Active-shooter response at a health care facility. | PSNet

Provide Feedback |

Submit a Case

Register

Commentary

Active-shooter response at a health care facility.

September 19, 2018

Inaba K, Eastman AL, Jacobs LM, et al. N Engl J Med. 2018;379(6):583-586.

View more articles from the same authors.

Physical and verbal violence are a recognized problem in the health care workplace. This commentary reviews unique considerations for reducing risks during active shooter incidents. The authors build on accepted emergency management protocols to suggest appropriate strategies for keeping patients as safe as possible in unpredictable situations.

PubMed citation

Related Resources From the Same Author(s)

Complications and death at the start of the new academic year: is there a July phenomenon?

February 24, 2010

The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.

August 24, 2016

Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist.

February 13, 2008

A new paradigm for surgical procedural training.

January 18, 2012

Medical devices and patient safety.

August 22, 2012

Strategies for improving patient safety: linking task type to error type.

February 22, 2012

Drug shortages: effect on parenteral nutrition therapy.

March 21, 2018

Venous thromboembolism after trauma: a never event?

October 10, 2012

Organizational learning in hospitals: a realist review.

August 21, 2019

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

Patient safety improvement interventions in children's surgery: a systematic review.

November 16, 2016

Extraneous tissue a potential source for diagnostic error in surgical pathology.

January 4, 2012

A report of information technology and health deficiencies in U.S. nursing homes.

September 8, 2021

A decade of health information technology usability challenges and the path forward.

February 13, 2019

Impact of miscommunication in medical dispute cases in Japan.

August 6, 2008

Medical emergency team calls: the need to communicate a resuscitation plan.

January 17, 2007

Ensuring access to medications in the US during the COVID-19 pandemic.

May 6, 2020

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

August 12, 2015

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic.

November 9, 2022

Rapid response systems.

November 26, 2014

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

May 26, 2010

Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience.

May 6, 2020

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group.

May 6, 2015

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

October 17, 2012

Nurses' use of computerized clinical guidelines to improve patient safety in hospitals.

May 6, 2015

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.

February 21, 2024

Emergent CSCW systems: the resolution and bandwidth of workplaces.

August 2, 2006

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

March 19, 2014

System-related interventions to reduce diagnostic errors: a narrative review.

February 1, 2012

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

June 1, 2011

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.

June 1, 2011

The role of surgeon error in withdrawal of postoperative life support.

September 26, 2012

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

June 27, 2012

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

May 30, 2007

'Between the flags': implementing a rapid response system at scale.

May 14, 2014

The medical emergency team as a safety net.

November 8, 2006

Practice makes perfect: planning considerations for medical simulation centers.

December 5, 2012

Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015.

October 3, 2018

Prescription opioid analgesics commonly unused after surgery: a systematic review.

August 9, 2017

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

October 11, 2023

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Structured communication for patient safety in emergency medical services: a legal case report.

May 19, 2010

Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.

January 18, 2017

Increasing vigilance on the medical/surgical floor to improve patient safety.

February 21, 2007

Examining the relationship between nurse fatigue, alertness, and medication errors.

April 3, 2024

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

December 7, 2016

Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.

January 30, 2019

Patient safety strategies: a call for physician leadership.

March 13, 2013

Excessive work hours of physicians in training in El Salvador: putting patients at risk.

August 1, 2007

10 years in, why time out still matters.

June 11, 2014

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.

May 4, 2016

North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors.

October 12, 2005

Prevalence and sources of duplicate information in the electronic medical record.

October 12, 2022

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.

June 13, 2007

Surgeon-reported conflict with intensivists about postoperative goals of care.

March 27, 2013

Designing a safer radiology department.

March 29, 2012

Chief resident for quality improvement and patient safety: a description.

July 2, 2014

Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022.

May 3, 2023

Effects of sleep inertia on cognition.

January 25, 2006

Long-term solution to malpractice crises: reduce harm to patients.

April 26, 2006

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.

February 19, 2014

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

November 6, 2013

Violations of behavioral practices revealed in closed claims reviews.

October 29, 2008

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.

July 25, 2012

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.

June 17, 2020

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis.

February 2, 2022

An in-depth analysis of medication errors in hospitalized patients with HIV.

May 18, 2011

Evaluation of an inpatient computerized medication reconciliation system.

May 21, 2008

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

Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.

September 16, 2009

Variations by state in physician disciplinary actions by US medical licensure boards.

April 13, 2016

Two decades since To Err Is Human: progress, but still a "chasm".

January 13, 2021

Characteristics of medical liability claims against dermatologists from 1991 through 2015.

December 20, 2017

Negative behaviours in health care: prevalence and strategies.

February 20, 2019

Reducing treatment errors through point-of-care glucometer configuration.

October 31, 2018

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

August 5, 2009

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study.

August 8, 2018

Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.

March 20, 2024

Cognitive interventions to reduce diagnostic error: a narrative review.

May 16, 2012

The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial.

March 27, 2005

Methodology and bias in assessing compliance with a surgical safety checklist.

February 13, 2013

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Time motion study in a pediatric emergency department before and after computer physician order entry.

December 10, 2008

Simulation safety first: an imperative.

February 20, 2019

Crisis checklists in emergency medicine: another step forward for cognitive aids.

April 7, 2021

Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems.

July 5, 2006

Health care serial murder: a patient safety orphan.

March 31, 2010

Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.

June 28, 2017

Restoring trust in VA health care.

June 11, 2014

The influence of organizational culture, climate and commitment on speaking up about medical errors.

December 18, 2019

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.

March 11, 2020

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

May 4, 2011

Computerized provider order entry adoption: implications for clinical workflow.

December 10, 2008

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

October 15, 2008

Types of unintended consequences related to computerized provider order entry.

September 20, 2006

Alarm fatigue: use of an evidence-based alarm management strategy.

September 14, 2016

Trust and medical AI: the challenges we face and the expertise needed to overcome them.

April 21, 2021

View More

Related Resources

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.

February 16, 2022

Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.

January 12, 2022

Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.

September 5, 2018

Reframing and addressing horizontal violence as a workplace quality improvement concern.

August 22, 2018

Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.

August 1, 2018

Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm.

July 25, 2018

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.

July 11, 2018

A piece of my mind. The art of constructive worrying.

June 20, 2018

Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives.

June 6, 2018

Resolving the productivity paradox of health information technology: a time for optimism.

June 6, 2018

Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012.

June 6, 2018

Physician resiliency and wellness for transforming a health system.

May 30, 2018

Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report.

May 30, 2018

Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.

May 16, 2018

Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.

May 16, 2018

Serious incidents after death: content analysis of incidents reported to a national database.

May 16, 2018

Leadership Survey: Immunization Against Burnout: Insights Report.

May 9, 2018

Physician burnout in the electronic health record era: are we ignoring the real cause?

May 9, 2018

'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations.

May 9, 2018

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.

May 9, 2018

Implementation of a patient safety program at a tertiary health system: a longitudinal analysis of interventions and serious safety events.

May 9, 2018

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

Latent risk assessment tool for health care leaders.

April 25, 2018

The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support.

April 25, 2018

Attitudes and practices related to clinical alarms: a follow-up survey.

April 18, 2018

Diagnostic performance dashboards: tracking diagnostic errors using big data.

April 4, 2018

Hospital Survey on Patient Safety Culture: 2018 User Database Report.

April 4, 2018

Confronting unprofessional behaviour in medicine.

March 28, 2018

View More

See More About The Topic

Facility and Group Administrators

Psychological and Social Complications

Epidemiology of Errors and Adverse Events

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364