Audiovisual Surfing the Healthcare Tsunami: Bring Your Best Board. Citation Text: Austin, TX: Texas Medical Institute for Technology; 2012. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL May 16, 2012 Austin, TX: Texas Medical Institute for Technology; 2012. The second in a series, this documentary focuses on learning from other high-risk industries and engaging hospital leadership to drive improvement in patient safety. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Austin, TX: Texas Medical Institute for Technology; 2012. Copy Citation Related Resources From the Same Author(s) Chasing Zero: Winning the War on Healthcare Harm. April 28, 2010 To Err Is Human — To Delay Is Deadly. June 3, 2009 Safetyleaders.org March 6, 2005 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. June 8, 2011 The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. September 23, 2015 Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Sources of Power: How People Make Decisions. March 6, 2005 A Culture of Safety in EMS Systems. November 6, 2013 Disclosure of Medical Errors. September 27, 2023 Computer viruses are "rampant" on medical devices in hospitals. October 31, 2012 Why Current Breast Pathology Practices Must Be Evaluated. January 24, 2007 Whack-a-Mole: The Price We Pay For Expecting Perfection. February 24, 2010 How-to Guide: Prevent Obstetrical Adverse Events. October 24, 2012 How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. August 8, 2012 Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. March 6, 2005 The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. February 10, 2016 Canadian Incident Analysis Framework. November 30, 2016 Order from Chaos: Accelerating Care Integration. November 7, 2012 Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. October 21, 2015 Raising and Acting on Concerns about Patient Safety. January 12, 2012 Fear of punitive response to hospital errors lingers. March 7, 2012 ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. December 12, 2018 Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Health IT Safety Center Roadmap. July 29, 2015 A Transformational Effort on Patient Safety. September 13, 2023 Harm to Healing - Partnering with Patients Who Have Been Harmed. August 1, 2012 Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Paramedics turn to expired drugs due to shortages. July 25, 2012 Most adverse events at hospitals still go unreported. August 22, 2012 Patient safety tool helps ID hospital errors. January 16, 2013 5 most commonly misdiagnosed conditions in the ICU. December 19, 2012 Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation. December 19, 2012 Is the FDA to blame for drug shortages? August 8, 2012 Patient Safety and Satisfaction: The State of American Hospitals. June 6, 2012 Organ donor's surgery death sparks questions. April 18, 2012 Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012 Patient Safety Measures: Complications. January 30, 2005 Dirty surgical tools put patients at risk. March 7, 2012 10 medical errors that changed the standard of care. February 15, 2012 How to Make Your Hospital Stay Safer and Cheaper: A Checklist. November 7, 2012 IBM's Watson is learning its way to saving lives. October 24, 2012 Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. September 26, 2012 UTMC nurse tossed out kidney, ruined it. National experts say error is rare. September 5, 2012 Far more could be done to stop the deadly bacteria C. diff. August 29, 2012 National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 How Can Health Care Organizations Become More Health Literate?: Workshop Summary. August 15, 2012 Using Safety Cases in Industry and Healthcare. February 13, 2013 Death of a boy prompts new medical efforts nationwide. November 7, 2012 Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. October 31, 2012 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. September 26, 2012 Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 How to Identify and Address Unsafe Conditions Associated With Health IT. December 18, 2013 Meeting the Joint Commission's 2013 National Patient Safety Goals. November 10, 2010 Minnesota hospitals are testing ways to reduce return trips. October 24, 2012 AHRQ patient safety project reduces bloodstream infections by 40 percent. September 19, 2012 Failure and rescue. July 11, 2012 Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. May 16, 2012 Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. September 19, 2012 Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. September 26, 2012 Improving Transitions of Care: Hand-off Communications. July 18, 2012 Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. May 30, 2012 Monday Mornings. April 11, 2012 HTSI Webinar Series on Alarm Systems Management. September 18, 2013 Making Medical Devices Safer at Home. January 9, 2013 Scant oversight of drug maker in fatal meningitis outbreak. October 17, 2012 Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 "Sully" Sullenberger takes on patient safety. September 5, 2012 Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. May 16, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. April 25, 2012 Improving Safety in Maternity Services: a Toolkit for Teams. April 25, 2012 Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. December 17, 2014 Wristband Standardization Initiative. October 22, 2008 Charting the Course: Launching Patient-Centric Healthcare. January 30, 2013 The Nurse's Role in Medication Safety, Second Edition. January 11, 2012 Important change to heparin container labels to clearly state the total drug strength. December 19, 2012 Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. November 7, 2012 Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. October 17, 2012 Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. September 5, 2012 Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. May 30, 2012 First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012 Promoting Patient Safety Through Effective Health Information Technology Risk Management. July 23, 2014 DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. November 28, 2012 Health IT Hazard Manager. July 11, 2012 Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012 Radiation Therapy Safety: The Critical Role of the Radiation Therapist. May 30, 2012 Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. March 14, 2012 Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. August 15, 2012 Patient Safety as an Exercise in Behavioral Change. October 24, 2012 Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed. May 30, 2012 Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013 Improving Patient Safety in Long-Term Care Facilities: Training Modules. August 8, 2012 Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. July 18, 2012 Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. October 31, 2012 Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. October 10, 2012 A Randomized Field Study of a Leadership WalkRounds-Based Intervention. September 5, 2012 Out of the Crisis. March 27, 2005 Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. January 9, 2013 View More Related Resources Hospital discharge and readmission. March 2, 2023 HSIB Education. October 19, 2022 Escape Room. December 9, 2020 Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. May 16, 2019 Treatment Overkill. October 17, 2018 Patient Safety Huddle. May 24, 2017 Indiana Patient Safety Center. August 17, 2016 Safety. June 15, 2016 High Reliability in Health Care. June 8, 2016 A Conversation on Transparency and Patient Safety. April 13, 2016 The persistent problem of diagnostic error. December 16, 2015 SAFER Guides: What You Need to Know. November 19, 2014 BMJ Open Quality. September 17, 2014 Antimicrobial Stewardship Toolkit. July 16, 2014 Adverse Drug Events. March 26, 2014 Vital signs: improving antibiotic use among hospitalized patients. March 26, 2014 Silencing many hospital alarms leads to better health care. February 5, 2014 Medication Reconciliation for Hospitalists. December 18, 2013 Residency Training—A Decade of Duty-Hour Regulations. December 18, 2013 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 A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013 Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. November 20, 2013 Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 13, 2013 To reduce patient falls, hospitals try alarms, more nurses. October 30, 2013 High-reliability health care: getting there from here. October 2, 2013 Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? September 25, 2013 Healthcare–Associated Infections (HAI). September 18, 2013 QI Gateway: Quality Improvement for Residents. September 4, 2013 Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. August 28, 2013 Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. August 21, 2013 View More See More About The Topic Hospitals Health Care Executives and Administrators General Internal Medicine Hospital Medicine Quality Improvement Strategies View More
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. September 23, 2015
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. August 8, 2012
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. February 10, 2016
Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. October 21, 2015
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. December 12, 2018
Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation. December 19, 2012
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. September 26, 2012
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. October 31, 2012
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019
Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. May 16, 2012
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. September 19, 2012
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. September 26, 2012
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. May 30, 2012
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
Important change to heparin container labels to clearly state the total drug strength. December 19, 2012
Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. November 7, 2012
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. October 17, 2012
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. September 5, 2012
Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. May 30, 2012
Promoting Patient Safety Through Effective Health Information Technology Risk Management. July 23, 2014
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. November 28, 2012
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012
Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. August 15, 2012
Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed. May 30, 2012
Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013
Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. July 18, 2012
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. October 31, 2012
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. October 10, 2012
Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. January 9, 2013
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
A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013
Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. November 20, 2013
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 13, 2013
Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? September 25, 2013
Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. August 28, 2013