Newspaper/Magazine Article Strengthening the core. Middle managers play a vital role in improving safety. Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 6, 2010 Federico F, Bonacum D. Healthcare executive. 2010;25(1):68-70. View more articles from the same authors. This piece outlines steps such as training and senior leader support that can help enhance the role of middle managers in patient safety and quality improvement. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. September 24, 2014 "To Err Is Human" Report Retrospective and the Decade Ahead. October 21, 2009 2010 Annual National Patient Safety Foundation Congress: conference proceedings. September 8, 2010 Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. June 6, 2012 Surgical team behaviors and patient outcomes. October 1, 2008 2008 Annual National Patient Safety Foundation Congress: conference proceedings. September 24, 2008 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. April 13, 2011 Drug shortages: a patient safety crisis. September 7, 2011 Doing right by our patients when things go wrong in the ambulatory setting. February 12, 2014 The leader's role in medical device safety. May 29, 2013 Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. July 19, 2017 An intervention to decrease narcotic-related adverse drug events in children's hospitals. October 29, 2008 Reconciling medications at admission: safe practice recommendations and implementation strategies. January 11, 2006 Preventing harm from high-alert medications. September 5, 2007 Adverse drug events in ambulatory care. March 6, 2005 Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021 Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. October 21, 2015 Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015 Electronic health record–related events in medical malpractice claims. January 6, 2016 A human factors subsystems approach to trauma care. August 27, 2014 Use of a novel, modified fishbone diagram to analyze diagnostic errors. July 16, 2014 Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019 Patient safety and diagnostic error: tips for your next shift. February 3, 2010 Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. August 11, 2010 Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013 Integrating human factors research and surgery: a review. January 16, 2013 Where should patient safety be installed? November 29, 2017 The impact of electronic health records on diagnosis. October 4, 2017 Fatigue and safety in paramedicine. December 18, 2019 The Sorry Works! Coalition: making the case for full disclosure. June 7, 2006 Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. April 21, 2021 Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020 Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. December 20, 2023 Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. August 2, 2023 The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023 Impact and implementation of simulation-based training for safety. January 8, 2014 Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. April 11, 2012 Deriving a framework for a systems approach to agitated patient care in the emergency department. May 16, 2018 Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. June 13, 2018 Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. March 20, 2024 Medication errors and adverse drug events in pediatric inpatients. August 10, 2005 Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. August 16, 2006 The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021 Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023 Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. March 10, 2021 High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. February 17, 2021 Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. November 3, 2021 Prescribing errors with low-molecular-weight heparins. October 13, 2021 Program access, depressive symptoms, and medical errors among resident physicians with disability. January 12, 2022 Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. March 16, 2022 Engaging healthcare professionals and patient representatives in the development of a quality model for hospitals: a mixed-method study. February 14, 2024 Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. January 24, 2024 Value assessment of deprescribing interventions: suggestions for improvement. August 16, 2023 Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. August 3, 2022 Unconscious bias among health professionals: a scoping review. September 27, 2023 Vital signs: maternity care experiences — United States, April 2023. September 6, 2023 Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023 The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023 Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. May 3, 2023 Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022 Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care October 2, 2019 Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. December 5, 2018 Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 The role of the patient in patient safety: what can we learn from healthcare's history? August 29, 2018 Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015 Reporting medication errors: residents with diabetes. November 26, 2014 Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. October 22, 2014 Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. August 19, 2015 Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. April 29, 2015 The July effect: an analysis of never events in the nationwide inpatient sample. April 15, 2015 One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. March 25, 2015 Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. January 20, 2016 Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 10, 2016 The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. December 2, 2015 Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. March 9, 2016 Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. March 23, 2016 National cluster-randomized trial of duty-hour flexibility in surgical training. February 10, 2016 Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. August 5, 2015 Care and outcomes of patients with in-hospital stroke. June 17, 2015 Investigating the long-term consequences of adverse medical events among older adults. June 11, 2014 Characteristics of medical professional liability claims against internists. June 18, 2014 System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. May 28, 2014 Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019 Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. February 13, 2019 The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 3, 2019 Fall prevention in acute care hospitals: a randomized trial. November 10, 2010 Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. February 17, 2010 Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. May 19, 2010 Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010 View More Related Resources CUSP Implementation Training. July 16, 2024 - July 16, 2024 Academic Conference of Safety Psychology and Behavior for Healthcare. March 16, 2024 Creating Workforce Joy and Wellbeing. March 6, 2024 - May 20, 2024 Hospital discharge and readmission. March 2, 2023 Healthcare Safety Investigations Conference 2022. August 3, 2022 Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. October 5, 2021 - October 6, 2021 PC standards for maternal safety. September 11, 2019 Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. May 16, 2019 The Kentucky Institute for Patient Safety and Quality. November 7, 2018 Measurement and Monitoring of Safety in Canada: CPSI Safety Improvement Project. October 24, 2018 Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. July 18, 2018 Health IT Patient Safety Supplemental Items for Hospitals. July 18, 2018 High Reliability in Health Care. June 8, 2016 A Conversation on Transparency and Patient Safety. April 13, 2016 Profiles in Excellence: Quality Improvement Lessons--Parts 1 and 2. November 11, 2015 Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. June 24, 2015 Improving Patient and Family Engagement in US Hospitals. April 1, 2015 BMJ Open Quality. September 17, 2014 Adverse Drug Events. March 26, 2014 Medication Reconciliation for Hospitalists. December 18, 2013 Improvement of medication event interventions through use of an electronic database. December 18, 2013 Why hospitals want patients to ask doctors, 'Have you washed your hands?' October 9, 2013 Healthcare–Associated Infections (HAI). September 18, 2013 'You talking to me?' Docs and feedback. September 18, 2013 Oral medications inadvertently given via the intravenous route. September 18, 2013 QI Gateway: Quality Improvement for Residents. September 4, 2013 A guide for HCAs on safe patient transfers. August 7, 2013 Lives and Dollars Lost Calculator. August 7, 2013 Rapid response teams: qualitative analysis of their effectiveness. June 19, 2013 Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. June 12, 2013 View More See More About The Topic Hospitals Health Care Executives and Administrators General Internal Medicine Hospital Medicine Quality Improvement Strategies View More
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. September 24, 2014
Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. June 6, 2012
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. April 13, 2011
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. July 19, 2017
An intervention to decrease narcotic-related adverse drug events in children's hospitals. October 29, 2008
Reconciling medications at admission: safe practice recommendations and implementation strategies. January 11, 2006
Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021
Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022
Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022
How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022
Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. October 21, 2015
Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. May 8, 2019
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. August 11, 2010
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014
Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013
Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. April 21, 2021
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. December 20, 2023
Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. August 2, 2023
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023
Deriving a framework for a systems approach to agitated patient care in the emergency department. May 16, 2018
Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. June 13, 2018
Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. March 20, 2024
Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. August 16, 2006
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023
Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. March 10, 2021
High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. February 17, 2021
Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. November 3, 2021
Program access, depressive symptoms, and medical errors among resident physicians with disability. January 12, 2022
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. March 16, 2022
Engaging healthcare professionals and patient representatives in the development of a quality model for hospitals: a mixed-method study. February 14, 2024
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024
Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. January 24, 2024
Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. August 3, 2022
Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023
The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023
Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. May 3, 2023
Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022
Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care October 2, 2019
Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. December 5, 2018
Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018
The role of the patient in patient safety: what can we learn from healthcare's history? August 29, 2018
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015
Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. October 22, 2014
Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. August 19, 2015
Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. April 29, 2015
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. March 25, 2015
Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. January 20, 2016
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 10, 2016
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. December 2, 2015
Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. March 9, 2016
Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. March 23, 2016
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. August 5, 2015
System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. May 28, 2014
Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. July 10, 2019
Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. February 13, 2019
The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019
Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. April 3, 2019
Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. February 17, 2010
Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. May 19, 2010
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010
Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. October 5, 2021 - October 6, 2021
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. July 18, 2018
Improvement of medication event interventions through use of an electronic database. December 18, 2013
Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. June 12, 2013