"Managing up" can improve teamwork in the OR.

Sandra Lee Smith

Commentary

"Managing up" can improve teamwork in the OR.

May 26, 2010

Smith SL. AORN J. 2010;91(5):576-82.

View more articles from the same authors.

This commentary explains that all members of a perioperative unit are responsible for ensuring a culture of safety.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient self-medication--a change in hospital practice.

August 23, 2006

Lost in translation: medication labeling for immigrant families.

December 21, 2016

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

Prevention of wrong-site tooth extraction: clinical guidelines.

October 17, 2007

Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study.

April 10, 2024

Healing our own: a randomized trial to assess benefits of peer support.

February 2, 2022

Medication error prevention in the school setting: a closer look.

October 19, 2011

Effective healthcare teams require effective team members: defining teamwork competencies.

February 21, 2007

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

October 13, 2010

Themed Issue on Innovations in Medication Safety.

August 22, 2018

We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare.

November 25, 2009

Hospital discharge documentation and risk of rehospitalisation.

May 4, 2011

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.

January 10, 2007

Complications in surgery: root cause analysis and preventive measures.

July 11, 2012

Improving hospital performance: culture change is not the answer.

May 4, 2005

Effective communication with primary care providers.

October 1, 2014

Nurse managers' leadership, patient safety, and quality of care: a systematic review.

September 21, 2022

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

September 28, 2011

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

August 18, 2010

The role of documents and documentation in communication failure across the perioperative pathway. A literature review.

January 30, 2005

Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.

March 15, 2017

Failures in communication through documents and documentation across the perioperative pathway.

May 20, 2015

The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice.

August 7, 2013

High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review.

March 29, 2023

Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors.

February 11, 2015

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.

May 4, 2022

Lessons learned from implementing a principled approach to resolution following patient harm.

January 9, 2019

Thinking ethically about medical mistakes.

March 13, 2013

Reducing near miss medication events using an evidence-based approach.

July 27, 2022

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

I'm sorry: laws that support apologies in health care.

February 5, 2020

Sidelining safety — the FDA's inadequate response to the IOM.

September 12, 2007

Origin and uses of primum non nocere—above all, do no harm!

May 4, 2005

Developing a patient safety surveillance system to identify adverse events in the intensive care unit.

June 16, 2010

Fall prevention in hospitals: an integrative review.

September 21, 2011

Australian hospital leaders on the provision of safe care: implications for safety I and safety II.

September 29, 2021

Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.

August 22, 2007

Adverse drug event reporting in intensive care units: a survey of current practices.

August 2, 2006

Durable improvements in efficiency, safety, and satisfaction in the operating room.

May 28, 2008

Health literacy and patient safety events.

July 13, 2016

On patient safety: when are we too old to operate?

March 9, 2016

Pediatric safety.

May 20, 2009

Advancing a More Health-Literate Approach to Patient Safety

October 9, 2019

Patient handoffs.

June 11, 2008

Enhancing the quality and safety of the perioperative patient.

February 7, 2018

Integrating quality and safety content into clinical teaching in the acute care setting.

June 13, 2007

Exploring the barriers to learning from crisis: organizational learning and crisis.

November 14, 2007

Towards an organization with a memory: exploring the organizational generation of adverse events in health care.

June 8, 2005

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

September 16, 2009

Learning from incidents in healthcare: the journey, not the arrival, matters.

April 27, 2016

Safety culture and care: a program to prevent surgical errors.

May 13, 2015

SWITCH for safety: perioperative hand-off tools.

November 6, 2013

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies.

February 12, 2014

System issues leading to "found-on-floor" incidents: a multi-incident analysis.

January 27, 2021

Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review.

December 1, 2021

A protocol for the safe use of hazardous drugs in the OR.

March 25, 2020

Missed diagnosis of critical congenital heart disease.

October 22, 2008

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

October 15, 2008

Medical emergency team: a review of the literature.

March 19, 2008

Teaching patient safety in simulated learning experiences.

June 22, 2011

Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration.

December 16, 2015

The impact of patient and public involvement on UK NHS health care: a systematic review.

January 30, 2005

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.

October 29, 2014

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.

July 1, 2020

Shifting supervision: implications for safe administration of medication by nursing students.

November 5, 2008

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.

August 28, 2019

An organization-specific and modifiable inpatient safety composite measure.

May 8, 2019

The impact of patient–physician alliance on trust following an adverse event.

April 10, 2019

People, systems and safety: resilience and excellence in healthcare practice.

April 17, 2019

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.

April 19, 2017

Sources of nurse-sensitive inpatient safety improvement.

December 21, 2022

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Interventions to engage patients and families in patient safety: a systematic review.

January 20, 2021

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.

July 31, 2019

Room of horrors simulation in healthcare education: a systematic review.

June 21, 2023

Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes.

April 21, 2005

Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward.

April 1, 2015

Hospital Readmissions Reduction Program: implications for pharmacy.

February 18, 2015

Medication discrepancy rates and sources upon nursing home intake: a prospective study.

April 6, 2022

Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making.

February 7, 2024

The care transitions intervention: results of a randomized controlled trial.

October 11, 2006

Staying silent about safety issues: conceptualizing and measuring safety silence motives.

July 20, 2016

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

November 9, 2011

Analgesic prescribing errors and associated medication characteristics.

January 12, 2011

The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses.

October 21, 2015

The effect of cognitive debiasing training among family medicine residents.

July 1, 2015

Assessment of latent factors contributing to error: addressing surgical pathology error wisely.

November 16, 2011

Huddles and debriefings: improving communication on labor and delivery.

April 19, 2017

Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events.

January 31, 2018

Structural racism and impact on sickle cell disease: sickle cell lives matter.

January 11, 2023

Are apologies a way to reduce malpractice risks?.

June 21, 2023

Directed peer review in surgical pathology.

September 1, 2012

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

Accidental iatrogenic pneumothorax in hospitalized patients.

March 15, 2006

Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.

August 2, 2006

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial.

November 15, 2023

Physician knowledge, attitudes, and behavior related to reporting adverse drug events.

March 27, 2005

Related Resources

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.

January 31, 2024

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.

March 22, 2023

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

Preventing retained surgical items.

August 3, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.

February 24, 2022 - February 24, 2022

An examination of factors that predict the perioperative culture of safety.

June 9, 2021

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals.

April 8, 2020

WebM&M Cases

Is that solution for IV or irrigation?: Fluid administration errors in the operating room.

March 25, 2020

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

Learning From Invited Reviews.

April 10, 2019

Debriefing in the OR: a quality improvement project.

March 13, 2019

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Promoting civility in the OR: an ethical imperative.

March 8, 2017

Use of a surgical safety checklist to improve team communication.

September 21, 2016

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.

January 27, 2016

Speaking up to reduce noise in the OR.

July 22, 2015

Special Focus Issue: Patient Safety.

October 15, 2014

Improving safety and quality of care with enhanced teamwork through operating room briefings.

July 23, 2014

10 years in, why time out still matters.

June 11, 2014

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees.

May 7, 2014

The quest for safe surgical care: are we missing the obvious?

April 23, 2014

Current challenges and future perspectives for patient safety in surgery.

March 12, 2014

Workplace bullying in the OR: results of a descriptive study.

November 13, 2013

See More About The Topic

Operating Room

Nurses

Nurse Managers

Organizational Behaviorists

Surgery

"Managing up" can improve teamwork in the OR.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

"Managing up" can improve teamwork in the OR.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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