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- Communication Improvement 4
- Culture of Safety 2
- Education and Training 3
- Error Reporting and Analysis 2
- Quality Improvement Strategies 1
- Teamwork 3
- Technologic Approaches 1
Search results for "Department of Defense (DOD)"
- Department of Defense (DOD)
- Health Care Executives and Administrators
Tools/Toolkit > Multi-use Website
Washington, DC: Department of Defense. Rockville, MD: Agency for Healthcare Research and Quality; 2016.
Effective teamwork plays an essential role in providing safe patient care. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was developed in collaboration by the United States Department of Defense and AHRQ in order to support effective communication and teamwork in health care. This updated version of the widely implemented program provides new tools to measure its impact, supports increased emphasis on the role of effective communication in team training, and includes a new course management guide. Teamwork training programs have been shown to improve knowledge and attitudes, but have received mixed reviews on their effectiveness in changing behaviors. An AHRQ WebM&M commentary discussed how improved teamwork and shared decision-making might have prevented the unnecessary placement of a peripherally inserted central catheter that led to significant complications.
Journal Article > Study
Patrician PA, Brosch LR. J Nurs Care Qual. 2009;24:277-286.
This study describes nurses' reasons for medication errors and the barriers to reporting them and then shares experiences with an anonymous shift-based reporting system. The authors advocate for accurate and timely systems to identify medication errors and discuss the importance of a positive safety culture.
Journal Article > Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Salerno SM, Arnett MV, Domanski JP. Teach Learn Med. 2009;21:121-126.
This study describes the development and implementation of a standardized written sign-out sheet that improved the completeness and effectiveness of handoffs between housestaff.
Health Manage Technol. October 2007;28:34-36.
This article outlines the challenges and successes the US Army Medical Department has experienced in its approach to implementing medication reconciliation technology.
Journal Article > Commentary
Clancy CM, Tornberg DN. Am J Med Qual. 2007;22:214-217.
The authors discuss the TeamSTEPPS training program—a collaboration of the US Department of Defense and Agency for Healthcare Research and Quality to enhance patient safety through improved teamwork.
Falls Church, VA: TRICARE Management Activity, Office of the Assistant Secretary of Defense; 2006.