through leadership, transparency, teamwork, and communication.

This report series discusses activities and achievements of the U.S. Department of Defense's health care program in including culture of safety development, error and near miss report analysis, and medical team coordination. There were 5 editions of the report produced between 2005-2011.

Effective teamwork plays an essential role in providing safe patient care. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was developed in collaboration by the United States Department of Defense and AHRQ in order to support effective communication and teamwork in health care. This updated version of the widely implemented program provides new tools to measure its impact, supports increased emphasis on the role of effective communication in team training, and includes a new course management guide. Teamwork training programs have been shown to improve knowledge and attitudes, but have received mixed reviews on their effectiveness in changing behaviors. An AHRQ WebM&M commentary discussed how improved teamwork and shared decision-making might have prevented the unnecessary placement of a peripherally inserted central catheter that led to significant complications.