Rounding to influence.

James L. Reinertsen; Kerry M. Johnson

Newspaper/Magazine Article

Rounding to influence.

September 29, 2010

Reinertsen JL, Johnson KM. Healthcare executive. 2010;25(5):72-5.

View more articles from the same authors.

This newsletter piece describes a strategy for health care leaders to gain frontline insight and knowledge of evidence-based patient safety improvement tactics in their organizations.

PubMed citation

Available at

Related Resources From the Same Author(s)

Reducing harm to patients. Using patient safety dashboards at the board level.

December 5, 2007

The 100,000 Lives Campaign: crystallizing standards of care for hospitals.

November 23, 2005

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.

July 24, 2019

Leveraging trainees to improve quality and safety at the point of care: three models for engagement.

November 18, 2015

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.

September 4, 2013

Effect of hospital follow-up appointment on clinical event outcomes and mortality.

July 14, 2010

Reasons for after-hours calls by hospital floor nurses to on-call physicians.

May 30, 2007

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals.

February 17, 2010

Interruptions in a level one trauma center: a case study.

July 4, 2007

Creative education for rapid response team implementation.

March 11, 2009

Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

August 26, 2009

Safe medication management at ambulatory surgery centers.

April 24, 2019

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

March 17, 2010

Eliminating adverse drug events at Ascension Health.

September 12, 2007

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.

June 3, 2015

Patient safety on the otolaryngology service: the role of an established rapid response system.

January 6, 2010

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism.

December 21, 2016

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

Evaluating implementation of a rapid response team: considering alternative outcome measures.

May 7, 2014

Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial.

October 30, 2013

Errors in after-hours phone consultations: a simulation study.

March 5, 2014

Patient safety: break the silence.

May 9, 2012

Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.

July 22, 2015

Implementing standardized reporting and safety checklists.

June 1, 2011

Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.

January 31, 2006

An effectiveness analysis of healthcare systems using a systems theoretic approach.

November 25, 2009

An education-service partnership to achieve safety and quality improvement competencies in nursing.

February 22, 2012

Diagnostic errors that lead to inappropriate antimicrobial use.

June 3, 2015

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

March 6, 2005

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

August 31, 2011

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

April 17, 2013

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

Medication reconciliation in a community pharmacy setting.

August 11, 2010

The evolution of error: error management, cognitive constraints, and adaptive decision-making biases.

July 24, 2013

Attitudes toward medical device use errors and the prevention of adverse events.

November 14, 2007

Distractors in obstetric ultrasound: do sonographers have safety concerns?

October 9, 2019

Successful use of a rapid response team in the pediatric oncology outpatient setting.

January 20, 2010

Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.

April 2, 2008

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.

November 30, 2016

Returning to the roots of culture: a review and re-conceptualisation of safety culture.

June 5, 2013

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

August 17, 2011

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.

May 10, 2017

Operating manual-based usability evaluation of medical devices: an effective patient safety screening method.

April 5, 2006

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

April 18, 2007

A nurse-driven system for improving patient quality outcomes.

April 12, 2006

The SBAR communication technique: teaching nursing students professional communication skills.

July 15, 2009

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

August 1, 2012

Nursing bedside clinical handover—an integrated review of issues and tools.

November 12, 2014

Transforming the morbidity and mortality conference to promote safety and quality in a PICU.

April 6, 2016

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

The morbidity and mortality conference in PICUs in the United States: a national survey.

September 24, 2014

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Medication administration quality and health information technology: a national study of US hospitals.

November 23, 2011

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

Characterization of prescribing errors in an internal medicine clinic.

May 23, 2007

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

November 5, 2008

January 31, 2007

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.

June 7, 2017

Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.

November 16, 2016

Inter-hospital transfer is an independent risk factor for hospital-associated infection.

March 20, 2024

Novel approach to cardiac alarm management on telemetry units.

February 19, 2014

Promoting patient safety through prospective risk identification: example from peri-operative care.

March 17, 2010

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

The gap in electronic drug information resources: a systematic review.

September 12, 2018

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

September 22, 2010

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

Decisions about critical events in device-related scenarios as a function of expertise.

June 1, 2005

Patient safety concerns arising from test results that return after hospital discharge.

July 27, 2005

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.

June 30, 2010

The increased incidence of anesthetic adverse events in late afternoon surgeries.

July 30, 2008

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

November 28, 2012

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

August 20, 2014

Types and patterns of safety concerns in home care: staff perspectives.

October 31, 2012

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

January 30, 2005

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.

June 4, 2008

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Effect of social influences on pharmacists' intention to report adverse drug events.

October 17, 2012

Designing a safer radiology department.

March 29, 2012

Medication discrepancies at pediatric hospital discharge.

October 28, 2015

Description of inpatient medication management using cognitive work analysis.

December 16, 2009

February 8, 2017

Surgical safety checklist compliance: a job done poorly!

September 11, 2013

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.

August 12, 2015

In-facility delirium programs as a patient safety strategy: a systematic review.

March 13, 2013

Sharing the process of diagnostic decision making.

August 9, 2017

Briefing and debriefing in the operating room using fighter pilot crew resource management.

July 25, 2007

A theoretical framework and competency-based approach to improving handoffs.

May 28, 2008

What is preventable harm in healthcare? A systematic review of definitions.

August 8, 2012

ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.

April 22, 2015

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

March 18, 2009

The application of Aronson's taxonomy to medication errors in nursing.

October 20, 2010

Enhancing pediatric perioperative patient safety.

November 29, 2017

Maintaining maternal-newborn safety during the COVID-19 pandemic.

May 26, 2021

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Related Resources

National Healthcare Quality and Disparities Reports.

January 9, 2024

National and State Healthcare-Associated Infections Progress Report.

November 30, 2023

Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022.

September 11, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.

March 30, 2022

Health care safety during the pandemic and beyond--building a system that ensures resilience.

February 23, 2022

Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts.

February 7, 2022

Interview

In Conversation With… Vineet Chopra, MD, MSc

October 30, 2019

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.

May 8, 2019

Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.

September 26, 2018

Zero tolerance for deadly hospital-acquired infections.

December 7, 2016

Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.

November 9, 2016

A program to prevent catheter-associated urinary tract infection in acute care.

June 8, 2016

Toolkit for Reducing CAUTI in Hospitals.

December 9, 2015

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.

November 26, 2014

Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014.

September 1, 2014

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.

August 20, 2014

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.

May 7, 2014

Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.

April 30, 2014

Healthcare-associated infections: a national patient safety problem and the coordinated response.

February 19, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

January 29, 2014

Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.

January 22, 2014

Organizational culture and its implications for infection prevention and control in healthcare institutions.

January 8, 2014

Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.

December 18, 2013

Audit of missed or delayed antimicrobial drugs.

November 13, 2013

Positive deviance: a new tool for infection prevention and patient safety.

October 16, 2013

Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.

October 9, 2013

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

General Internal Medicine

Hospital Medicine

Rounding to influence.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Rounding to influence.

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